Volume 4, Issue 2 (2018)                   IEM 2018, 4(2): 59-65 | Back to browse issues page

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Khanchemehr Y, Hoseynrezaei ‎ H, Kashani S, Khanchemehr A. Comparison of Green Tea and Chlorhexidine Mouthwash Effects ‎on Bacterial Colonies of Throat Cultures of Patients in ICU. IEM 2018; 4 (2) :59-65
URL: http://iem.modares.ac.ir/article-4-21845-en.html
1- Operation Room Department, Paramedicine Faculty, Hormozgan University of Medical Sciences, ‎Bandar Abbas, Iran
2- Nursing & Midwifery Department, Nursing & Midwifery Faculty, Kerman University of Medical ‎Science, Kerman, Iran , h_m5664@yahoo.com
3- Critical Care & Pain Management Research Center, Hormozgan University of Medical Sciences, Bandar ‎Abbas, Iran
4- Dentistry Department, Dentistry Faculty, Hrmozgan University of Medical Science. Bandar Abbas, Iran
Abstract:   (6443 Views)
Aims: Throat of a healthy individual is an environment, which is suitable for the growth of various bacteria and viruses. In patients who are under artificial ventilation, leakage around the cuff of the trachea may be the cause of pneumonia. The aim of this study was to investigate the effect of herbal teas of 5% green tea and 0.2% chlorhexidine mouthwash on oral hygiene of patients with tracheal intubation.
Materials and Methods: This clinical trial study was conducted on 46 intubated patients admitted to ICU of Shahid Mohammadi hospital of Bandar Abbas, Iran in 2015. These patients were selected by simple random sampling method. In the first 4 days, the first group was mouthwashed with chlorhexidine solution and the second 4 days with green tea solution. The second group was first washed with green tea solution and the other 4 days with chlorhexidine solution for the first 4 days. On the first day and the end of the fourth and eighth day, the pharynx was cultured using sterilized method. The data were analyzed by SPSS 22 software using Chi-square, chi-square for trend, or Fisher’s exact test.
Findings: Patients in both intervention groups demonstrated improved oral health with respect to decreased bacterial load in pharynx. However, no significant difference was observed between the two intervention groups with respect to improved oral bacterial load (p>0.05).
Conclusion: The use of green tea and chlorhexidine mouthwashes has a similar effect on bacterial colonies in the pharynx.
Full-Text [PDF 416 kb]   (2371 Downloads)    
Article Type: Original Research | Subject: Bacteriology
Received: 2018/03/1 | Accepted: 2018/04/30 | Published: 2018/06/20

