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KIMVENT* Oral Care Solutions: ORAL CARE IS CRITICAL CARE
VAP is a major concern associated with high incidence rates, mortality and costs.1
  • VAP may account for up to 60% of all deaths due to Healthcare-Associated Infections (HAI)3 
  • Approximately 8% to 28% of critical care patients develop VAP.3
  • Hospital –associated pneumonia patients have a mortality rate of 20% to 33%.2
  • VAP increases patient time in the ICU by 4 to 6 days.2
  • Each incidence of VAP is estimated to generate an increased cost of $40,000.2
  

For ventilator-dependent patients, oral care is critical care.

  • 63% of patients admitted to an ICU have oral colonization with pathogens associated with VAP. 5
  • The absence of adequate salivary flow in intubated ICU patients causes severe xerostomia (dry mouth), which may contribute to the development of mucositis (oral tissue inflammation) and oropharyngeal colonization with gram negative bacteria. 6
  • If an intubated patient does not receive effect and comprehensive oral hygiene, bacterial plaque develops on teeth with 48 hours. 7
  • As dental plaque increases, so does the risk of pneumonia 9
  • Comprehensive oral hygiene has consistently been recognized as critical to preventing HAP and VAP by such leading organizations as: Centers for Disease Control and Prevention (CDC) 2; Association for Professionals in Infection Control and Epidemiology (APIC) 10 ; American association of Critical Care Nurses (AACN) 11; Institute for Healthcare Improvement (IHI) 12
  
   
   
  1. Kollef MH. What is ventilator-associated pneumonia and why is it important? Respiratory Care 2005 June; 50(6); 714-724
  2. CDC. Guidelines for Preventing Healthcare-Associated Pneumonia, 2003. Recommendations of the CDC and the Healthcare Infection Control Practices Advisory Committee. MMWR 2004; 53 (No. RR-3)
  3. Chastre J, Fagon J. Ventilator-Associated Pneumonia. Crit Care Med 2002; 165: 867-903
  4. Fitch J. Oral Care in the ICU. American Journal of Critical Care 1999 Sept; Vol. 8 No. 5; 324-318.
  5. Cason CL et al: Nurses’ implementation of guidelines for VAP from CDC, AM J Crit Care. 2007 Jan; 16(1).
  6. Dennesen, P, et. al. Inadequate salivary flow and poor oral mucosal status in intubated intensive care unit patients, Crit Care Med 2003 Vol. 31, No. 3
  7. Bagg, J. et al, Essentials for Microbiology, Chapter 21, Oxford University Press, 1999
  8. Berry, A et al. Oral hygiene as a critical nursing activity in the intensive care unit. Intensive and Critical Care Nursing (2006) 22, 318-328.
  9. Fourier. E. Effects of dental plaque antiseptic decontamination on bacterial colonization and nosocomial infections in critically ill patients, Intensive Care Med (2000) 26:1.
  10. APIC. Preventing Ventilator-Associated Pneumonia 2004
  11. AACN News Vol. 23 No. 8 Aug 2006
  12. 5 Million Lives Campaign. Getting Started Kit: Prevent Ventilator-Associated Pneumonia How-to-Guide. Cambridge, MA:Crit Care Med 2003 Vol. 31, No.3
  13. Garcia, R. A review of the possible role of oral and dental colonization on the occurrence of healthcare-associated pneumonia: underappreciated risk and a call for interventions. Association for Professionals in infection Control and Epidemiology, 2005,Vol. 33 No9, pp. 527-542.
  
 
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User Results
User Results Show Preference for KIMBERLY-CLARK* KIMVENT* 24-Hour Oral Care Kit**
 
 
  • Nine out of 10 medical personnel who tried the KIMBERLY-CLARK* KIMVENT* 24-Hour Oral Care Kit recommend the kit over previous oral care methods.
  • 87% of respondents think the kit is easier to use than their current product(s).
  • 86% of respondents agree the kit makes it easier than their previous methods to be compliant to their hospital’s protocol.
  • 88% of respondents agree that the packaging makes oral care procedures less messy and less time consuming.
** A total of 354 evaluation forms from 27 hospitals were completed by nurses and respiratory therapists and returned to Kimberly-Clark Corp.
 
 
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Healthcare-Associated Infection Solutions