The oropharynx is usually considered the main reservoir of bacterial colonization in the upper airways because
oropharyngeal colonization by aerobic pathogens occurs very rapidly in ICU patients. Nurses usually prioritize
care to immediate medical problems. Moreover, critical care nurses may be hesitant to deliver oral care to MVPs
because endotracheal tube (ETT) may limit entree to the oral cavity. The opportunity of removing or moving an
ETT is also a concern