Impacto da condição de saúde bucal no paciente com covid-19 internado em Unidade de Terapia Intensiva

Autores

  • Larissa Freire Arlindo Chagas
  • Gláucia Ávila Oliveira

DOI:

https://doi.org/10.51723/hrj.v5i23.824

Palavras-chave:

Covid-19; Terapia Intensiva; Saúde Bucal; Doença Periodontal

Resumo

A cavidade bucal abriga a segunda microbiota mais diversa do corpo humano, apresentando bactérias, fungos, vírus e archeas. Durante os estágios iniciais da infecção por SARS-CoV-2, a orofaringe é uma região crucial para a replicação viral. Por isso, bactérias periodontais podem estar relacionadas a complicações da covid-19. Este estudo teve como objetivo avaliar, em uma população com diagnóstico de pré-obesidade e obesidade grau I, se a condição de saúde bucal do paciente com covid-19 que necessitou de cuidados de terapia intensiva influenciou no prognóstico e mortalidade. Foi realizado um estudo observacional analítico retrospectivo no qual foram analisados prontuários de pacientes admitidos na Unidade de Terapia Intensiva do Hospital Regional da Asa Norte que apresentaram diagnóstico de covid-19 e pré-obesidade ou obesidade grau I. Os resultados mostraram maior necessidade de ventilação mecânica em pacientes com infecção odontogênica. A mortalidade foi maior no grupo de pré-obesos com infecção odontogênica quando comparados ao sem infecção. Porém, no grupo com obesidade grau I, não encontramos o mesmo resultado.

Referências

Ochani RK, Asad A, Yasmin F, Shaikh S, Khalid H, Batra S, et al. Covid-19 pandemic: From origins to outcomes. A comprehensive review of viral pathogenesis, clinical manifestations, diagnostic evaluation, and management. Infez Med. 2021;29(1):20-36

Sukumar K, Tadepalli A. Nexus between COVID-19 and periodontal disease. J Int Med Res. 2021;49(3)

Sampson V, Kamona N, Sampson A. Could there be a link between oral hygiene and the severity of SARSCoV-2 infections? Br Dent J. 2020;228(12):971-5

Kawamoto M, Tanaka H, Sakurai A, Otagiri H, Karasawa I, Yamada SI, et al. Exploration of correlation of oral hygiene and condition with influenza infection. PLoSOne [Internet]. 2021;16(8 August):1-11

Bao L, Zhang C, Dong J, Zhao L, Li Y, Sun J. Oral Microbiome and SARS-CoV-2: Beware of Lung Co-infection. Front Microbiol. 2020;11(July):1-13

Imai K, Tanaka H. Sars-cov-2 infection and significance of oral health management in the era of “the new normal with covid-19.” Int J Mol Sci. 2021;22(12)

Takahashi Y, Watanabe N, Kamio N, Kobayashi R, Iinuma T, Imai K. Aspiration of periodontopathic bacteria due to poor oral hygiene potentially contributes to the aggravation of COVID-19. J Oral Sci. 2021;63(1):1-3

Scannapieco FA, Bush RB, Paju S. Associations between periodontal disease and risk for nosocomial bacterial pneumonia and chronic obstructive pulmonary disease. A systematic review. Ann Periodontol. 2003;8:54-69. doi: 10.1902/annals.2003. 8.1.54

Zhou F, Yu T, Du R, et al. Clinical course and risk factors for mortality of adult in patients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020;395:1054-1062

Simonnet A, Chetboun M, Poissy J, Raverdy V, Noulette J, Duhamel A, et al. High Prevalence of Obesity in Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) Requiring Invasive Mechanical Ventilation. Obesity. 2020;28(7):1195-9

WHO. Site WHO, 2010. A healthy lifestyle – WHO recommendations. Cited: 26 jan. 2023. Available from: https://www.who.int/europe/news-room/fact-sheets/item/a-healthy-lifestyle---who-recommendations

Kim KJ, Han K, Yang SE. Association between overweight, obesity and incidence of advanced dental caries in South Korean adults: A 10-year nationwide population-based observational study. PLoSOne [Internet]. 2020;15(2):1-12

Martinez-Herrera M, Silvestre-Rangil J, Silvestre FJ. Association between obesity and periodontal disease. A systematic review of epidemiological studies and controlled clinical trials. Med Oral Patol Oral Cir Bucal. 2017;22(6):e708-15

Anand PS, Jadhav P, Kamath KP, Kumar SR, Vijayalaxmi S & Anil S (2022). A case-control study on the association between periodontitis and coronavirus disease (COVID-19). Journal of Periodontology, 93(4), 584-590

Marouf N, Cai W, Said, KN, Daas H, Diab H, Chinta VR, Tamimi F (2021). Association between periodontitis and severity of COVID-19 infection: A case–control study. Journal of Clinical Periodontology, 48(4), 483-491. Available from: https://doi.org/10.1111/jcpe.13435

Shamsoddin E. Is periodontitis associated with the severity of COVID-19?. Evid Based Dent. 2021;22:66-68

Lloyd-Jones G, Molayem S, Pontes CC & Chapple I (2021). The COVID-19 Pathway: A Proposed OralVascular-Pulmonary Route Of SARS-CoV-2 Infection And The Importance Of Oral Healthcare Measures. Journal Of Oral Medicine And Dental Research, 2(1), 1-25

Li Y, Ashcroft T, Chung A, Dighero I, Dozier M, Horne M, Nair H (2021). Risk factors for poor outcomes in hospitalised COVID-19 patients: A systematic review and meta-analysis. Journal of Global Health, 11, 1-11. Available from: https://doi.org/10.7189/jogh.11.10001

Costa CA, Vilela ACS, Oliveira SA, Gomes TD, Andrade AAC, Leles CR & Costa NL (2022). Poor oral health status and adverse COVID-19 outcomes: A preliminary study in hospitalized patients. Journal of Periodontology, (October 2021), 1-13

Choi MI, Han SY, Jeon HS, Choi ES, Won SE, Lee YJ, Mun SJ (2022). The Effect of Professional Oral Care on the Oral Health Status of Critical Trauma Patients Using Ventilators. International Journal of Environmental Research and Public Health, 19(10)

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Publicado

2024-02-29

Como Citar

Freire Arlindo Chagas, L., & Ávila Oliveira , G. (2024). Impacto da condição de saúde bucal no paciente com covid-19 internado em Unidade de Terapia Intensiva. Health Residencies Journal - HRJ, 5(23). https://doi.org/10.51723/hrj.v5i23.824