HRC 2012-2017 PAV

This data assessed ICU patients over a six-year period, focusing on the role of dental procedures and plaque removal. The incidence of VAP was tracked in relation to the frequency and interval of dental consultations. A logistic regression was performed to associate VAP occurrence with variables such as consultation intervals, dental procedures, duration of mechanical ventilation (MV), age, among others. The findings revealed a significant reduction in VAP incidence over time, with a lower risk observed in 2017 compared to 2012. Shorter intervals between dental consultations were linked to a decrease in VAP cases. No association was found between undergoing dental procedures and an increased risk of VAP; however, patients requiring these interventions appeared more vulnerable. Additionally, older patients (over 52 years) and those on MV for more than 10 days exhibited a higher risk of developing VAP. Dental interventions in the ICU, particularly when performed early and at shorter intervals, contribute to the reduction of VAP incidence. These findings underscore the importance of integrating regular dental care into ICU protocols, emphasizing the potential for improved outcomes with systematic oral care. Although dental procedures themselves do not increase the risk of VAP, early interventions aimed at controlling plaque and infection sources seem crucial for patient outcomes.