EdenteV2, Main, Exploration, bibRecord, 008614

Oral care reduces pneumonia in older patients in nursing homes

Identifieur interne : 008614 ( Main/Exploration ); précédent : 008613; suivant : 008615

Oral care reduces pneumonia in older patients in nursing homes

Auteurs : Takeyoshi Yoneyama [Japon] ; Mitsuyoshi Yoshida [Japon] ; Takashi Ohrui [Japon] ; Hideki Mukaiyama [Japon] ; Hiroshi Okamoto [Japon] ; Kanji Hoshiba [Japon] ; Shinichi Ihara [Japon] ; Shozo Yanagisawa [Japon] ; Shiro Ariumi [Japon] ; Tomonori Morita [Japon] ; Yasuro Mizuno [Japon] ; Takayuki Ohsawa [Japon] ; Yasumasa Akagawa [Japon] ; Kenji Hashimoto [Japon] ; Hidetada Sasaki [Japon]

Source :

Journal of the American Geriatrics Society [ 0002-8614 ] ; 2002.

RBID : Pascal:02-0230936

Descripteurs français

Pascal (Inist)
- Pneumonie, Prévention, Bactériose, Cavité buccale, Infirmier, Soin, Homme, Personne âgée, Nursing, Long séjour, Etablissement troisième âge, Structure médicalisée.
Wicri :
- topic : Homme, Personne âgée.

English descriptors

KwdEn :
- Bacteriosis, Care, Elderly, Homes for the aged, Human, Long stay, Nurse, Nursing, Oral cavity, Pneumonia, Prevention.

Abstract

OBJECTIVES: Aspiration of oral secretions and their bacteria is increasingly being recognized as an important factor in pneumonia. We investigated whether oral care lowers the frequency of pneumonia in institutionalized older people. DESIGN: Survey. SETTING: Eleven nursing homes in Japan. PARTICIPANTS: Four hundred seventeen patients randomly assigned to an oral care group or a no oral care group. INTERVENTION: Nurses or caregivers cleaned the patients' teeth by toothbrush after each meal. Swabbing with povidone iodine was additionally used in some cases. Dentists or dental hygienists provided professional care once a week. MEASUREMENTS: Pneumonia, febrile days, death from pneumonia, activities of daily living, and cognitive functions. RESULTS: During follow-up, pneumonia, febrile days, and death from pneumonia decreased significantly in patients with oral care. Oral care was beneficial in edentate and dentate patients Activities of daily living and cognitive functions showed a tendency to improve with oral care. CONCLUSION: We suggest that oral care may he useful in preventing pneumonia in older patients in nursing homes.

Affiliations:

Japon

Links toward previous steps (curation, corpus...)

to stream PascalFrancis, to step Corpus: 000624
to stream PascalFrancis, to step Curation: 000080
to stream PascalFrancis, to step Checkpoint: 000613
to stream Main, to step Merge: 008891
to stream Main, to step Curation: 008614

