Clinical trial Recruiting at 1 site Interventional Ages 18 and up

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 typeInterventional
Ages18 Years and up
SexAll
Enrollment72 (estimated)
SponsorMarmara University
Academic / other
Locations1 site (Zonguldak)
StatusRecruiting
StartedOctober 1, 2025
Main results expectedMarch 31, 2027
Study endsMarch 31, 2027
Registry record updatedNovember 9, 2026
Trial IDNCT07283380 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

  • Zonguldak Atatürk State Hospital, Ministry of Health, Türkiye
    Zonguldak, Turkey (Türkiye)
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.