Question · asked by 1 review

Chlorhexidine (mouthrinse or gel), as part of oral hygiene care vs placebo or usual care: Plaque index (PI) / oral hygiene

Population
Critically ill patients (adults and children) receiving mechanical ventilation in ICU
Intervention
Chlorhexidine (mouthrinse or gel), as part of oral hygiene care
Comparison
placebo or usual care
Outcome
Plaque index (PI) / oral hygiene

What each review found

Current versions only
No studies found 0 · 0%GRADE not reported 3 · 100%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
FindingEffectStudiesGRADE certainty
Chlorhexidine (mouthrinse or gel), as part of oral hygiene care vs Placebo or usual care
Oral health indices (plaque index) · Critically ill patients (adults and children) receiving mechanical ventilation in ICU
Oral hygiene care for critically ill patients to prevent ventilator‐associated pneumonia (2020) · Cochrane All outcomes
Plaque index: Fu 2019 found a significant reduction in the chlorhexidine group; Ozcaka 2012 and Scannapieco 2009 found no difference; 3 studies; no usable pooled estimate.3 studiesGRADE not reported
Chlorhexidine (mouthrinse or gel), as part of oral hygiene care vs Placebo or usual care
Oral health indices (plaque index) · Critically ill patients (adults and children) receiving mechanical ventilation in ICU
Oral hygiene care for critically ill patients to prevent ventilator‐associated pneumonia (2016) · Cochrane All outcomesearlier version CD008367.PUB3, superseded
Plaque index: neither study reporting this outcome (Ozcaka 2012; Scannapieco 2009) found a difference between chlorhexidine and control; 2 studies; no usable pooled estimate.2 studiesGRADE not reported
Chlorhexidine (mouthrinse or gel), as part of oral hygiene care vs Placebo or usual care
Oral health indices (plaque index) · Critically ill patients (adults and children) receiving mechanical ventilation in ICU
Oral hygiene care for critically ill patients to prevent ventilator‐associated pneumonia (2013) · Cochrane All outcomesearlier version CD008367.PUB2, superseded
Plaque index: neither study reporting this outcome (Ozcaka 2012; Scannapieco 2009) found a difference between chlorhexidine and control; 2 studies; no usable pooled estimate.2 studiesGRADE not reported

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Oral hygiene care for critically ill patients to prevent ventilator‐associated pneumonia
2020 · Cochrane All outcomes
2020-02Not listedNot assessed
How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.