Hogan, R. (2009). Implementation of an oral care protocol and its effects on oral mucositis. Journal of Pediatric Oncology Nursing, 26, 125–135.

DOI Link

Purpose & Patient Population

To review current knowledge and provide guidance to clinicians regarding care for the prevention of mucositis, particularly pediatric patients

Type of Resource/Evidence-Based Process

The databases searched and search keywords were not stated.

Phase of Care and Clinical Applications

This study has clinical applicability to pediatrics.

Results Provided in the Reference

Experts generally agree that oral care is important and that oral care instructions should include brushing teeth 2–3 times per day, flossing, rinsing with a bland agent such as sterile water, using fluoride therapy, and using mouth moisturizers. These measures are recommended regardless of hematologic status. Experts recommend changing toothbrushes frequently. Dental assessments should be performed at initial diagnosis. This report provides a summary of the oral care guidelines of four organizations.

Guidelines & Recommendations

This report provides general recommendations for oral hygiene but no specific review of evidence or evidence quality.

Nursing Implications

This report provides a general overview and supports the development and implementation of specific protocols based on evidence for oral care.