Le document en format XML

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<author><name sortKey="Yanagisawa, Shozo" sort="Yanagisawa, Shozo" uniqKey="Yanagisawa S" first="Shozo" last="Yanagisawa">Shozo Yanagisawa</name>
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<author><name sortKey="Akagawa, Yasumasa" sort="Akagawa, Yasumasa" uniqKey="Akagawa Y" first="Yasumasa" last="Akagawa">Yasumasa Akagawa</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Geriatric and Respiratory Medicine, Tohoku University School of Medicine</s1>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Oral care reduces pneumonia in older patients in nursing homes</title>
<author><name sortKey="Yoneyama, Takeyoshi" sort="Yoneyama, Takeyoshi" uniqKey="Yoneyama T" first="Takeyoshi" last="Yoneyama">Takeyoshi Yoneyama</name>
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<author><name sortKey="Yoshida, Mitsuyoshi" sort="Yoshida, Mitsuyoshi" uniqKey="Yoshida M" first="Mitsuyoshi" last="Yoshida">Mitsuyoshi Yoshida</name>
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<author><name sortKey="Ohrui, Takashi" sort="Ohrui, Takashi" uniqKey="Ohrui T" first="Takashi" last="Ohrui">Takashi Ohrui</name>
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<author><name sortKey="Mukaiyama, Hideki" sort="Mukaiyama, Hideki" uniqKey="Mukaiyama H" first="Hideki" last="Mukaiyama">Hideki Mukaiyama</name>
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<author><name sortKey="Okamoto, Hiroshi" sort="Okamoto, Hiroshi" uniqKey="Okamoto H" first="Hiroshi" last="Okamoto">Hiroshi Okamoto</name>
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<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>14 aut.</sZ>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Sendai</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Hoshiba, Kanji" sort="Hoshiba, Kanji" uniqKey="Hoshiba K" first="Kanji" last="Hoshiba">Kanji Hoshiba</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Geriatric and Respiratory Medicine, Tohoku University School of Medicine</s1>
<s2>Sendai</s2>
<s3>JPN</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
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<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>14 aut.</sZ>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Sendai</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ihara, Shinichi" sort="Ihara, Shinichi" uniqKey="Ihara S" first="Shinichi" last="Ihara">Shinichi Ihara</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Geriatric and Respiratory Medicine, Tohoku University School of Medicine</s1>
<s2>Sendai</s2>
<s3>JPN</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
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<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>14 aut.</sZ>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Sendai</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Yanagisawa, Shozo" sort="Yanagisawa, Shozo" uniqKey="Yanagisawa S" first="Shozo" last="Yanagisawa">Shozo Yanagisawa</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Geriatric and Respiratory Medicine, Tohoku University School of Medicine</s1>
<s2>Sendai</s2>
<s3>JPN</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>14 aut.</sZ>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Sendai</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ariumi, Shiro" sort="Ariumi, Shiro" uniqKey="Ariumi S" first="Shiro" last="Ariumi">Shiro Ariumi</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Geriatric and Respiratory Medicine, Tohoku University School of Medicine</s1>
<s2>Sendai</s2>
<s3>JPN</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>14 aut.</sZ>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Sendai</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Morita, Tomonori" sort="Morita, Tomonori" uniqKey="Morita T" first="Tomonori" last="Morita">Tomonori Morita</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Geriatric and Respiratory Medicine, Tohoku University School of Medicine</s1>
<s2>Sendai</s2>
<s3>JPN</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>14 aut.</sZ>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Sendai</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Mizuno, Yasuro" sort="Mizuno, Yasuro" uniqKey="Mizuno Y" first="Yasuro" last="Mizuno">Yasuro Mizuno</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Geriatric and Respiratory Medicine, Tohoku University School of Medicine</s1>
<s2>Sendai</s2>
<s3>JPN</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>14 aut.</sZ>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Sendai</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ohsawa, Takayuki" sort="Ohsawa, Takayuki" uniqKey="Ohsawa T" first="Takayuki" last="Ohsawa">Takayuki Ohsawa</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Geriatric and Respiratory Medicine, Tohoku University School of Medicine</s1>
<s2>Sendai</s2>
<s3>JPN</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>14 aut.</sZ>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Sendai</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Akagawa, Yasumasa" sort="Akagawa, Yasumasa" uniqKey="Akagawa Y" first="Yasumasa" last="Akagawa">Yasumasa Akagawa</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Geriatric and Respiratory Medicine, Tohoku University School of Medicine</s1>
<s2>Sendai</s2>
