Pneumonia, Ventilator-Associated Clinical Trial
Official title:
The Efficacy of Adjuvant Oral Care in Prevention of Ventilator Associated Pneumonia: A Randomized Controlled Trial.
A Randomized Controlled Trial (RCT) at Services Hospital, Lahore, aims to reduce Ventilator-Associated Pneumonia (VAP) incidence and mortality rates while shortening ICU stays in mechanically ventilated patients by adding adjuvant oral care to traditional practices. Study Objectives: Focus: ICU patients on mechanical ventilation. Question: Does adjuvant oral care reduce VAP rates and ICU stays? Methodology: Sample: Minimum 100 eligible subjects via convenient sampling. Randomization: Computer software for unbiased group allocation. Interventions: Intervention group gets Chlorhexidine mouthwash, toothbrushing, and oral gel; control group gets 0.2% Chlorhexidine mouthwash. Measures: Evaluate VAP using Modified Clinical Pulmonary Infection Score (MCPIS) and compare demographic data. Statistical Analysis: SPSS v22 to analyze data. Expected Impact: Potential to reduce VAP and improve ICU patient outcomes. Cost-effective treatment with adjuvant oral care. Shorter ICU stays, relieving VAP burden. Enhanced patient care, reduced mortality, and resource strain. Aligns with reducing VAP incidence and improving ICU patient care.
Status | Not yet recruiting |
Enrollment | 100 |
Est. completion date | July 15, 2024 |
Est. primary completion date | June 10, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility | Inclusion Criteria: - ICU patients on intensive mechanical ventilation aged 18-65 years of either sex with oral ETT in situ. - MCPIS score between 0 to 5 on first day of admission at ICU Exclusion Criteria: - More than 48 hours of mechanical ventilation before ICU admission. - Previous history of respiratory illness. - Immunocompromised. - Ongoing sepsis. - Pregnancy. - Presence of dentures. |
Country | Name | City | State |
---|---|---|---|
Pakistan | University of Health Sciences | Lahore | Punjab |
Lead Sponsor | Collaborator |
---|---|
University of Health Sciences Lahore |
Pakistan,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Incidence of Ventilator-Associated Pneumonia (VAP) | This outcome measures the occurrence of Ventilator-Associated Pneumonia (VAP) among patients who are on mechanical ventilation in the intensive care unit (ICU). It serves as a critical indicator of the effectiveness of the intervention, which includes adjuvant oral care, in reducing the risk of VAP. | The time frame for assessing the incidence of VAP in this study spans the entire three-month duration of the research conducted at Services Hospital, Lahore. | |
Secondary | Duration of ICU Stay | The duration of ICU stay will be recorded for each patient. This data will help evaluate whether the intervention affects the length of ICU stay and potentially reduces healthcare resource utilization | These demographic characteristics and clinical parameters will be assessed throughout the three-month duration of the study at Services Hospital, Lahore. | |
Secondary | Mortality Rates | Mortality rates in both the control and intervention groups will be compared to assess if the adjuvant oral care intervention has an impact on patient survival during their ICU stay. | These demographic characteristics and clinical parameters will be assessed throughout the three-month duration of the study at Services Hospital, Lahore. |
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