Oral care in the adult intensive care unit

Julie A. Fitch, Cindy L. Munro, Connie A. Glass, Joan M. Pellegrini

Research output: Contribution to journalArticlepeer-review

73 Scopus citations


• BACKGROUND Nurses have not been formally trained in assessing the oral status of patients in intensive care units, and no oral care protocols for these patients are available. • OBJECTIVES To assess the oral status of patients in an intensive care unit, evaluate the effects of a defined oral care protocol on the oral health status of patients in an intensive care unit, and compare oral assessments of a dental hygienist with those of intensive care nurses. • METHODS A nonequivalent comparison group, longitudinal design with repeated measures was used. In phase 1, oral assessment data on the comparison group were collected by a dental hygienist. In phase 2, nurses were instructed in oral assessment and an oral care protocol. In phase 3, the oral care protocol was implemented in the treatment group, and oral assessment data were collected separately by the dental hygienist and by nurses. • RESULTS The mean inflammation score was significantly lower (t test P = .03) in the treatment group (mean, 3.9; SEM, 3.0) than in the comparison group (mean, 12.4; SEM, 2.2). Although not significant, the mean scores of the treatment group were also lower than those of the comparison group on scales of candidiasis, purulence, bleeding, and plaque. Correlations between scores for individual items on the oral assessment tool obtained by the dental hygienist and those obtained by nurses were all greater than 0.6386. • CONCLUSION Implementation of a well-developed oral care protocol by bedside nurses can improve oral health of patients in the intensive care unit. (American Journal of Critical Care. 1999;8:314-318).

Original languageEnglish (US)
Pages (from-to)314-318
Number of pages5
JournalAmerican Journal of Critical Care
Issue number5
StatePublished - Sep 1999
Externally publishedYes

ASJC Scopus subject areas

  • Critical Care


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