Chlorhexidine is not effective at any concentration in preventing ventilator-associated pneumonia: a systematic review and network meta-analysis
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作者:
De Cassai, Alessandro
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Univ Hosp Padua, St Antonio Anesthesia & Intens Care Unit, Padua, ItalyUniv Hosp Padua, St Antonio Anesthesia & Intens Care Unit, Padua, Italy
De Cassai, Alessandro
[1
]
Pettenuzzo, Tommaso
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机构:
Univ Hosp Padua, UOC Anesthesia & Intens Care Unit, Padua, ItalyUniv Hosp Padua, St Antonio Anesthesia & Intens Care Unit, Padua, Italy
Pettenuzzo, Tommaso
[2
]
Busetto, Veronica
论文数: 0引用数: 0
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机构:
Univ Hosp Padua, Cardiac Surg Intens Care Unit, Padua, ItalyUniv Hosp Padua, St Antonio Anesthesia & Intens Care Unit, Padua, Italy
Busetto, Veronica
[3
]
Legnaro, Christian
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机构:
Univ Padua, Dept Med DIMED, Padua, ItalyUniv Hosp Padua, St Antonio Anesthesia & Intens Care Unit, Padua, Italy
Legnaro, Christian
[4
]
Pretto, Chiara
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机构:
Univ Padua, Dept Med DIMED, Padua, ItalyUniv Hosp Padua, St Antonio Anesthesia & Intens Care Unit, Padua, Italy
Pretto, Chiara
[4
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Rotondi, Alessio
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Univ Padua, Dept Med DIMED, Padua, ItalyUniv Hosp Padua, St Antonio Anesthesia & Intens Care Unit, Padua, Italy
Rotondi, Alessio
[4
]
Boscolo, Annalisa
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机构:
Univ Hosp Padua, UOC Anesthesia & Intens Care Unit, Padua, Italy
Univ Padua, Dept Med DIMED, Padua, Italy
Univ Padua, Dept Cardiac Thorac Vasc Sci & Publ Hlth, Thorac Surg & Lung Transplant Unit, Padua, ItalyUniv Hosp Padua, St Antonio Anesthesia & Intens Care Unit, Padua, Italy
Boscolo, Annalisa
[2
,4
,5
]
Sella, Nicolo
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机构:
Univ Hosp Padua, UOC Anesthesia & Intens Care Unit, Padua, ItalyUniv Hosp Padua, St Antonio Anesthesia & Intens Care Unit, Padua, Italy
Sella, Nicolo
[2
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Munari, Marina
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机构:
Univ Hosp Padua, St Antonio Anesthesia & Intens Care Unit, Padua, ItalyUniv Hosp Padua, St Antonio Anesthesia & Intens Care Unit, Padua, Italy
Munari, Marina
[1
]
Navalesi, Paolo
论文数: 0引用数: 0
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机构:
Univ Hosp Padua, UOC Anesthesia & Intens Care Unit, Padua, Italy
Univ Padua, Dept Med DIMED, Padua, ItalyUniv Hosp Padua, St Antonio Anesthesia & Intens Care Unit, Padua, Italy
Navalesi, Paolo
[2
,4
]
机构:
[1] Univ Hosp Padua, St Antonio Anesthesia & Intens Care Unit, Padua, Italy
[2] Univ Hosp Padua, UOC Anesthesia & Intens Care Unit, Padua, Italy
[3] Univ Hosp Padua, Cardiac Surg Intens Care Unit, Padua, Italy
Introduction Oral chlorhexidine has been widely used for ventilator-associated pneumonia prevention in the critical care setting; however, previous studies and evidence synthesis have generated inconsistent findings. Our study aims to investigate if different concentrations of oral chlorhexidine may be effective in preventing such complication in intensive care unit patients. Methods After pre-registration (Open Science Framework: 8CUKF), we conducted a network meta-analysis with the following PICOS: adult patients (age > 18 years old) undergoing invasive mechanical ventilation admitted in ICU (P); any concentration of chlorhexidine used for oral hygiene (I); placebo, sham intervention, usual care, or no intervention (C); rate of VAP (primary outcome), mechanical ventilation length, ICU length of stay (LOS), hospital LOS, mortality (secondary outcomes) (O); randomized controlled trials (S). We used the following database: PubMed, the Cochrane Central Register of Controlled Trials (CENTRAL), Scopus, and EMBASE without any limitation in publication date or language. Results Chlorhexidine did not demonstrate any significant advantage over the control group in preventing ventilator-associated pneumonia or reducing mortality, duration of mechanical ventilation, length of stay in the intensive care unit, or overall mortality. Conclusions Chlorhexidine oral decontamination does not reduce the rate of ventilator-associated pneumonia in critically ill adult patients and its routine use could not be recommended.
