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. 2023 Dec 31;28(1):48–57. doi: 10.5005/jp-journals-10071-24601

Table 3.

Association with total experience

S. No. Questions Responses Group I Group II Group III χ2 p-value
1 Recommended material used for oral care hygiene maintenance in ICU patients Simple suction 7 2 0 20.658 0.008
Tap water 6 4 0
Plain saline 35 48 33
Chlorhexidine 4 1 2
Toothbrush 2 1 5
2 Is toothbrush recommended for maintenance of oral hygiene in ICU patients? No 26 16 8 9.105 0.011
Yes 28 40 32
3 Frequency of toothbrushing performed by nursing staff for each ICU patient daily Once 16 15 7 11.765 0.067
Twice 28 26 21
After every meal 3 9 11
Not daily 7 6 1
4 Duration of toothbrushing performed by nursing staff for each ICU patient 3–4 minutes 13 30 16 34.182 0.000
1–2 minutes 35 24 10
5 minutes 0 0 4
Not sure 6 2 10
5 Pooling of saliva in the mouth for intubated ICU patients leads to an increased incidence of microbial growth. This can be controlled by (A) Suctioning of oral fluids regularly 29 15 12 16.628 0.002
(B) Using cotton swabs to absorb 6 5 0
(A) and (B) 19 36 28
Not required 0 0 0
6 Oral hygiene tools required in an ICU setup for oral hygiene maintenance Toothbrush 7 1 3 12.058 0.017
Gauze + tongue depressor 12 23 20
Mouth rinse 0 0 0
All 35 32 17
7 Recommended toothpaste for children with teeth should contain Fluoride 23 37 24 13.124 0.011
Sodium chloride 26 19 16
Sodium bicarbonate 0 0 0
Don't know 5 0 0
8 Recommended oral rinse for ICU patients 0.12% chlorhexidine 47 50 37 0.720 0.698
Plain water 7 6 3
Betadine 0 0 0
Hydrogen 0 0 0
Don't Know 0 0 0
9 Ideal handwashing practice to be followed by nursing staff in ICU Pre-contact handwashing with tap water and soap 0 0 0 14.049 0.001
Pre- and post-contact handwashing with tap water and soap 26 24 5
Pre- and post-contact handwashing with tap water and soap followed by alcohol rub 28 32 35
Handwashing is not needed 0 0 0
10 Denture hygiene of geriatric ICU patients comprises Removal of dentures at night and cleaning it once a day 9 5 3 10.272 0.036
Removal of the dentures during sleep and cleaning it preferably after every meal 41 51 37
No need for the removal of dentures from the mouth and external cleaning 4 0 0
Intraoral cleaning with appropriate tools is sufficient 0 0 0
11 Where do you store personalized oral hygiene tools for ICU patients? (A) Personalized air-tight containers 21 29 17 14.412 0.025
(B) Along with their other personal belongings 20 13 4
(A) or (B) 13 14 19
Does not matter 0 0 0
12 Maintenance of oral hygiene in infants before the eruption of teeth in a pediatric ICU is done by (A) Cotton swab to clean the gums 35 42 22 5.562 0.234
(B) Small soft toothbrush 0 0 0
Both (A) and (B) 18 13 18
No supporting cleaning is required 1 1 0
13 Did you receive assessment and provision of comprehensive oral care for ICU patients in basic nursing training? No 7 0 0 13.054 0.001
Yes 47 56 40
14 What is the ideal patient position for performing oral hygiene care in an unconscious ICU adult patient? Position the patient in the supine position 5 1 2 8.262 0.082
Position the patient in the prone position 0 0 0
Position the patient in the lateral decubitus 25 37 28
Position the patient in the elevated supine position 24 18 10
Any position 0 0 0
15 Do you think oral hygiene maintenance is necessary for ICU patients? Yes 54 56 40
No 0 0 0
16 Doctor's instruction for oral hygiene care documented in the checklist and your necessary documentation/record for the oral hygiene procedures will improve the practice of oral care by nursing staff Yes 54 56 40
No 0 0 0
17 Will the presence of a dental surgeon in the ICU help in the proper maintenance of oral hygiene in ICU patients? No 10 2 3 7.203 0.027
Yes 44 54 37

Group I, 0–7 years; group II, 7.1–13.9 years; group III, 14 years and above