Tongue-coating as risk indicator for aspiration pneumonia in edentate elderly.
Identifieur interne : 001E49 ( Ncbi/Merge ); 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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pubmed:17913263Le document en format XML
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<term>Mouth, Edentulous (complications)</term>
<term>Mouth, Edentulous (microbiology)</term>
<term>Oral Hygiene</term>
<term>Pneumonia, Aspiration (etiology)</term>
<term>Risk</term>
<term>Saliva (microbiology)</term>
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<term>Bouche édentée (microbiologie)</term>
<term>Humains</term>
<term>Hygiène buccodentaire</term>
<term>Langue (microbiologie)</term>
<term>Pneumopathie de déglutition (étiologie)</term>
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<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
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<keywords scheme="MESH" qualifier="microbiologie" xml:lang="fr"><term>Bouche édentée</term>
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<term>Salive</term>
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<term>Risk</term>
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<term>Humains</term>
<term>Hygiène buccodentaire</term>
<term>Risque</term>
<term>Sujet âgé</term>
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<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>
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<Title>Archives of gerontology and geriatrics</Title>
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<ArticleTitle>Tongue-coating as risk indicator for aspiration pneumonia in edentate elderly.</ArticleTitle>
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<Abstract><AbstractText>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.</AbstractText>
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