Your browser doesn't support javascript.
loading
Oral lesions and saliva alterations of COVID-19 patients in an intensive care unit: A retrospective study.
Eduardo, Fernanda de Paula; Bezinelli, Leticia Mello; Gobbi, Marcella Ferreira; Bergamin, Livia Goron; de Carvalho, Danielle Lima Correa; Corrêa, Luciana.
Afiliación
  • Eduardo FP; Hospital Israelita Albert Einstein, São Paulo, Brazil.
  • Bezinelli LM; Hospital Israelita Albert Einstein, São Paulo, Brazil.
  • Gobbi MF; Hospital Israelita Albert Einstein, São Paulo, Brazil.
  • Bergamin LG; Hospital Israelita Albert Einstein, São Paulo, Brazil.
  • de Carvalho DLC; Hospital Israelita Albert Einstein, São Paulo, Brazil.
  • Corrêa L; School of Dentistry, University of São Paulo, São Paulo, Brazil.
Spec Care Dentist ; 42(5): 494-502, 2022 Sep.
Article en En | MEDLINE | ID: mdl-35239209
AIM: To detect the type and frequency of oral lesions and clinical conditions suggestive of saliva alterations in COVID-19 patients in an intensive care unit (ICU), as well as to describe the patient´s management in each case METHODS: Information about oral conditions and mechanical ventilation was collected from oral medicine records of COVID-19 patients in an ICU (n = 519) RESULTS: From the total collected, 472 patients (90.9%) were examined by the oral medicine staff. In 242/472 patients (51.3%), alterations in the oral cavity were noted. The most frequent changes were mechanical trauma (18.1%, derived mainly from intubation), vascular/coagulation disturbances (24.1%, petechiae, bruises, varicoses, and oral bleeding), and saliva alterations (24.4%, dry mouth, and sialorrhea). Infectious lesions were mentioned in the oral medicine records (16.9%), most associated with a viral infection (15.7%), mainly herpesvirus. Improved oral change protocols included oral hygiene, use of specific medications, and laser therapy CONCLUSION: COVID-19 patients in the ICU often showed dryness in the oral and mucosa oral lesions related to vascular/coagulation disturbances, and mechanical trauma derived from orotracheal tube. An oral medicine staff must be aligned with the ICU multidisciplinary team to manage COVID-19 patients, as well as to establish diagnoses and oral cavity treatments.
Asunto(s)
Palabras clave

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Saliva / COVID-19 / Enfermedades de la Boca Tipo de estudio: Guideline / Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Spec Care Dentist Año: 2022 Tipo del documento: Article País de afiliación: Brasil

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Saliva / COVID-19 / Enfermedades de la Boca Tipo de estudio: Guideline / Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Spec Care Dentist Año: 2022 Tipo del documento: Article País de afiliación: Brasil