Effect of Oral Care with Povidone-Iodine in the Prevention of Ventilator-Associated Pneumonia, a Systematic Review and Meta-Analysis

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EMAMI ZEYDI AMIR; PARVIZI ARMAN; HADDADI SOUDABEH; Karkhah Samad; HOSSEINI SEYED JAVAD; Mollaei Amir abbas; FIROOZ MAHBOBEH; Ramezani Shahin; Osuji Joseph; Ghorbani Vajargah Pooyan; Dehghanzadeh Shadi

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Journal: Archives of Academic Emergency Medicine Year:621 | Volume: | Issue: Page(s): 0-0

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Title

Effect of Oral Care with Povidone-Iodine in the Prevention of Ventilator-Associated Pneumonia, a Systematic Review and Meta-Analysis

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Keywords

Oral hygiene

pneumonia

ventilator-associated

primary prevention

povidone-iodine

meta-analysis

Abstract

Introduction: ventilator-associated pneumonia (VAP) is one of the most common nosocomial infections affecting onethird of patients with mechanical ventilation. This study aimed to synthesize available evidence regarding the effect of treatment with povidone-iodine (PI) among adult patients admitted to intensive care units (ICUs) for the prevention of VAP. Methods: An extensive search was conducted in online databases, including PubMed, Web of Science and Scopus, from the earliest records until January 1, 2023. STATA software v14 was used for statistical analysis. Publication bias was assessed via funnel plot, Begg’, s and Egger’, s tests. A P-value less than 0. 1 was considered statistically significant for publication bias value. Results: Four studieswere included in themeta-analysis. Three studies showed rhat PI decreased VAP compared to the placebo group, but it was not statistically significant (RR: 0. 61, 95%CI: 0. 25 to 1. 47, Z=1. 10, P=0. 27, I2: 71. 5%). One study compared the effect of PI with chlorhexidine on the rate of VAP, the difference between which was not statistically significant (RR: 1. 50, 95%CI: 0. 46 to 4. 87, Z=0. 67, P=0. 50, I2: 0). Two studies demonstrated that the use of PI intervention compared to placebo decreased the average length of stay in ICU,however, it was not statistically significant (WMD:-0. 35, 95%CI:-3. 90 to 3. 20, Z=0. 19, P=0. 85, I2: 0). Also, three studies showed that using PI had almost no effect on mortality rate compared to placebo (RR: 1. 05, 95%CI: 0. 66 to 1. 53, Z=0. 8, P=0. 27, I2: 29. 0%). Conclusion: More rigorously designed randomized clinical trials and further evidence are required to make a better decision/comparison about using PI as a suitable choice for preventing VAP among adult patients admitted to the ICU.

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APA: Copy

EMAMI ZEYDI, AMIR, PARVIZI, ARMAN, HADDADI, SOUDABEH, Karkhah, Samad, HOSSEINI, SEYED JAVAD, Mollaei, Amir abbas, FIROOZ, MAHBOBEH, Ramezani, Shahin, Osuji, Joseph, Ghorbani Vajargah, Pooyan, & Dehghanzadeh, Shadi. (2023). Effect of Oral Care with Povidone-Iodine in the Prevention of Ventilator-Associated Pneumonia, a Systematic Review and Meta-Analysis. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), 11(1), 0-0. SID. https://sid.ir/paper/1115159/en

Vancouver: Copy

EMAMI ZEYDI AMIR, PARVIZI ARMAN, HADDADI SOUDABEH, Karkhah Samad, HOSSEINI SEYED JAVAD, Mollaei Amir abbas, FIROOZ MAHBOBEH, Ramezani Shahin, Osuji Joseph, Ghorbani Vajargah Pooyan, Dehghanzadeh Shadi. Effect of Oral Care with Povidone-Iodine in the Prevention of Ventilator-Associated Pneumonia, a Systematic Review and Meta-Analysis. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY)[Internet]. 2023;11(1):0-0. Available from: https://sid.ir/paper/1115159/en

IEEE: Copy

AMIR EMAMI ZEYDI, ARMAN PARVIZI, SOUDABEH HADDADI, Samad Karkhah, SEYED JAVAD HOSSEINI, Amir abbas Mollaei, MAHBOBEH FIROOZ, Shahin Ramezani, Joseph Osuji, Pooyan Ghorbani Vajargah, and Shadi Dehghanzadeh, “Effect of Oral Care with Povidone-Iodine in the Prevention of Ventilator-Associated Pneumonia, a Systematic Review and Meta-Analysis,” ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), vol. 11, no. 1, pp. 0–0, 2023, [Online]. Available: https://sid.ir/paper/1115159/en

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