HASTANEDE YATIŞ DÖNEMİNDE HASTALARIN AĞIZ-DİŞ SAĞLIĞININ DEĞERLENDİRİLMESİ

Yıl 2021, Cilt: 31 Sayı: 1, 8 - 14, 15.01.2021

Z.gonca Bek Kürklü Burcu Evlice Ahmet T. Evlice

https://doi.org/10.17567/ataunidfd.806441

Öz

Amaç: Hastanede yatış, diş fırçalama gibi rutin hale gelmiş olan ağız hijyeni alışkanlıklarını değiştirebilir. Bu çalışmanın amacı 7 günlük hastaneye yatışın hastaların ağız-diş sağlığı durumuna etkisini değerlendirmektir.
Gereç ve Yöntem: Bu çalışma, yatan hastalarda yapılan gözlemsel bir çalışmadır. Başlangıçta (hastaneye yatışının ilk 24 saati) ve 7. günde Plak indeksi (PI) ve tükürük S. mutans seviyesi ölçüldü. Çalışmaya ardışık yedi günden fazla süre yatacak olan 20 hasta dahil edildi.
Bulgular: Yirmi hastanın başlangıçta medyan PI’i 1.5(0;3) iken 7. Günde medyan PI 2.0(0;3)’dür (p=0.005). Başlangıçta yüksek S. mutans seviyesine sahip hastaların oranı (>5x 105 CFU⁄mL) %50 iken 7. Günde bu oran %20 artarak %70’e yükselmiştir (p=0.333).
Sonuç: PI ve tükürük S. mutans seviyesi ile değerlendirilen ağız-diş sağlığı, 7 gün hastanede yatış süresinde kötüleşti.
Anahtar kelimeler: Dental plak indeksi, Streptokokus mutans, Yataklı tedavi
Evaluation of Oral Health of Patients Under Hospitalization Period
ABSTRACT
Aim: Hospitalization period may change oral hygiene habits that have become routine like brushing teeth. The aim of this study to evaluate the oral health status of hospitalized patients because of changing routine oral health habits in days of staying hospital.
Material and Methods: This is an observational study in patients. Plaque index (PI) and saliva S. mutans level at baseline (first 24 hours of hospitalization) and on day 7 was measured to evaluate if there are some retrogression of oral health status. Twenty patients who were hospitalized for more than seven consecutive days were included in the study.
Results: The median PI of 20 patients at baseline was 1.5( 0;3) and on Day 7 the median value was 2.0(0;3) (p = 0.005). While the proportion of patients with a high level of S.mutans (> 5x 105 CFUmL) was 50% at baseline, on the 7th day, this rate increased by 20% to 70% (p = 0.333).
Conclusion: Oral health, assessed through PI and saliva S. mutans level deteriorated during 7 day hospitalization, and coused significant retrogression of oral health status.
Key words: Dental Plaque Index, Hospitalization, Streptococcus mutans

Anahtar Kelimeler

Dental plak indeksi, Streptokokus mutans, Yataklı tedavi

Kaynakça

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