机构:
Univ Oklahoma, Hlth Sci Ctr & Res investigator, Dept Vet Affair Med Ctr, Oklahoma City, OK 73019 USAUniv Oklahoma, Hlth Sci Ctr & Res investigator, Dept Vet Affair Med Ctr, Oklahoma City, OK 73019 USA
Leasure, A. Renee
Stirlen, Joan
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Affairs Med Ctr, Dept Vet, Oklahoma City, OK USAUniv Oklahoma, Hlth Sci Ctr & Res investigator, Dept Vet Affair Med Ctr, Oklahoma City, OK 73019 USA
Stirlen, Joan
Lu, Shu Hua
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机构:
China Med Univ, Sch Nursing, Taichung, TaiwanUniv Oklahoma, Hlth Sci Ctr & Res investigator, Dept Vet Affair Med Ctr, Oklahoma City, OK 73019 USA
机构:
Sapporo City Univ, Sch Nursing, Dept Acute & Crit Care Nursing, Master Program, Sapporo, Hokkaido, JapanSapporo City Univ, Sch Nursing, Dept Acute & Crit Care Nursing, Master Program, Sapporo, Hokkaido, Japan
Yamakita, Sachika
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Unoki, Takeshi
Niiyama, Sachi
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机构:
Sapporo City Univ, Sch Nursing, Dept Acute & Crit Care Nursing, Master Program, Sapporo, Hokkaido, Japan
Sapporo Med Univ Hosp, Adv Crit Care & Emergency Ctr, Sapporo, Hokkaido, JapanSapporo City Univ, Sch Nursing, Dept Acute & Crit Care Nursing, Master Program, Sapporo, Hokkaido, Japan
Niiyama, Sachi
Natsuhori, Eri
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Sapporo City Univ, Sch Nursing, Dept Acute & Crit Care Nursing, Master Program, Sapporo, Hokkaido, Japan
Sapporo Kojinkai Mem Hosp, Intens Care Unit, Sapporo, Hokkaido, JapanSapporo City Univ, Sch Nursing, Dept Acute & Crit Care Nursing, Master Program, Sapporo, Hokkaido, Japan
Natsuhori, Eri
Haruna, Junpei
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Sapporo Med Univ Hosp, Intens Care Unit, Sapporo, Hokkaido, JapanSapporo City Univ, Sch Nursing, Dept Acute & Crit Care Nursing, Master Program, Sapporo, Hokkaido, Japan
Haruna, Junpei
Kuribara, Tomoki
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Sapporo City Univ, Sch Nursing, Dept Acute & Crit Care Nursing, Sapporo, Hokkaido, JapanSapporo City Univ, Sch Nursing, Dept Acute & Crit Care Nursing, Master Program, Sapporo, Hokkaido, Japan
机构:
Saglik Bakanligi Istanbul Catalca Ilyas Cokay Pub, Intens Care Unit, Istanbul, Turkey
Saglik Bakanligi Istanbul Catalca Ilyas Cokay Pub, Reanimat Dept, Istanbul, TurkeySaglik Bakanligi Istanbul Catalca Ilyas Cokay Pub, Intens Care Unit, Istanbul, Turkey
Sozkes, Serda
Sozkes, Sarkis
论文数: 0引用数: 0
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Tekirdag Namik Kemal Univ, CMF Biomed Engn Biomat Dept, Tekirdag, TurkeySaglik Bakanligi Istanbul Catalca Ilyas Cokay Pub, Intens Care Unit, Istanbul, Turkey
机构:
Univ Castilla La Mancha, Hlth & Social Care Res Ctr, Cuenca, SpainUniv Castilla La Mancha, Hlth & Social Care Res Ctr, Cuenca, Spain
Pozuelo-Carrascosa, Diana P.
Klompas, Michael
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机构:
Harvard Med Sch, Dept Populat Med, Boston, MA USA
Harvard Pilgrim Healthcare Inst, Boston, MA USA
Brigham & Womens Hosp, Dept Med, 75 Francis St, Boston, MA 02115 USAUniv Castilla La Mancha, Hlth & Social Care Res Ctr, Cuenca, Spain
Klompas, Michael
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Alvarez-Bueno, Celia
Manuel Anon, Jose
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Hosp Univ Paz Carlos III, Intens Care Unit, Madrid, SpainUniv Castilla La Mancha, Hlth & Social Care Res Ctr, Cuenca, Spain
Manuel Anon, Jose
Martinez-Vizcaino, Vicente
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机构:
Univ Castilla La Mancha, Hlth & Social Care Res Ctr, Cuenca, Spain
Univ Autonoma Chile, Fac Hlth Sci, Talca, ChileUniv Castilla La Mancha, Hlth & Social Care Res Ctr, Cuenca, Spain
Martinez-Vizcaino, Vicente
Cavero-Redondo, Ivan
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Univ Castilla La Mancha, Hlth & Social Care Res Ctr, Cuenca, Spain
Univ Las Amer, Rehabil Hlth Res Ctr CIRES, Santiago, ChileUniv Castilla La Mancha, Hlth & Social Care Res Ctr, Cuenca, Spain
Cavero-Redondo, Ivan
Herraiz-Adillo, Angel
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Hlth Serv Castilla Mancha SESCAM, Dept Primary Care, Cuenca, SpainUniv Castilla La Mancha, Hlth & Social Care Res Ctr, Cuenca, Spain
机构:
Virginia Commonwealth Univ, Sch Nursing, Adult Hlth Dept, Richmond, VA 23298 USAVirginia Commonwealth Univ, Sch Nursing, Adult Hlth Dept, Richmond, VA 23298 USA
Munro, Cindy L.
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Grap, Mary Jo
Jones, Deborah J.
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Univ Texas Houston, Sch Nursing, Acute & Continuing Care Dept, Houston, TX USAVirginia Commonwealth Univ, Sch Nursing, Adult Hlth Dept, Richmond, VA 23298 USA
Jones, Deborah J.
McClish, Donna K.
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机构:
Virginia Commonwealth Univ, Dept Biostat, Richmond, VA 23298 USAVirginia Commonwealth Univ, Sch Nursing, Adult Hlth Dept, Richmond, VA 23298 USA
McClish, Donna K.
Sessler, Curtis N.
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机构:
Virginia Commonwealth Univ, Div Pulm & Crit Care Med, Dept Internal Med, Sch Med, Richmond, VA 23298 USAVirginia Commonwealth Univ, Sch Nursing, Adult Hlth Dept, Richmond, VA 23298 USA