Tongue-coating as risk indicator for aspiration pneumonia in edentate elderly.
Identifieur interne : 001E49 ( Ncbi/Curation ); précédent : 001E48; suivant : 001E50Tongue-coating as risk indicator for aspiration pneumonia in edentate elderly.
Auteurs : Shu Abe [Japon] ; Kazuyuki Ishihara ; Mieko Adachi ; Katsuji OkudaSource :
- Archives of gerontology and geriatrics [ 0167-4943 ]
Descripteurs français
- KwdFr :
- MESH :
- microbiologie : Bouche édentée, Langue, Salive.
- étiologie : Pneumopathie de déglutition.
- Bouche édentée, Humains, Hygiène buccodentaire, Risque, Sujet âgé, Sujet âgé de 80 ans ou plus, Études de cohortes.
English descriptors
- KwdEn :
- MESH :
- complications : Mouth, Edentulous.
- etiology : Pneumonia, Aspiration.
- microbiology : Mouth, Edentulous, Saliva, Tongue.
- Aged, Aged, 80 and over, Cohort Studies, Humans, Oral Hygiene, Risk.
Abstract
Silent aspiration of oral microorganisms is a major cause of aspiration pneumonia. To establish oral hygiene criteria for the prevention of aspiration pneumonia in edentulous elderly persons, we investigated the relationship between presence of tongue-coating and number of oral bacteria in saliva and episodes of pneumonia. A total of 71 edentulous Japanese people aged 65 years or older living in nursing homes were enrolled in the study. A tongue plaque index (TPI) was used to evaluate quantity of tongue-coating, with TPI0 signifying no tongue-coating and TPI1 signifying presence of tongue-coating. Edentate elderly with TPI1 demonstrated significantly higher salivary bacterial counts than those with TPI0 (p<0.05). The number of elderly patients developing aspiration pneumonia was larger (p<0.005) in patients with TPI-based poor scores (average TPI>0.5) than in those with TPI-based good scores. The relative risk of developing pneumonia in the good tongue hygiene group compared with in the poor tongue hygiene group was 0.12, 95% confidence interval (CI): 0.02-0.9. The results demonstrate that tongue-coating is associated with number of viable salivary bacterial cells and development of aspiration pneumonia, suggesting that tongue-coating is a risk indicator of aspiration pneumonia in edentate subjects.
DOI: 10.1016/j.archger.2007.08.005
PubMed: 17913263
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uniqKey="Okuda K" first="Katsuji" last="Okuda">Katsuji Okuda</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="????"><PubDate><MedlineDate>2008 Sep-Oct</MedlineDate></PubDate></date><idno type="RBID">pubmed:17913263</idno><idno type="pmid">17913263</idno><idno type="doi">10.1016/j.archger.2007.08.005</idno><idno type="wicri:Area/PubMed/Corpus">001F94</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001F94</idno><idno type="wicri:Area/PubMed/Curation">001F94</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001F94</idno><idno type="wicri:Area/PubMed/Checkpoint">001F94</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001F94</idno><idno type="wicri:Area/Ncbi/Merge">001E49</idno><idno type="wicri:Area/Ncbi/Curation">001E49</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Tongue-coating as risk indicator for 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qualifier="complications" xml:lang="en"><term>Mouth, Edentulous</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Pneumonia, Aspiration</term></keywords><keywords scheme="MESH" qualifier="microbiologie" xml:lang="fr"><term>Bouche édentée</term><term>Langue</term><term>Salive</term></keywords><keywords scheme="MESH" qualifier="microbiology" xml:lang="en"><term>Mouth, Edentulous</term><term>Saliva</term><term>Tongue</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Pneumopathie de déglutition</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Cohort Studies</term><term>Humans</term><term>Oral Hygiene</term><term>Risk</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Bouche édentée</term><term>Humains</term><term>Hygiène buccodentaire</term><term>Risque</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études de cohortes</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Silent aspiration of oral microorganisms is a major cause of aspiration pneumonia. To establish oral hygiene criteria for the prevention of aspiration pneumonia in edentulous elderly persons, we investigated the relationship between presence of tongue-coating and number of oral bacteria in saliva and episodes of pneumonia. A total of 71 edentulous Japanese people aged 65 years or older living in nursing homes were enrolled in the study. A tongue plaque index (TPI) was used to evaluate quantity of tongue-coating, with TPI0 signifying no tongue-coating and TPI1 signifying presence of tongue-coating. Edentate elderly with TPI1 demonstrated significantly higher salivary bacterial counts than those with TPI0 (p<0.05). The number of elderly patients developing aspiration pneumonia was larger (p<0.005) in patients with TPI-based poor scores (average TPI>0.5) than in those with TPI-based good scores. The relative risk of developing pneumonia in the good tongue hygiene group compared with in the poor tongue hygiene group was 0.12, 95% confidence interval (CI): 0.02-0.9. The results demonstrate that tongue-coating is associated with number of viable salivary bacterial cells and development of aspiration pneumonia, suggesting that tongue-coating is a risk indicator of aspiration pneumonia in edentate subjects.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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