Evidence Based Practice for Oral Care in Children
As far as is known, general nursing care practices do not include specific evidence-based practices related to oral care in children. This study aimed to evaluate the evidence based nursing practice for oral care in children. This article is planned as a review article by searching the literature in this field. According to all age groups and the oral care in various specific situations located evidence in the literature were examined. It has been determined that the methods and frequency used in oral care practices performed by nurses in clinics differ from one hospital to another. In addition, it is seen that different solutions are used in basic oral care, oral care practices to prevent ventilator-associated pneumonia and evidence-based practice in mucositis management in children. As a result, a standard should be established in oral care practices for children and education for children is recommended.
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 A. Mullhal, EBN notebook. “Nursing, Research and the Evidence”, Evidence Based Nursing, 1998, 1: 4-6.
 A. Dicenso, N. Cullum, D. Ciliska, “Implementing Evidence-Based Nursing: Some Misconceptions”. Evidence-based Nursing, 1998, 1:38-40.
 G. Uysal, D. Düzkaya. Sönmez. “Çocuk yoğun bakım ünitelerinde kanıta dayalı uygulamalar”, Yoğun Bakım Hemşireliği Dergisi, 2013, 17: 29-36.
 S.J. Closs, F.M. Cheater. “Evidence for Nursing Practice: A Clarification of the Issues”, Journal of Advanced Nursing, 1999, 30: 10–17.
 M. Yılmaz. “Hemşirelik bakım hizmetinin kalitesini geliştirme yolu olarak kanıta dayalı uygulama” Cumhuriyet Üniversitesi Hemşirelik Yüksekokulu Dergisi, 2005, 9:41-8.
 A. Ünal, N. Turan, H. Kaya. “Çocuklarda kanıta dayalı ağız bakımı uygulamaları”, Dokuz Eylül Üniversitesi Çocuk Cerrahisi ABD. Çocuk Cerrahisi Hemşireliği Derneği Bülteni. 2013, 9:1-12.
 G. Kocaman, (2003). “Hemşirelikte Kanıta Dayalı Uygulama”, Hemşirelikte Araştırma Geliştirme Dergisi, 2003, 2:61-69.
 M.Ç. Yılmaz. Evidence-based practices for managing mucositis. UHOD-Uluslararası Hematoloji-Onkoloji Dergisi, 2007, 26:241-246.
 C. Stein, N.M.L. Santos, J.B. Hilgert, F.N. Hugo. “Effectiveness of oral health education on oral hygiene and dental caries in school children: Systematic review and meta‐analysis”, Community Dentistry and Oral Epidemiology, 2018, 46:30-37.
 G. Sadana, T. Gupta, N. Aggarwa, H.K. Rai, A. Bhargava, S. Walia. “Evaluation of the impact of oral health education on oral hygiene knowledge and plaque control of school-going children in the city of Amritsar”, Journal of International Society of Preventive and Community Dentistry, 2017, 7:259-63.
 L.S.A. Pearson. “Comparison of the ability of foam swabs and toothbrushes to remove dental plaque: implications for nursing practice”, Journal of Advanced Nursing, 1996, 23:62-9. )
 L.S. Pearson, J.L. Hutton. “A controlled trial to compare the ability of foam swabs and toothbrushes to remove dental plaque”, Journal of Advanced Nursing, 2002, 39: 480-489.
 P.J. Marino, A. Hannigan, S. Haywood, J.M. Cole, N. Palmer, C. Emanuel, ... & D.W. Williams. (2016). “Comparison of foam swabs and toothbrushes as oral hygiene interventions in mechanically ventilated patients: a randomised split mouth study”, BMJ Open Respiratory Research, 2016, 3: e000150.
 H. Özveren, D. Özden. “Turkish Nurses' Attitudes and Practices Regarding Oral Care”, International Journal of Nursing Knowledge, 2015, 26: 163-169.
 H. Antunes, E. Sá de Ferreira, L. De Faria, M. Schirmer, P. Rodrigues, I. Small et al. “Streptococcal bacteraemia in patients submitted to hematopoietic stem cell transplantation: The role of tooth brushing and use of chlorhexidine”, Medicina Oral Patologia OraL, Cirugia Bucal, 2010, 15: e303–309.
 C.L. Munro, M.J. Grap, D.J. Jones, D.K. McClish, C.N. Sessler. Chlorhexidine, toothbrushing, and preventing ventilator-associated pneumonia in critically ill adults. American Journal of Critical Care. 2009, 18: 428-37.
 M.J. Grap, C.L. Munro, R.K. Elswick, C.N. Sessler, K.R. Ward. “Duration of action of a single, early oral application of chlorhexidine on oral microbial flora in mechanically ventilated patients: A pilot study”, Heart Lung. 2004, 33: 83-91.
 R.V. Lalla, J. Bowen, A. Barasch, L. Elting, J. Epstein, D.M. Keefe, ... & J.E. Raber‐Durlacher. “MASCC/ISOO clinical practice guidelines for the management of mucositis secondary to cancer therapy”, Cancer, 2014, 120:1453-1461.
 O. Baygin, T. Tuzuner, A. Kusgoz, A. Can Senel, M. Tanriver, & I. Arslan. “Antibacterial effects of fluoride varnish compared with chlorhexidine plus fluoride in disabled children” Oral Health & Preventive Dentistry, 2014, 12:373-382.
