The comparison between chlorhexidine solution and toothbrush in preventing oral lesions in patients hospitalized in intensive care unit

Oral health care in patients with an endotracheal tube is one of the most important aspects of nursing care and nursing tasks in intensive care units. Mouth cleaning can reduce the amount of dental gingival، gum disease and the incidence of pneumonia associated with mechanical ventilation. The purpose of this study is the comparison between the effect of chlorhexidine solution and toothbrush in the prevention of oral lesions in patients hospitalized in intensive care unit in Shaheed Beheshti Hospital of Sabzevar. This study is a clinical trial. The Research Society in this study is patients hospitalized with endotracheal tube from the arrival time in intensive care unit in 1392. In this study، 30 patients were selected with target-based approach. They were divided into two groups by permutation blocking method for oral care toothbrush and chlorhexidine. There were 15 patients in each group. Beck Oral Assessment Scale (BOAS) modified and MPS are used in order to collect information on demographics List of information from the checklist of oral health. Data are analyzed by R software، Kolmogorov–Smirnov test، Chi square test، and Fisher and multiple logistic regression at 95% confidence level. Patients toothbrush and chlorhexidine groups of characteristics like age، sex، and drugs were similar (p>0. 05). The results show that the toothbrush and chlorhexidine are effective in preventing oral lesions، but in some cases، when the toothbrush was used، the oral health status of the patient was better (OR=1. 52، p=0. 0046). Discussion and The results indicated the use of toothbrushes and toothpaste is a significant effect in reducing oral lesions in comparison with chlorhexidine.