Cuidados de enfermería en la mucositis del paciente oncológicorevisión de evidencias
- Celia Peña Molinero
- Ana Belén Manso Melgosa
- Rocío González Casado
- Azucena Santillán García
- Arantzazu Febrero Ortiz de Quintana
- Ruth Ortega Barriuso
ISSN: 1988-348X
Year of publication: 2017
Issue: 11
Type: Article
More publications in: ENE Revista de Enfermería
Abstract
Introduction: Oral mucositis is a frequent and often debilitating complication of cancer treatment. It affects the quality of life of the patient. Objective: to analyze the different therapeutic tools that have been shown to be useful in the prevention or treatment of oral mucositis in cancer patients. Methodology: A literature review protocol was followed to find the best available evidence. Conclusions: It is important to make a correct assessment of the degree of mucositis that presents the patient with a recognized scale, such as the WHO. The use of oral hygiene protocols as prevention is suggested. Once mucositis has been established, cryotherapy and mouthwashes of benzidine and 0.2% morphine have proved their efficacy. Chlorhexidine mouthwashes are contraindicated in patients with head and neck cancer who undergo radiotherapy, and iseganan, sucralfate, and misoprostol rinses.
Bibliographic References
- McGuire, DB. Mucosal Tissue Injury in Cancer Therapy: More than Mucositis and Mouthwash. Cancer Pract. 10. 179
- Epstein, JB, Schubert, MM. Oropharyngeal mucositis in cancer therapy: Review of pathogenesis, diagnosis, and management. Oncology (Williston Park). 17. 1767
- Wilkes, JD. Prevention and treatment of oral mucositis following cancer chemotherapy. Semin Oncol. 25. 538
- Sonis, ST. Oral mucositis in cancer therapy. J Support Oncol. 2. 3-8
- Rodríguez-Caballero, A, Torres-Lagares, D, Robles-García, M, Pachón-Ibáñez, J, González-Padilla, D, Gutiérrez-Pérez, JL. Cancer treatment-induced oral mucositis: a critical review. Int J Oral Maxillofac Surg. 41. 225
- Hernández-Fernandez, A, Onate-Sanchez, R, Cabrerizo-Merino, M, De-Arriba-de-la-Fuente, F, Heras-Fernando, I, Vicente-Garcia, V. (2012). Influence of oral health on mucositis in patients undergoing hematopoietic progenitor cell transplantation (HPCT). Med Oral Patol Oral y Cir Bucal. 17. 94-101
- Bjordal, JM, Bensadoun, R-J, Tunèr, J, Frigo, L, Gjerde, K, Lopes-Martins, RA. A systematic review with meta-analysis of the effect of low-level laser therapy (LLLT) in cancer therapy-induced oral mucositis. Support Care Cancer. 19. 1069
- Rubenstein, EB, Peterson, DE, Schubert, M, Keefe, D, McGuire, D, Epstein, J. Clinical practice guidelines for the prevention and treatment of cancer therapy-induced oral and gastrointestinal mucositis. Cancer. 100. 2026
- Scully, C, Epstein, J, Sonis, S.. Oral mucositis: A challenging complication of radiotherapy, chemotherapy, and radiochemotherapy: Part 1, pathogenesis and prophylaxis of mucositis. Head Neck. 25. 1057
- Gabriel, DA, Shea, T, Olajida, O, Serody, JS, Comeau, T. The effect of oral mucositis on morbidity and mortality in bone marrow transplant. Semin Oncol. 30. 76-83
- Wardley, AM, Jayson, GC, Swindell, R, Morgenstern, GR, Chang, J, Bloor, R. Prospective evaluation of oral mucositis in patients receiving myeloablative conditioning regimens and haemopoietic progenitor rescue. Br J Haematol. 110. 292
- López-Castaño, F, Oñate-Sánchez, RE, Roldán-Chicano, R, Cabrerizo-Merino, MC. (2005). Measurement of secondary mucositis to oncohematologic treatment by means of different scale: Review. Med Oral Patol Oral Cir Bucal. 10. 412
- Harris, DJ, Eilers, J, Harriman, A, Cashavelly, BJ, Maxwell, C. Putting Evidence Into Practice®: Evidence-Based Interventions for the Management of Oral Mucositis. Clin J Oncol Nurs. 12. 141
- Sonis, S. Mucositis as a biological process: a new hypothesis for the development of chemotherapy-induced stomatotoxicity. Oral Oncol. 34. 39-43
- Symonds, R. Treatment-induced mucositis: an old problem with new remedies. Br J Cancer. 77. 1689
- Barasch, A, Peterson, DE. Risk factors for ulcerative oral mucositis in cancer patients: unanswered questions. Oral Oncol. 39. 91-100
Portal documents are updated daily. This date refers to the updating of information related to the portal structure (people, research groups, organizational units, projects...).