Related Experiment Video

Updated: May 30, 2025

Anesthesia and Intubation of Preadolescent Mouse Pups for Cardiothoracic Surgery
09:47

Anesthesia and Intubation of Preadolescent Mouse Pups for Cardiothoracic Surgery

Published on: June 2, 2022

2.2K

Oral care methods to reduce salivary bacteria in infants undergoing cardiac surgery: A randomized controlled trial

Hiromi Honda1, Madoka Funahara1, Kanako Nose2

  • 1School of Oral Health Sciences Faculty of Dentistry Kyushu Dental University, Kitakyushu, Japan.

Journal of Dental Sciences
|January 28, 2025
PubMed

Insights

Systemic antibiotics significantly reduced oral bacteria after pediatric cardiac surgery. Postoperative antiseptic mouthwash with povidone-iodine (PV-I) further decreased bacterial counts in infants.

Area of Science:

  • Pediatric Surgery
  • Microbiology
  • Infectious Disease Prevention

Background:

  • Postoperative complications like pneumonia are risks after pediatric cardiac surgery.
  • Limited research exists on perioperative oral bacterial changes in these patients.
  • Understanding oral flora dynamics is crucial for infection control.

Purpose of the Study:

  • To investigate changes in oral bacterial counts in infants undergoing cardiac surgery.
  • To evaluate the impact of antiseptic mouthwash on postoperative oral bacteria.
  • To assess the effectiveness of different oral care interventions.

Main Methods:

  • 102 infants with congenital heart disease underwent surgery.
  • Salivary bacterial counts were measured pre- and post-oral care.
  • Postoperative groups received water, benzethonium chloride (BZ), or povidone-iodine (PV-I) mouthwash.
  • Bacterial counts were assessed before and after oral care in each group.

Main Results:

  • Preoperative oral care did not alter bacterial counts.
  • Postoperative bacterial counts were lower, likely due to antibiotics.
  • No significant difference in bacterial counts between water and BZ groups post-care.
  • PV-I mouthwash significantly reduced bacterial counts post-care.

Conclusions:

  • Systemic antibiotics effectively reduce postoperative oral bacteria in infants.
  • Povidone-iodine (PV-I) mouthwash provides additional bacterial reduction.
  • Antiseptic oral care can be a valuable adjunct in preventing complications.
Abstract

Keywords:
Bacterial countCardiac surgeryInfantOral carePovidone iodine

More Related Videos

Oral Biofilm Sampling for Microbiome Analysis in Healthy Children10:42

Oral Biofilm Sampling for Microbiome Analysis in Healthy Children

Published on: December 31, 2017

17.0K
Studying Microbial Communities In Vivo: A Model of Host-mediated Interaction Between Candida Albicans and Pseudomonas Aeruginosa in the Airways06:43

Studying Microbial Communities In Vivo: A Model of Host-mediated Interaction Between Candida Albicans and Pseudomonas Aeruginosa in the Airways

Published on: January 13, 2016

8.7K

Related Concept Videos

Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
251
Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
171
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
156
Hand hygiene01:23

Hand hygiene

Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
3.1K
Tracheostomy Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
409
Tonsillitis II: Management01:26

Tonsillitis II: Management

This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
103