Aspiration pneumonia: With special reference to pathological and epidemiological aspects, a review of the literature

Kuyama, Kayo; Sun, Yan; Yamamoto, Hirotsugu

doi:10.1016/j.jdsr.2009.11.002

Cited by 12 publications

(17 citation statements)

References 105 publications

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“…The unmet need “Hygiene” domain (Table ) is responsible for these EN‐related oral pathologies, and root caries is a typical example. Other examples are tooth loss and edentulism (Islas‐Granillo et al., ; Kim, Ha et al., ; Nico, Andrade, Malta, Pucca Júnior, & Peres, ), periodontal disease (Ship & Crow, ) (Scannapieco & Cantos, ), halitosis (Zellmer, Gahnberg, & Ramberg, ), and even serious extra‐oral conditions, such as aspiration pneumonia (DiBardino & Wunderink, ; Kuyama, Sun, & Yamamoto, ).…”

Section: Oral Diseases and Elder Neglectmentioning

confidence: 99%

Elder neglect—Oral diseases and injuries

Petti¹

2018

Oral Diseases

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Elder neglect (EN) is the failure of a designated caregiver to meet the needs of a dependent older person. World EN prevalence, meta-analyzed in this study, is 1.0% or 1.8% according to different statistical methods. Referring alleged EN cases to Adult Protective Services (APSs) by healthcare workers (HCWs) is mandatory in many countries. However, only few claims are substantiated, as EN could be confused with SelfNeglect, and neglect could be unintentional or due to caregiver unawareness.Screening tools are inaccurate, and their use is discouraged by public health organizations, because they lead to too many false positives, which engulf the already overwhelmed APSs. HCWs need effective tools with objective judgments, which do not hamper the HCW-caregiver-patient rapport and prevent lawsuits when allegations are unfounded. Orofacial EN manifestations (poor oral/denture hygiene, lack of needed/improper dentures, dry mouth, skin/mucosal rashes) are essential Forensic Markers of EN. I classified EN-associated oral diseases according to the unmet needs into four groups: (1) traumatic injuries due to lack of caregiver vigilance (e.g., maxillofacial fractures); (2) diseases due to oral hygiene deficiency (e.g., root caries); (3) diseases typical of the elderly with late/no diagnosis (e.g., oral cancer); and (4) diseases typical of the elderly exacerbated by psychological distress (e.g., oral lichen planus). K E Y W O R D Selder neglect, oral and maxillofacial injuries, oral diseases

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Section: Oral Diseases and Elder Neglectmentioning

confidence: 99%

Elder neglect—Oral diseases and injuries

Petti¹

2018

Oral Diseases

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“…Respiratory diseases are responsible for significant morbidity and mortality in population [1][2][3]. The upper respiratory tract are in intimate contact with the oral cavity through the oropharynx.…”

Section: Introductionmentioning

confidence: 99%

“…The pathogenesis of aspiration pneumonia involves still risk factors that affect swallowing, resulting in the aspiration of bacterial biofilm, aggravating the impairment of immunity, reducing the cough reflex and change in swallowing. The risk factors increase with age and underlying polimorbities [2,3,6].…”

Section: Introductionmentioning

confidence: 99%

“…The aspiration of oropharyngeal secretions is a common occurrence in healthy subjects during sleep. When there are risk factors for aspiration pneumonia, such as dysphagia, chronic obstructive pulmonary disease, when it becomes necessary to supply alternative-common situations in the elderly-the risk of respiratory infection is greater [1][2][3][4].…”

Section: Introductionmentioning

confidence: 99%

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Hospital dentistry and the occurrence of pneumonia

Gomes

Castelo

2019

RGO, Rev. Gaúch. Odontol.

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Objective:To determine the oral health conditions of the elderly patients hospitalized and restricted to the bed and to correlate with the development of infections at a distance, especially pneumonia. To verify if the daily follow-up of the dental surgeon improves oral health and reduces the occurrence of respiratory infection in hospitalized elderly patients. Methods: Quasi-experimental study with hospitalized and bed restricted elderly, two simple randomized groups, one group was evaluated and monitored daily by the dental surgeon, the other group was evaluated and received guidance on health care and oral hygiene and of dental prostheses. Results: Both groups presented poor health and oral hygiene and prosthetic conditions. There was improvement in the oral health conditions of both groups. Seven percent of the patients developed pneumonia during the period of hospital stay and the oral health of these patients were considered regular or bad. Conclusion: The performance of the dental surgeon promoted improvements in the oral health of both groups in the first evaluation, with no statistical difference between the group that received daily follow-up and the group that received guidelines, so it was concluded that oral health care should be a behavior of the team multidisciplinary, dentistry should intervene if the changes interfere in the clinical condition of the patient and offer training and support to the multidisciplinary team that is in the first line of care with hospitalized patients. RESUMOObjetivo: Determinar as condições de saúde bucal dos pacientes idosos hospitalizados e restritos ao leito e correlacionar com o desenvolvimento de infecções à distância, sobretudo a pneumonia. Verificar se o acompanhamento diário do cirurgião-dentista melhora a saúde bucal e reduz a ocorrência de infecção respiratória em pacientes idosos internados. Metodologia: Estudo quase experimental com idosos internados em um hospital de ensino do sul do Brasil, restritos ao leito. A amostra teve 42 indivíduos, divididos em 2 grupos de formação aleatória simples, o grupo 1 recebeu avaliação e acompanhamento diário do cirurgião-dentista, o grupo 2 foi avaliado e recebeu orientações sobre os cuidados com a saúde e higiene bucal e das próteses dentárias. Resultados: Ambos os grupos apresentavam condições precárias da saúde e higiene bucal e das próteses na primeira avaliação. Houve melhora nas condições de saúde bucal de ambos os grupos no final da internação. Sete por cento dos pacientes desenvolveram pneumonia durante a internação hospitalar e a saúde bucal destes pacientes foram consideradas regulares ou ruins. Conclusão: A atuação do cirurgião-dentista promoveu melhoras na saúde bucal de ambos os grupos, sem diferença estatística entre o grupo que recebeu acompanhamento diário e o grupo que recebeu orientações, assim conclui-se que a atenção à saúde bucal deve ser uma conduta da equipe multidisciplinar, a odontologia deve estar presente para atuar em alterações que interfiram na condição clínica do paciente e oferecer capacit...