 E.M.M.D.B. Costa, M.Z. Fernandes, L.B. Quinderé, L.B.D. Souza, L.P. Pinto. “Evaluation of an oral preventive protocol in children with acute lymphoblastic leukemia”, Pesquisa Odontologica Brasileira, 2003, 17:147-150.
 A. Wohlschlaeger. “Prevention and treatment of mucositis: A guide for nurses”, Journal of Pediatric Oncology Nursing, 2004, 21:281-7.
 O. Nicolatou-Galitis, T. Sarri, J. Bowen, M. Di Palma, V.E. Kouloulias, P. Niscola, et al. “Systematic review of anti-inflammatory agents for the management of oral mucositis in cancer patients”, Support Care Cancer 2013; 21: 3179-3189.
 S. Handa, S. Chand, J. Sarin, V. Singh, S. Sharma. “Effectiveness of oral care protocol on oral health status of hospitalised children admitted in intensive care units of selected hospital of Haryana”, Nursing and Midwifery Research Journal, 2014, 10: 8-15.
 K. Cheng K. “Children's acceptance and tolerance of chlorhexidine and benzydamine oral rinses in the treatment of chemotherapy-induced oropharyngeal mucositis”, European Journal of Oncology Nursing. 2004, 8:341-9.
 K.K. Cheng, A.M. Chang. “Palliation of oral mucositis symptoms in pediatric patients treated with cancer chemotherapy”, Cancer nursing. 2003, 26:476-84.
 K.K Cheng, A.M. Chang, M. Yuen. “Prevention of oral mucositis in paediatric patients treated with chemotherapy: a randomised crossover trial comparing two protocols of oral care”, European Journal of Cancer. 2004, 40:1208-16. 37.
 M. Majdaeen, M. Babaei, A. Rahimi. “Sodium bicarbonate containing mouthwash for preventing radiotherapy-ınduced oral mucositis in patients with locally advanced head and neck cancer”, Reports of Radiotherapy and Oncology, 2015, 2: e3721.
 D. İnan, R. Saba, S. Keskin, D. Öğünç, C. Çiftçi, F. Günseren ve ark. “Yoğun bakım ünitelerinde hastane infeksiyonları”. Yoğun Bakım Dergisi, 2002, 2:129-135.
 E. Demir, N. Kuyucu, E. İnce, A. Kara, N. Kiper. “Çocukluk çağında hastane kökenli pnömoni tanı ve tedavi rehberi”, Türk Toraks Dergisi, 2002, 3:17-26.
 L. Cuccio, E. Cerullo, H. Paradis, C. Padula, C. Rivet, S. Steeves, J. Lynch. “An evidence-based oral care protocol to decrease Ventilator-Associated Pneumonia”, Dimensions of Critical Care Nursing, 2012, 31:301-308.
 Z. Shi, H. Xie, P. Wang, Q. Zhang, Y. Wu, E. Chen, ... S. Furness. “Oral hygiene care for critically ill patients to prevent ventilator-associated pneumonia”, Cochrane Database Syst Rev, 2013, 8.
 A.D. Jácomo, F. Carmona, A.K. Matsuno, P.H. Manso, A.P. Carlotti. (2011). “Effect of oral hygiene with 0.12% chlorhexidine gluconate on the incidence of nosocomial pneumonia in children undergoing cardiac surgery”, Infection Control & Hospital Epidemiology, 2011, 32: 591-596.
 D.M. Kusahara, M.A.S. Peterlini, M.L.G. Pedreira. “Oral care with 0.12% chlorhexidine for the prevention of ventilator-associated pneumonia in critically ill children: randomised, controlled and double blind trial”, International Journal of Nursing Studies 2012, 49: 1354-1363.
 H. Kunzmann, K. Dimitriades, B. Morrow, A. Argent. “Reducing paediatric ventilator-associated pneumonia-a South African challenge!”, Southern African Journal of Critical Care (Online), 2016, 32: 17-20.
 R. Garcia, L. Jendresky, L. Colbert, A. Bailey, M. Zaman, M. Majumder. “Reducing ventilator associated pneumonia through advanced oral dental care: a 48-month study”, American Journal of Critical Care, 2009,18:523-32
 K.K.F. Cheng, A. Molassiotis, A.M. Chang, et al. “Evaulation of an oral care protocol intervention of chemotherapy-induced oral mucositis in paediatric cancer patients”, European Journal of Oncology Nursin,g 2001, 37:2056-63.
 N.K. Childers, E.A. Stinnett, P. Wheeler, et al. “Oral complications in children with cancer”, Oral Surgery Oral Medicine Oral Pathology Radiology, 1993,75:41-7.
 E.B. Rubenstein, D.E. Peterson, M. Schubert, et al. “Clinical practice guidelines for the prevention and treatment of cancer therapy-induced oral and gastrointestinal mucositis”, Cancer, 2004, 100:2026–2046.
 S.H. Alani, G.A. Hasan, S.M. Hameed, “Oral Mucositis in Children Suffering from Acute Lymphoblastic Leukaemia”, Iraqi Dental Journal, 2014, 36:30-33.
 B. Yavuz, H. Bal Yılmaz, “Investigation of the effects of planned mouth care education on the degree of oral mucositis in pediatric oncology patients”, Journal of Pediatric Oncology Nursing, 2015, 32:47-56.
 K. Çıtlak, S. Kapucu, “Kemoterapi alan hastalarda görülen oral mukozitin önlemesi ve tedavisinde güncel yaklaşımlar: kanıta dayalı uygulamalar”, Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 2015, 2:70-77.