Oral biofilms, periodontitis, and pulmonary infections
Identifieur interne : 006674 ( Main/Exploration ); précédent : 006673; suivant : 006675Oral biofilms, periodontitis, and pulmonary infections
Auteurs : S. Paju [Finlande] ; Fa Scannapieco [États-Unis]Source :
- Oral diseases [ 1354-523X ] ; 2007.
Abstract
Bacteria from the oral biofilms may be aspirated into the respiratory tract to influence the initiation and progression of systemic infectious conditions such as pneumonia. Oral bacteria, poor oral hygiene, and periodontitis seem to influence the incidence of pulmonary infections, especially nosocomial pneumonia episodes in high-risk subjects. Improved oral hygiene has been shown to reduce the occurrence of nosocomial pneumonia, both in mechanically-ventilated hospital patients and non-ventilated nursing home residents. It appears that oral colonization by potential respiratory pathogens, possibly fostered by periodontitis, and possibly by bacteria specific to the oral cavity or to periodontal diseases contribute to pulmonary infections. Thus, oral hygiene will assume an even more important role in the care of high-risk subjects – patients in the hospital intensive care and the elderly. The present paper critically reviews the recent literature on the effect of oral biofilms and periodontitis on pneumonia.
Url:
DOI: 10.1111/j.1601-0825.2007.1410a.x
PubMed: 17944664
PubMed Central: 2258093
Affiliations:
- Finlande, États-Unis
- Uusimaa, État de New York
- Buffalo (New York), Helsinki
- Université d'Helsinki, Université d'État de New York à Buffalo
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Le document en format XML
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Oral bacteria, poor oral hygiene, and periodontitis seem to influence the incidence of pulmonary infections, especially nosocomial pneumonia episodes in high-risk subjects. Improved oral hygiene has been shown to reduce the occurrence of nosocomial pneumonia, both in mechanically-ventilated hospital patients and non-ventilated nursing home residents. It appears that oral colonization by potential respiratory pathogens, possibly fostered by periodontitis, and possibly by bacteria specific to the oral cavity or to periodontal diseases contribute to pulmonary infections. Thus, oral hygiene will assume an even more important role in the care of high-risk subjects – patients in the hospital intensive care and the elderly. 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