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http://dx.doi.org/10.13065/jksdh.2015.15.01.147

Oral health and hygiene in the neurosurgical patients in intensive care unit  

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)
Publication Information
Journal of Korean society of Dental Hygiene / v.15, no.1, 2015 , pp. 147-152 More about this Journal
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
Candida; intensive care unit; oral health and hygiene;
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Times Cited By KSCI : 2  (Citation Analysis)
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