Integrated oral care contributes positively to the course of treatment of oncopediatric patients.

Autor: Ribeiro ILA; Postgraduate Program in Dentistry, Federal University of Paraíba, Campus I, João Pessoa, PB, 58051900, Brazil. isabella_arrais@yahoo.com., de Castro RD; Postgraduate Program in Dentistry, Federal University of Paraíba, Campus I, João Pessoa, PB, 58051900, Brazil., Costa RC; Postgraduate Program in Clinical Dentistry, State University of Campinas, Piracicaba, SP, Brazil., Damascena LCL; Postgraduate Program in Decision Models and Health, Federal University of Paraíba, João Pessoa, PB, Brazil., de Lucena NNN; Postgraduate Program in Decision Models and Health, Federal University of Paraíba, João Pessoa, PB, Brazil., Maracajá PMB; Postgraduate Program in Dentistry, Federal University of Paraíba, Campus I, João Pessoa, PB, 58051900, Brazil., Dos Santos FG; Postgraduate Program in Dentistry, Federal University of Paraíba, Campus I, João Pessoa, PB, 58051900, Brazil., de Medeiros Serpa EB; Postgraduate Program in Dentistry, Federal University of Paraíba, Campus I, João Pessoa, PB, 58051900, Brazil., Sousa SA; Postgraduate Program in Dentistry, Federal University of Paraíba, Campus I, João Pessoa, PB, 58051900, Brazil., Valença AMG; Statistics Department, Federal University of Paraíba, João Pessoa, PB, Brazil.
Jazyk: angličtina
Zdroj: European journal of pediatrics [Eur J Pediatr] 2021 Sep; Vol. 180 (9), pp. 2757-2764. Date of Electronic Publication: 2021 Mar 22.
DOI: 10.1007/s00431-021-04024-z
Abstrakt: The purpose of this study was to implement a model of permanent oral health care for oncopediatric patients and to observe its effects on severe oral mucositis and subsequent treatment interruptions. We performed a quasi-experimental study in the Pediatric Department of Napoleão Laureano Hospital, in the city of João Pessoa, Brazil. A integrated oral care was implemented by a dentistry team for prevention of comorbidities, such as infections, oral pain, oral function maintenance, oral mucositis, and interventions for lesions due to severe oral mucositis. The oral comorbidities were compared before and after the implementation. The duration of severe oral mucositis (SOM) before and after the interventions and the interruptions in treatment due to SOM were the main outcome measures. Permanent oral health care reduced the duration of SOM and reduced pediatric chemotherapy interruptions due to SOM by 81.8%.Conclusion: The permanent oral health care to offer to oncopediatric patients increased surveillance regarding oral comorbidities and reduced chemotherapy interruptions due to severe oral mucositis. This care plan could be adopted anywhere around the world. What is Known: • Several studies on oral care for pediatric oncology patients, especially regarding both prevention of and treatment for oral mucositis during antineoplastic therapy, have been published. What is New: • This study describes the benefits of permanent oral care with daily oral surveillance for pediatric patients, which reduced the duration of severe oral mucositis, increased surveillance and the efficiency in diagnostic for signs of oral mucositis, enabling early intervention, and decreased chemotherapy interruptions, contributing positively to the course of treatment.
(© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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