Effects of Oral Care with 0.12% Chlorhexidine and Saline Solution on Oral Status, Incidence of Oral Pathogens and Clinical Pulmonary Infection Score in Children with Cardiac Surgery

0.12% 클로르헥시딘액과 생리식염수액을 이용한 구강간호가 소아 개심술 환아의 구강상태, 구강 내 세균 발생 수 및 폐감염 점수에 미치는 효과 비교

  • 구미지 (양산 부산대학교 병원 제2중환자실) ;
  • 김경남 (양산 부산대학교 병원 제1중환자실) ;
  • 황선경 (부산대학교 간호대학)
  • Received : 2011.05.03
  • Accepted : 2011.06.30
  • Published : 2011.08.31

Abstract

Purpose: The purpose of this study was done to investigate the effects of oral care using 0.12% chlorhexidine and saline solution on oral status, incidence of oral pathogens and pneumonia among children who had cardiac surgery. Methods: The study participants were 84 children who underwent cardiac surgery and were admitted to the SICU of a university hospital. Oral care was provided with 0.12% chlorhexidine to the experimental group (n=43) and with saline solution to the control group (n=41), 3 times a day for 3 days. Before and after the intervention, the oral status, oral swab culture, and CPIS were checked. Results: There was no significant difference in oral status score between the two groups. The incidence of oral pathogens in the experimental group was significantly lower than that of the control group (t=-5.780, p<.001). The CPIS in experimental group was significantly lower than that of control group (t=-3.665, p<.001). Conclusion: The oral care with 0.12% Chlorhexidine is more effective than with only saline solution for reducing incidence of oral pathogens and pneumonia.

Keywords

References

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