Skip to main content


Springer Nature is making Coronavirus research free. View research | View latest news | Sign up for updates

Oral care quality improvement intervention results in decreased ventilator associated pneumonia ratio and increased productivity

  • 445 Accesses


Ventilator associated pneumonia (VAP) is associated with increased morbidity and mortality, increased length of stay, and excess costs. Effective VAP prevention requires multiple interventions, including compliance with an oral care regimen.


A quality improvement (QI) initiative was implemented at a hospital in Japan to assess the effectiveness of a modified oral care regimen on the VAP ratio and caregiver productivity.


The QI initiative modified the standard of care for oral care provided to ventilated patients. During the “before” period, standard of care was every 8 hour oral care with toothpaste, toothbrush, and fresh water. During the “after” period, the QI intervention was oral care provided every 4 hours with Q-Care® (Sage Products LLC), consisting of a kit designed for cleaning, debriding, suctioning and moisturizing. Metrics compared included the VAP ratio and time consumption before and after the QI intervention.


The QI intervention resulted in a 59% reduction in VAP ratio from 2009 through 2011. The standard of care time consumption was 9.8 minutes per oral cleansing, compared with 5.7 minutes per oral cleansing with Q-Care®.


The QI initiative resulted in a decreased VAP ratio and increased productivity.

Disclosure of interest

None declared.

Author information

Correspondence to Y Kenmotsu.

Rights and permissions

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Kenmotsu, Y. Oral care quality improvement intervention results in decreased ventilator associated pneumonia ratio and increased productivity. Antimicrob Resist Infect Control 4, P243 (2015).

Download citation


  • Infectious Disease
  • Pneumonia
  • Fresh Water
  • Quality Improvement
  • Care Quality