Pneumonia in the Nursing Home

Drinka, Paul J.; Crnich, Christopher J.

doi:10.1016/j.jamda.2005.06.001

Cited by 13 publications

(3 citation statements)

References 100 publications

(116 reference statements)

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“…6,[73][74][75] Aspiration pneumonia occurs when oral bacteria or gastric secretions are inadvertently inhaled into the lungs and the medically-compromised patient is unable to naturally expel the irritants. 76 Oral plaque and periodontal disease have been identified as suppliers of the bacteria associated with aspiration pneumonia. 7,10,[75][76][77] Several studies researched the association between POC and the reduction in aspiration pneumonia.…”

Section: Aspiration Pneumoniamentioning

confidence: 99%

“…76 Oral plaque and periodontal disease have been identified as suppliers of the bacteria associated with aspiration pneumonia. 7,10,[75][76][77] Several studies researched the association between POC and the reduction in aspiration pneumonia. 6,10,[73][74][75][76][77][78][79] Adachi et al(2002) studied counts of Staphylococcus aureus and Candida albicans, microorganisms known to have an effect on aspiration pneumonia, before and after POC in two nursing facilities in Japan.…”

Section: Aspiration Pneumoniamentioning

confidence: 99%

“…Studies that found the most improved oral health indices used models with POC combined with NF staff care as compared to NF provided care only 12,48,73,76 .…”

Section: Nursing Facility Work Forcementioning

confidence: 99%

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Utilization of preventive oral health care by Medicaid-enrolled senior adults during their transition from community-dwelling to nursing facility residence

Grief¹

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for enduring through this process with me. Drs. Warren and Levy for instilling a supportive environment among all the graduate students. Daisy and all the other DPH graduate students for support and friendship! Abstract OBJECTIVE: To establish baseline data of dental utilization and determine the predictors of receipt of dental procedures by Medicaid-enrolled senior adults who reside in Iowa nursing facilities. METHODS: This was a longitudinal retrospective analysis of Iowa Medicaid claims data for SFY 2007-2014 of senior adults who were 68 years or older upon entry to a nursing facility and continuously enrolled (eligible 58 out of 60 months) in Medicaid for three years prior to and at least two years after admission. RESULTS: During the 5-year study 52.8% of the subjects never received a dental exam and 75.9% never received a hygiene procedure. Controlling for the subject and nursing facility level variables, the strongest predictor of dental utilization after entry was the receipt of a dental procedure before entry (p<0.001). Subjects residing in a facility located in an urban area (p<0.002) or in two regions of Iowa (p=0.035, p=0.019, respectively) also had increased odds of receiving a dental procedure. CONCLUSION: Our results show that approximately 50% of the subjects never received a dental procedure in the 5-year study period. The strongest predictor of receipt of dental procedures in the 2 years after entry was the receipt of dental procedures in the 3 years before entry. It is important for Medicaid-enrolled senior adults to establish a dental home while community-dwelling.

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Section: Aspiration Pneumoniamentioning

confidence: 99%

Section: Aspiration Pneumoniamentioning

confidence: 99%

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Utilization of preventive oral health care by Medicaid-enrolled senior adults during their transition from community-dwelling to nursing facility residence

Grief¹

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Association Between Pneumonia and Oral Care in Nursing Home Residents

El-Solh

2011

Lung

111

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Pneumonia remains the leading cause of death in nursing home residents. The accumulation of dental plaque and colonization of oral surfaces and dentures with respiratory pathogens serves as a reservoir for recurrent lower respiratory tract infections. Control of gingivitis and dental plaques has been effective in reducing the rate of pneumonia but the provision of dental care for institutionalized elderly is inadequate, with treatment often sought only when patients experience pain or denture problems. Direct mechanical cleaning is thwarted by the lack of adequate training of nursing staff and residents' uncooperativeness. Chlorhexidine-based interventions are advocated as alternative methods for managing the oral health of frail older people; however, efficacy is yet to be demonstrated in randomized controlled trials. Development and maintenance of an oral hygiene program is a critical step in the prevention of pneumonia. While resources may be limited in long-term-care facilities, incorporating oral care in daily routine practice helps to reduce systemic diseases and to promote overall quality of life in nursing home residents.

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Letter to the editor

Drinka

2006

The American Journal of Geriatric Pharmacotherapy

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Pneumonia in the Nursing Home

Cited by 13 publications

References 100 publications

Utilization of preventive oral health care by Medicaid-enrolled senior adults during their transition from community-dwelling to nursing facility residence

Utilization of preventive oral health care by Medicaid-enrolled senior adults during their transition from community-dwelling to nursing facility residence

Association Between Pneumonia and Oral Care in Nursing Home Residents

Letter to the editor

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