Reducing the Risk of Aspiration Pneumonia among Elderly Patients in Long-Term Care Facilities through Oral Health Interventions

Sarin, Jaya; Balasubramaniam, Ramesh; Corcoran, Amy M.; Laudenbach, Joel M.; Stoopler, Eric T.

doi:10.1016/j.jamda.2007.10.003

Cited by 81 publications

(65 citation statements)

References 54 publications

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“…However, studies with larger sample sizes are needed to irrefutably establish a correlation between oral microbiota and pneumonia. (18) …”

Section: Discussionmentioning

confidence: 99%

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Impacto da remoção de biofilme lingual em pacientes sob ventilação mecânica

Santos¹,

Mariano²,

Kallás³

et al. 2013

Rev. bras. ter. intensiva

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ObjectiveTo evaluate the effectiveness of a tongue cleaner in the removal of tongue biofilm in mechanically ventilated patients. MethodsTongue biofilm and tracheal secretion samples were collected from a total of 50 patients: 27 in the study group (SG) who were intubated or tracheostomized under assisted ventilation and treated with the tongue cleaner and 23 in the control group (CG) who did not undergo tongue cleaning. Oral and tracheal secretion cultures of the SG (initially and after 5 days) and the CG (at a single time-point) were performed to evaluate the changes in bacterial flora. ResultsThe median age of the SG patients was 77 years (45-99 years), and that of the CG patients was 79 years (21-94 years). The length of hospital stay ranged from 17-1,370 days for the SG with a median stay of 425 days and from 4-240 days for the CG with a median stay of 120 days. No significant differences were found when the dental plaque indexes were compared between the SG and the CG. There was no correlation between the index and the length of hospital stay. The same bacterial flora was found in the dental plaque of 9 of the 27 SG patients before and after the tongue scraper was used for 5 days compared with the CG (p=0.683). Overall, 7 of the 27 SG patients had positive bacterial cultures for the same strains in both tongue biofilm and tracheal secretions compared with the CG (p=0.003). Significant similarities in strain resistance and susceptibility of the assessed microorganisms were observed between oral and tracheal microflora in 6/23 cases in the CG (p=0.006). ConclusionThe use of a tongue cleaner is effective at reducing tongue biofilm in patients on mechanical ventilation and facilitates oral hygiene interventions performed by caregivers.Clinical Trials Registry NCT01294943

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“…However, studies with larger sample sizes are needed to irrefutably establish a correlation between oral microbiota and pneumonia. (18) …”

Section: Discussionmentioning

confidence: 99%

“…(18) Hospitals currently use several strategies to reduce the amount of oropharyngeal bacteria in patients, which is a leading cause of hospital respiratory infections. These strategies include respiratory physical therapy, oxygen therapy and topical administration of antibiotics.…”

Section: Discussionmentioning

confidence: 99%

Impacto da remoção de biofilme lingual em pacientes sob ventilação mecânica

Santos¹,

Mariano²,

Kallás³

et al. 2013

Rev. bras. ter. intensiva

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show abstract

“…Sarin et al [68] reviewed microorganisms that caused AP and provided oral health care guidelines. The common microorganisms of the oral cavity and respiratory system are S. aureus, H. influenzae, Actinomyces species and Peptostreptococcus.…”

Section: Professional Oral Health Care (Pohc)mentioning

confidence: 99%

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

Kuyama

Sun

Yamamoto

2010

Japanese Dental Science Review

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“…One of the preventions of aspiration pneumonia is to reduce the number of bacteria in the oral cavity by cleaning the oral cavity with oral care and accelerating saliva secretion. It is reported that the risk of aspiration pneumonia is reduced by effective oral care [4]. The detection of microbial flora in the salvia is pointed out as the effective monitoring method for oral care, but highlevel technology is required for bacterial culture and identification in the salvia because it is necessary to perform aerobic culture, carbon dioxide culture, and anaerobic culture of the saliva quantitatively, to confirm aerobic and anaerobic bacteria, and to perform various biological property tests and tests with identification kits in the identification of the respective cultured colonies.…”

Section: Introductionmentioning

confidence: 99%