Two Oral Care Methods for Mechanically Ventilated Adults
Official title: Investigation of the Effect of Two Different Oral Care Methods on Oral Flora and Ventilator Associated Pneumonia in Mechanically Ventilated Patients: A Randomized Controlled Study
Run by Marmara University · NCT07283380 · Data updated 2026-11-12
This trial tests whether a pediatric toothbrush or a foam swab for oral care affects oral bacteria and the risk of ventilator-associated pneumonia in adults on mechanical ventilation.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 72 (estimated) |
| Sponsor | Marmara University Academic / other |
| Locations | 1 site (Zonguldak) |
| Status | Recruiting |
| Started | October 1, 2025 |
| Main results expected | March 31, 2027 |
| Study ends | March 31, 2027 |
| Registry record updated | November 9, 2026 |
| Trial ID | NCT07283380 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults on invasive mechanical ventilation for 24 hours or less who can provide or have consent provided by a legal representative, with no major oral/neck conditions or contraindications to oral care.
✕Probably not a fit
Patients with contraindications to oral care or those not expected to benefit from altered oral microbiota may not experience a direct benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This single-centre, parallel-group randomized trial compares two oral care methods in mechanically ventilated adult ICU patients. Over five days, all participants receive chlorhexidine and saline as needed, with oral care frequency guided by OCAS-ICP assessments. Oropharyngeal swabs collected on days 1 and 6 will assess shifts in bacterial and fungal colonization, including Staphylococcus, Pseudomonas, Acinetobacter, and Candida species. The study aims to determine if the method of oral care influences microbial colonization and VAP development.
Why it matters
Potential benefit: If successful, the preferred oral care method could reduce VAP risk and improve ICU outcomes.
How similar studies have gone: Previous work has explored oral care methods in ICU patients, but this exact comparison is relatively novel and its success remains to be demonstrated.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients who have been on invasive mechanical ventilation for 24 hours or less * Patients who provide informed consent through their legal representative or themselves if capable. * Patients with no prior oral surgery, no head or neck trauma, and no contraindications to oral care. * Patients aged 18 years or older. Exclusion Criteria: * Patients under 18 years of age. * Patients who have been on invasive mechanical ventilation for more than 24 hours before enrollment. * Patients with oral surgical procedures or trauma to the head or neck. * Patients with contraindications to oral care, such as severe oral bleeding, mucositis, or active oral infections. * Patients or legal representatives who do not provide informed consent.
Where it's running
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Zonguldak Atatürk State Hospital, Ministry of Health, Türkiye
Zonguldak, Turkey (Türkiye) Recruiting
Study contacts
- Principal investigator: Gulten OKUROĞLU, Assoc.Prof — Marmara University
- Study coordinator: Ayse AYDIN, PhD Cand.
- Email: ayseelaaydin@outlook.com
- Phone: + 905314099989
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Innate Immune Immunoparalysis and Ventilator-Associated Pneumonia in Critically Ill Elderly Patients
This study tests whether signs of innate immune immunoparalysis in adults on ventilators are linked to developing ventilator-associated pneumonia (VAP).
-
Combined mPCR and algorithm-based therapy to optimize early antibiotics in VAP
This trial tests whether adding a broad respiratory mPCR test and a local-epidemiology algorithm helps doctors choose better initial antibiotics within 24 hours for adults with ventilator-associated pneumonia.
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This study will test whether monitoring airway viscous resistance from ventilator waveforms can help time sputum suctioning for patients on mechanical ventilation with ARDS, AECOPD, or severe pneumonia.
-
Aztreonam‑avibactam for MBL-producing CRE infections in hospitalized adults
This study will see if aztreonam‑avibactam helps hospitalized adults with complicated intra‑abdominal infections or hospital/ventilator‑associated pneumonia caused by MBL-producing CRE.
-
Early detection of ventilator-associated pneumonia in critically ill children using microbial and immune signatures.
This project will test whether combining microbial genomic data and a child's immune-response signals can detect ventilator-associated pneumonia earlier in critically ill children on mechanical ventilation.
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Inhaled colistin to prevent pneumonia in ventilated patients
This study is testing if inhaled colistin can help prevent pneumonia in patients on ventilators who are at high risk for infections.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.