Impact of Teeth Brushing in Ventilated COVID-19 Patients.
Microbial Colonization, COVID-19 Respiratory Infection, Dysbiosis
About this trial
This is an interventional prevention trial for Microbial Colonization focused on measuring oral microbiota, healthcare-associated infection
Eligibility Criteria
Inclusion Criteria:
- SARS-CoV-2 infection confirmed by real-time reverse transcriptase-polymerase chain reaction (RT-PCR) assay of nasal and pharyngeal swabs upon hospital admission
- Signed consent to participate in the study
- Patients admitted to ICU
- Intubation due to COVID-19 related pneumonia and acute respiratory distress syndrome (ARDS) within 24 hours preceding study procedures
Exclusion Criteria:
- No consent to participate in the study
Sites / Locations
- Univeristy Hospital Kraków
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Standard oral procedure
Extended oral procedure
Standard mouth cleaning protocol (without brushing) included: Preparation of sterile catheter (12F lub 14F), suction of excess fluid from the oral cavity. Using Sage Suction Swab (Toothette®), soaking in Perox-A-Mint Solution and cleaning with circular movements of each mucosal site for 10 seconds: Right cheek mucosa and right upper quadrant Left cheek mucosa and left upper quadrant Left lower buccal quadrant Right lower buccal quadrant Moisturizing with Mouth Moisturizer /firma/ of oral cavity mucosa, tongue and lips. Repeated suction of excess fluid from the oral cavity.
Extended mouth cleaning protocol (with brushing) included: Preparation of sterile catheter (12F lub 14F), suction of excess fluid from the oral cavity. Teeth brushing (each teeth quadrant for 30) using Sage Untreated Suction Toothbrush (SUST) connected to suction unit, moistured with sterile water. Using Sage Untreated Suction Toothbrush (SUST) moisturised with sterile water and cleaning with circular movements of each mucosal site for 10 seconds: Right cheek mucosa and right upper quadrant Left cheek mucosa and left upper quadrant Left lower buccal quadrant Right lower buccal quadrant Moisturizing with Mouth Moisturizer of oral cavity mucosa, tongue and lips. Repeated suction of excess fluid from the oral cavity.