References
1. Blot S, Vandijck D, Labeau S. Oral care of intubated patients. Clin Pulm Med. 2008;15(3):153-60.‎ [Link] [DOI:10.1097/CPM.0b013e3181729250]
2. Grap MJ, Munro CL, Ashtiani B, Bryant S. Oral care interventions in critical care: Frequency and ‎documentation. Am J Crit Care. 2003;12(2):113-8.‎ [Link]
3. Browne JA, Evans D, Christmas LA, Rodriguez M. Pursuing excellence: Development of an oral hygiene ‎protocol for mechanically ventilated patients. Crit Care Nurs Q. 2011;34(1):25-30.‎ [Link] [DOI:10.1097/CNQ.0b013e318204809b]
4. Cason CL, Tyner T, Saunders S, Broome L, Centers for Disease Control and Prevention. Nurses' ‎implementation of guidelines for ventilator-associated pneumonia from the Centers for Disease Control and ‎Prevention. Am J Crit Care. 2007;16(1):28-36.‎ [Link]
5. Ames NJ. Evidence to support tooth brushing in critically Ill patients. Am J Crit Care. 2011;20(3):242-50.‎ [Link] [DOI:10.4037/ajcc2011120]
6. Adib Hajbaghery M, Ansari A, Azizi Fini E. Oral care in ICU patients: A review of research evidence. Feyz. ‎‎2011;15(3):280-93. [Persian]‎ [Link]
7. Berry AM, Davidson PM. Beyond comfort: Oral hygiene as a critical nursing activity in the intensive care ‎unit. Intensive Crit Care Nurs. 2006;22(6):318-28.‎ [Link] [DOI:10.1016/j.iccn.2006.04.003]
8. Munro CL, Grap MJ, Jones DJ, McClish DK, Sessler CN. Chlorhexidine, toothbrushing, and preventing ‎ventilator-associated pneumonia in critically ill adults. Am J Crit Care. 2009;18(5):428-38.‎ [Link] [DOI:10.4037/ajcc2009792]
9. Houston S, Hougland P, Anderson JJ, LaRocco M, Kennedy V, Gentry LO. Effectiveness of 0.12% ‎chlorhexidine gluconate oral rinse in reducing prevalence of nosocomial pneumonia in patients undergoing ‎heart surgery. Am J Crit Care. 2002;11(6):567-70.‎ [Link]
10. Munro CL, Grap MJ. Oral health and care in the intensive care unit: State of the science. Am J Crit Care. ‎‎2004;13(1):25-33.‎ [Link]
11. Feider LL, Mitchell P, Bridges E. Oral care practices for orally intubated critically ill adults. Am J Crit Care. ‎‎2010;19(2):175-83.‎ [Link] [DOI:10.4037/ajcc2010816]
12. Chandrasekaran M, Venkatesalu V. Antibacterial and antifungal activity of Syzygium jambolanum seeds. J ‎Ethnopharmacol. 2004;91(1):105-8.‎ [Link]
13. Panchabhai TS, Dangayach NS, Krishnan A, Kothari VM, Karnad DR. Oropharyngeal cleansing with 0.2% ‎chlorhexidine for prevention of nosocomial pneumonia in critically ill patients: An open-label randomized ‎trial with 0.01% potassium permanganate as control. Chest. 2009;135(5):1150-6.‎ [Link]
14. Cabrera C, Artacho R, Giménez R. Beneficial effects of green te--a review. J Am Coll Nutr. 2006;25(2):79-‎‎99.‎ [Link]
15. Feng Q, Kumagai T, Torii Y, Nakamura Y, Osawa T, Uchida K. Anticarcinogenic antioxidants as inhibitors ‎against intracellular oxidative stress. Free Radic Res. 2001;35(6):779-88.‎ [Link] [DOI:10.1080/10715760100301281]
16. Kushiyama M, Shimazaki Y, Murakami M, Yamashita Y. Relationship between intake of green tea and ‎periodontal disease. J periodontol. 2009;80(3):372-7.‎ [Link] [DOI:10.1902/jop.2009.080510]
17. Safar Abadi M, Rezaei K, Ghaznavirad E. Comparing the effect of Echinacea and chlorhexidine ‎mouthwash on oral health in patients hospitalized in intensive care units. Complement Med J Fac Nurs ‎Midwifery. 2012;2(3):222-34. [Persian]‎ [Link]
18. Lee MJ, Maliakal P, Chen L, Meng X, Bondoc FY, Prabhu S, et al. Pharmacokinetics of tea catechins after ‎ingestion of green tea and (-)-epigallocatechin-3-gallate by humans: Formation of different metabolites and ‎individual variability. Cancer Epidemiol Biomarkers Prev. 2002;11(10 Pt 1):1025-32.‎ [Link]
19. Rafiee H, Iranmanesh S, Sabzevari S. Comparison of the endotracheal tube suctioning with and without ‎normal saline solution on heart rate and oxygen saturation. Iran J Crit Care Nurs. 2011;4(3):117-20.‎ [Link]
20. Jenabian N, Moghadamnia AA, Karami E, Mir A PB. The effect of Camellia Sinensis (green tea) ‎mouthwash on plaque-induced gingivitis: A single-blinded randomized controlled clinical trial. Daru. ‎‎2012;20(1):39.‎ [Link] [DOI:10.1186/2008-2231-20-39]
21. Yamamoto T, Juneja LR, Chu SC, Kim M. Chemistry and applications of green tea. Boca Raton: CRC Press; ‎‎1997.‎ [Link]
22. Rafiei H, Hosseinrezaei H, Iranmanesh S, Tajadiny M, Amiri M. The comparison of the effects of ‎chlorhexidine mouthwash alone and Chlorhexidine mouthwash followed by oral suctioning on oral hygiene of ‎critically Ill patients. J Med Surg Intensive Care Med. 2012;3(1):13-6.‎ [Link]
23. Sargolzaie N, Rajabi O, Arab HR, Esmaele H, Ehteshamfar A. Comparative evaluation of green tea-aloe ‎vera mouthwash and chlorhexidine 0.2% on gingival indices (a randomized clinical trial). J Dent Mater Tech. ‎‎2016;5(1):31-5.‎ [Link]

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