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
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 001F94
- to stream PubMed, to step Curation: 001F94
- to stream PubMed, to step Checkpoint: 001F94
Links to Exploration step
pubmed:17913263Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Tongue-coating as risk indicator for aspiration pneumonia in edentate elderly.</title><author><name sortKey="Abe, Shu" sort="Abe, Shu" uniqKey="Abe S" first="Shu" last="Abe">Shu Abe</name><affiliation wicri:level="1"><nlm:affiliation>Department of Microbiology, Tokyo Dental College, 1-2-2 Masago, Mihama-ku, Chiba 261-8502, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Microbiology, Tokyo Dental College, 1-2-2 Masago, Mihama-ku, Chiba 261-8502</wicri:regionArea><wicri:noRegion>Chiba 261-8502</wicri:noRegion></affiliation></author><author><name sortKey="Ishihara, Kazuyuki" sort="Ishihara, Kazuyuki" uniqKey="Ishihara K" first="Kazuyuki" last="Ishihara">Kazuyuki Ishihara</name></author><author><name sortKey="Adachi, Mieko" sort="Adachi, Mieko" uniqKey="Adachi M" first="Mieko" last="Adachi">Mieko Adachi</name></author><author><name sortKey="Okuda, Katsuji" sort="Okuda, Katsuji" 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></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Tongue-coating as risk indicator for aspiration pneumonia in edentate elderly.</title><author><name sortKey="Abe, Shu" sort="Abe, Shu" uniqKey="Abe S" first="Shu" last="Abe">Shu Abe</name><affiliation wicri:level="1"><nlm:affiliation>Department of Microbiology, Tokyo Dental College, 1-2-2 Masago, Mihama-ku, Chiba 261-8502, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Microbiology, Tokyo Dental College, 1-2-2 Masago, Mihama-ku, Chiba 261-8502</wicri:regionArea><wicri:noRegion>Chiba 261-8502</wicri:noRegion></affiliation></author><author><name sortKey="Ishihara, Kazuyuki" sort="Ishihara, Kazuyuki" uniqKey="Ishihara K" first="Kazuyuki" last="Ishihara">Kazuyuki Ishihara</name></author><author><name sortKey="Adachi, Mieko" sort="Adachi, Mieko" uniqKey="Adachi M" first="Mieko" last="Adachi">Mieko Adachi</name></author><author><name sortKey="Okuda, Katsuji" sort="Okuda, Katsuji" uniqKey="Okuda K" first="Katsuji" last="Okuda">Katsuji Okuda</name></author></analytic><series><title level="j">Archives of gerontology and geriatrics</title><idno type="ISSN">0167-4943</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Cohort Studies</term><term>Humans</term><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><term>Tongue (microbiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Bouche édentée ()</term><term>Bouche édentée (microbiologie)</term><term>Humains</term><term>Hygiène buccodentaire</term><term>Langue (microbiologie)</term><term>Pneumopathie de déglutition (étiologie)</term><term>Risque</term><term>Salive (microbiologie)</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études de cohortes</term></keywords><keywords scheme="MESH" 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><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">17913263</PMID><DateCompleted><Year>2008</Year><Month>10</Month><Day>23</Day></DateCompleted><DateRevised><Year>2008</Year><Month>07</Month><Day>28</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0167-4943</ISSN><JournalIssue CitedMedium="Print"><Volume>47</Volume><Issue>2</Issue><PubDate><MedlineDate>2008 Sep-Oct</MedlineDate></PubDate></JournalIssue><Title>Archives of gerontology and geriatrics</Title><ISOAbbreviation>Arch Gerontol Geriatr</ISOAbbreviation></Journal><ArticleTitle>Tongue-coating as risk indicator for aspiration pneumonia in edentate elderly.</ArticleTitle><Pagination><MedlinePgn>267-75</MedlinePgn></Pagination><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></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Abe</LastName><ForeName>Shu</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Microbiology, Tokyo Dental College, 1-2-2 Masago, Mihama-ku, Chiba 261-8502, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ishihara</LastName><ForeName>Kazuyuki</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Adachi</LastName><ForeName>Mieko</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Okuda</LastName><ForeName>Katsuji</ForeName><Initials>K</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2007</Year><Month>10</Month><Day>25</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Arch Gerontol Geriatr</MedlineTA><NlmUniqueID>8214379</NlmUniqueID><ISSNLinking>0167-4943</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009066" MajorTopicYN="N">Mouth, Edentulous</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000382" MajorTopicYN="N">microbiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009910" MajorTopicYN="N">Oral Hygiene</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011015" MajorTopicYN="N">Pneumonia, Aspiration</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012306" MajorTopicYN="N">Risk</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012463" MajorTopicYN="N">Saliva</DescriptorName><QualifierName UI="Q000382" MajorTopicYN="N">microbiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014059" MajorTopicYN="N">Tongue</DescriptorName><QualifierName UI="Q000382" MajorTopicYN="Y">microbiology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2007</Year><Month>04</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2007</Year><Month>08</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2007</Year><Month>08</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2007</Year><Month>10</Month><Day>5</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2008</Year><Month>10</Month><Day>24</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2007</Year><Month>10</Month><Day>5</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">17913263</ArticleId><ArticleId IdType="pii">S0167-4943(07)00181-1</ArticleId><ArticleId IdType="doi">10.1016/j.archger.2007.08.005</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Japon</li></country></list><tree><noCountry><name sortKey="Adachi, Mieko" sort="Adachi, Mieko" uniqKey="Adachi M" first="Mieko" last="Adachi">Mieko Adachi</name><name sortKey="Ishihara, Kazuyuki" sort="Ishihara, Kazuyuki" uniqKey="Ishihara K" first="Kazuyuki" last="Ishihara">Kazuyuki Ishihara</name><name sortKey="Okuda, Katsuji" sort="Okuda, Katsuji" uniqKey="Okuda K" first="Katsuji" last="Okuda">Katsuji Okuda</name></noCountry><country name="Japon"><noRegion><name sortKey="Abe, Shu" sort="Abe, Shu" uniqKey="Abe S" first="Shu" last="Abe">Shu Abe</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/Ncbi/Merge
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001E49 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Ncbi/Merge/biblio.hfd -nk 001E49 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= EdenteV2
|flux= Ncbi
|étape= Merge
|type= RBID
|clé= pubmed:17913263
|texte= Tongue-coating as risk indicator for aspiration pneumonia in edentate elderly.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Ncbi/Merge/RBID.i -Sk "pubmed:17913263" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Ncbi/Merge/biblio.hfd \
| NlmPubMed2Wicri -a EdenteV2
| This area was generated with Dilib version V0.6.32. |  |