<s3>JPN</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>14 aut.</sZ>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Sendai</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Hashimoto, Kenji" sort="Hashimoto, Kenji" uniqKey="Hashimoto K" first="Kenji" last="Hashimoto">Kenji Hashimoto</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Geriatric and Respiratory Medicine, Tohoku University School of Medicine</s1>
<s2>Sendai</s2>
<s3>JPN</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>14 aut.</sZ>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Sendai</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sasaki, Hidetada" sort="Sasaki, Hidetada" uniqKey="Sasaki H" first="Hidetada" last="Sasaki">Hidetada Sasaki</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Geriatric and Respiratory Medicine, Tohoku University School of Medicine</s1>
<s2>Sendai</s2>
<s3>JPN</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>14 aut.</sZ>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Sendai</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">Journal of the American Geriatrics Society</title>
<title level="j" type="abbreviated">J. Am. Geriatr. Soc.</title>
<idno type="ISSN">0002-8614</idno>
<imprint><date when="2002">2002</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">Journal of the American Geriatrics Society</title>
<title level="j" type="abbreviated">J. Am. Geriatr. Soc.</title>
<idno type="ISSN">0002-8614</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Bacteriosis</term>
<term>Care</term>
<term>Elderly</term>
<term>Homes for the aged</term>
<term>Human</term>
<term>Long stay</term>
<term>Nurse</term>
<term>Nursing</term>
<term>Oral cavity</term>
<term>Pneumonia</term>
<term>Prevention</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Pneumonie</term>
<term>Prévention</term>
<term>Bactériose</term>
<term>Cavité buccale</term>
<term>Infirmier</term>
<term>Soin</term>
<term>Homme</term>
<term>Personne âgée</term>
<term>Nursing</term>
<term>Long séjour</term>
<term>Etablissement troisième âge</term>
<term>Structure médicalisée</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term>
<term>Personne âgée</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">OBJECTIVES: Aspiration of oral secretions and their bacteria is increasingly being recognized as an important factor in pneumonia. We investigated whether oral care lowers the frequency of pneumonia in institutionalized older people. DESIGN: Survey. SETTING: Eleven nursing homes in Japan. PARTICIPANTS: Four hundred seventeen patients randomly assigned to an oral care group or a no oral care group. INTERVENTION: Nurses or caregivers cleaned the patients' teeth by toothbrush after each meal. Swabbing with povidone iodine was additionally used in some cases. Dentists or dental hygienists provided professional care once a week. MEASUREMENTS: Pneumonia, febrile days, death from pneumonia, activities of daily living, and cognitive functions. RESULTS: During follow-up, pneumonia, febrile days, and death from pneumonia decreased significantly in patients with oral care. Oral care was beneficial in edentate and dentate patients Activities of daily living and cognitive functions showed a tendency to improve with oral care. CONCLUSION: We suggest that oral care may he useful in preventing pneumonia in older patients in nursing homes.</div>
</front>
</TEI>
<affiliations><list><country><li>Japon</li>
</country>
</list>
<tree><country name="Japon"><noRegion><name sortKey="Yoneyama, Takeyoshi" sort="Yoneyama, Takeyoshi" uniqKey="Yoneyama T" first="Takeyoshi" last="Yoneyama">Takeyoshi Yoneyama</name>
</noRegion>
<name sortKey="Akagawa, Yasumasa" sort="Akagawa, Yasumasa" uniqKey="Akagawa Y" first="Yasumasa" last="Akagawa">Yasumasa Akagawa</name>
<name sortKey="Ariumi, Shiro" sort="Ariumi, Shiro" uniqKey="Ariumi S" first="Shiro" last="Ariumi">Shiro Ariumi</name>
<name sortKey="Hashimoto, Kenji" sort="Hashimoto, Kenji" uniqKey="Hashimoto K" first="Kenji" last="Hashimoto">Kenji Hashimoto</name>
<name sortKey="Hoshiba, Kanji" sort="Hoshiba, Kanji" uniqKey="Hoshiba K" first="Kanji" last="Hoshiba">Kanji Hoshiba</name>
<name sortKey="Ihara, Shinichi" sort="Ihara, Shinichi" uniqKey="Ihara S" first="Shinichi" last="Ihara">Shinichi Ihara</name>
<name sortKey="Mizuno, Yasuro" sort="Mizuno, Yasuro" uniqKey="Mizuno Y" first="Yasuro" last="Mizuno">Yasuro Mizuno</name>
<name sortKey="Morita, Tomonori" sort="Morita, Tomonori" uniqKey="Morita T" first="Tomonori" last="Morita">Tomonori Morita</name>
<name sortKey="Mukaiyama, Hideki" sort="Mukaiyama, Hideki" uniqKey="Mukaiyama H" first="Hideki" last="Mukaiyama">Hideki Mukaiyama</name>
<name sortKey="Ohrui, Takashi" sort="Ohrui, Takashi" uniqKey="Ohrui T" first="Takashi" last="Ohrui">Takashi Ohrui</name>
<name sortKey="Ohsawa, Takayuki" sort="Ohsawa, Takayuki" uniqKey="Ohsawa T" first="Takayuki" last="Ohsawa">Takayuki Ohsawa</name>
<name sortKey="Okamoto, Hiroshi" sort="Okamoto, Hiroshi" uniqKey="Okamoto H" first="Hiroshi" last="Okamoto">Hiroshi Okamoto</name>
<name sortKey="Sasaki, Hidetada" sort="Sasaki, Hidetada" uniqKey="Sasaki H" first="Hidetada" last="Sasaki">Hidetada Sasaki</name>
<name sortKey="Yanagisawa, Shozo" sort="Yanagisawa, Shozo" uniqKey="Yanagisawa S" first="Shozo" last="Yanagisawa">Shozo Yanagisawa</name>
<name sortKey="Yoshida, Mitsuyoshi" sort="Yoshida, Mitsuyoshi" uniqKey="Yoshida M" first="Mitsuyoshi" last="Yoshida">Mitsuyoshi Yoshida</name>
</country>
</tree>
</affiliations>
</record>

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Oral care reduces pneumonia in older patients in nursing homes

Oral care reduces pneumonia in older patients in nursing homes

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