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“…Ela pode ser dividida em pneumonia adquirida na comunidade ou pneumonia nosocomial, caracterizada por horas após a internação do paciente 1 . No ano de 2007 esta entidade clínica foi responsável 733.209 internamentos no Brasil, segundo dados do Sistema de Informações Hospitalares do Sistema Único de Saúde, representando a primeira causa de internação por doença, excluindo-se as causas obstétricas.…”

Section: Introductionunclassified

Perfil Epidemiológico Dos Pacientes Politraumatizados Com Pneumonia Associada À Ventilação Mecânica Na Unidade De Terapia Intensiva Do Hospital Universitário Evangélico De Curitiba

et al. 2014

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RESUMOResumo: Objetivo: demonstrar o perfil epidemiológico dos pacientes politraumatizados que desenvolveram pneumonia associada à ventilação mecânica na unidade de terapia intensiva do Hospital Universitário Evangélico de Curitiba Materi-al e Método: Foram avaliados os pacientes que desenvolveram pneumonia associada à ventilação mecânica no período de março de 2012 até setembro de 2012, onde foram pesquisados fatores que poderiam influenciar na ocorrência da doença, como sexo, idade, presença de comorbidades, tempo de ventilação mecânica e tempo de internamento. Resultados: Foram avaliados 40 pacientes, com idades entre 18 e 73 anos, sendo 28 (70%) do sexo masculino e 12 (30%) do sexo feminino. O tempo de internação dos pacientes em UTI variou de um mínimo de 4 dias para um máximo de 111 dias, com média de 19,1 dias, o tempo de ventilação mecânica variou de 4 a 111 dias, com média de 16 dias. Conclusão: o perfil epidemiológico do paciente politraumatizado que desenvolve pneumonia associada a ventilação mecânica no Hospital Universitário Evangélico de Curitiba é de pacientes do sexo masculino, com idade média de 36 anos, tabagistas,que já fazem uso de ventilação mecânica por pelo menos 16 dias, sendo que a infecção se inicia em média no sexto dia após a intubação do paciente.Palavras-Chave: Pneumonia associada a ventilação mecânica; Politraumatizado; Unidade de Terapia Intensiva ABSTRACT Abstract: Purpose: Demonstrate the epidemiological profile of polytrauma patients who developed ventilator-associated pneumonia in the intensive care unit of Evangélico University Hospital from Curitiba. Material and Method: Were assessed patients who developed ventilator-associated pneumonia in the period of March 2012 through September 2012. Were surveyed several factors that could influence the occurrence of the ventilator-associated pneumonia, such as gender, age, comorbidities, duration of mechanical ventilation and length of hospitalization. Results: Forty patients aged between 18 and 73 years, with 28 (70%) males and 12 (30%) female were evaluated in this study. The hospitalization of the patients in the ICU ranged from a minimum of 4 days to a maximum of 111 days with a mean of 19.1 days, the duration of mechanical ventilation ranged from 4 to 111 days with an average of 16 days. Conclusion: The epidemiological profile of polytrauma patients that develops ventilator-associated pneumonia in Evangélico University Hospital from Curitiba demon-strate that this kind of infection predominates in male patients with a mean age of 36 years, smokers, who already make use of mechanical ventilation for at least 16 days and also that infection begins on average in the sixth day following the patient intubation.

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Aspiration pneumonia: With special reference to pathological and epidemiological aspects, a review of the literature

Cited by 12 publications

References 105 publications

Elder neglect—Oral diseases and injuries

Elder neglect—Oral diseases and injuries

Hospital dentistry and the occurrence of pneumonia

Perfil Epidemiológico Dos Pacientes Politraumatizados Com Pneumonia Associada À Ventilação Mecânica Na Unidade De Terapia Intensiva Do Hospital Universitário Evangélico De Curitiba

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