Journal of Korean society of Dental Hygiene (한국치위생학회지)

Korean Society of Dental Hygiene (한국치위생학회)
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Oral health and hygiene in the neurosurgical patients in intensive care unit

일부 대학병원 신경외과 중환자실 환자의 구강상태에 관한 연구

  • Kim, Eun-Kyong (Department of Dental Hygiene, College of Science & Technology Kyungpook National University) ;
  • Lee, Hee-Kyung (Department of Dentistry, College of Medicine, Yeungnam University)
  • 김은경 (경북대학교 과학기술대학 치위생학과) ;
  • 이희경 (영남대학교 의과대학 치과학교실)
  • Received : 2014.12.05
  • Accepted : 2015.02.12
  • Published : 2015.02.28
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Abstract

Objectives: The purpose of this study was to investigate the oral health and hygiene in the neurosurgical patients in intensive care unit(ICU). Methods: The subjects were 92 neurosurgical patients in intensive care unit(ICU) from March, 2011 to December, 2012. The oral examination consisted of number of residual teeth, DMFT index, clinical attachment loss, gingival index, plague index, and Candida species colony of tongue and saliva. Plaque was inoculated from tongue and saliva and incubated in 36.5C incubator for 48 hours using $Dentocult^{(R)}$ CA(Orion Diagnostica, Espoo, Finland). Glasgow coma scale(GCS) was measured to evaluate the consciousness of the patients on the basis of medical record. Results: Oral health was poor in clinical attachment loss and gingival index. Oral hygiene in neurosurgical patients in ICU was very poor due to high plaque index and Candida colonization of tongue and saliva. Plague index was closely related to Candida colonization of tongue and saliva(p<0.05). Conclusions: Oral health and hygiene of patients in neurosurgical ICU were very poor. More careful oral hygiene care is very important and necessary to enhance the oral health improvement of the neurosurgical patients in ICU.

Keywords

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