Enfermería Intensiva

Enfermería Intensiva

Volume 29, Issue 4, October–December 2018, Pages 187-188
Enfermería Intensiva

Comentarios a artículos de investigación
Los cuidados con clorhexidina bucal en la prevención de la neumonía asociada a ventilación mecánica a debateEffects of chlorhexidine gluconate oral care on hospital mortality: a hospital-wide, observational cohort study

https://doi.org/10.1016/j.enfi.2018.10.002Get rights and content

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La neumonía asociada a ventilación mecánica es un efecto adverso grave, en gran parte evitable, de los pacientes críticamente enfermos. Las principales estrategias preventivas incluyen el fomento de prácticas seguras, mejorando aspectos como el retraso en la extubación, minimizando las microaspiraciones subglóticas y orofaríigeas utilizando clorhexidina oral como antiséptico en diferentes concentraciones para modular la colonización orofaríngea1.

Este procedimiento ha sido ampliamente estudiado

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  • Should oral chlorhexidine remain in ventilator-associated pneumonia prevention bundles?

    2022, Medicina Intensiva
    Citation Excerpt :

    In order to decide whether the adverse effects of oral chlorhexidine outweigh its benefits and recommend this practice to all critically ill patients on mechanical ventilation, some aforementioned information can be taken into account. The perception that oral chlorhexidine prevents VAP can be biased, since this data is present only in meta-analyses of “open-label” studies and not in double-blind ones18,52 and is speculated that its widespread use may be related with bacterial and antimicrobial resistance acquisition.24,48 Besides that, oral care with chlorhexidine for VAP prevention was associated with increase in ventilator associated events50 and mortality.14–16,18,45

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