IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v23y2014i11-12p1461-1475.html
   My bibliography  Save this article

The effectiveness of different concentrations of chlorhexidine for prevention of ventilator‐associated pneumonia: a meta‐analysis

Author

Listed:
  • Ting‐Ting Zhang
  • Shan‐Shan Tang
  • Li‐Juan Fu

Abstract

Aims and objectives To evaluate the effectiveness of chlorhexidine for the prevention of ventilator‐associated pneumonia and explore the preferred concentration of chlorhexidine. Background The implementation of effective oral care measures could reduce the incidence of ventilator‐associated pneumonia, but among several randomised controlled trials, whether using chlorhexidine is effective and which concentration is more appropriate remain controversial. Design A meta‐analysis was conducted. Methods We searched the Cochrane Library, PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature, China Biology Medicine disc and Chinese National Knowledge Infrastructure to collect randomised controlled trials of mechanically ventilated adult patients receiving oral care with chlorhexidine to prevent ventilator‐associated pneumonia. The quality of randomised controlled trials was critically appraised, data were extracted by two reviewers independently, and disagreement was resolved by consensus. Meta‐analyses were conducted for the eligible randomised controlled trials by revman 5.1. Relative risks and 95% CIs were calculated with the Mantel–Haenszel model, and heterogeneity was assessed with the I2 test. Results Eighteen randomised controlled trials were included and a meta‐analysis was used. All studies indicated chlorhexidine could significantly prevent and reduce the incidence of ventilator‐associated pneumonia [RR = 0·59, 95% CI (0·50–0·69), p

Suggested Citation

  • Ting‐Ting Zhang & Shan‐Shan Tang & Li‐Juan Fu, 2014. "The effectiveness of different concentrations of chlorhexidine for prevention of ventilator‐associated pneumonia: a meta‐analysis," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(11-12), pages 1461-1475, June.
  • Handle: RePEc:wly:jocnur:v:23:y:2014:i:11-12:p:1461-1475
    DOI: 10.1111/jocn.12312
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.12312
    Download Restriction: no

    File URL: https://libkey.io/10.1111/jocn.12312?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:23:y:2014:i:11-12:p:1461-1475. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.