The effect of chlorhexidine in reducing oral colonisation in geriatric patients: a randomised controlled trial.
Identifieur interne : 000053 ( PubMed/Checkpoint ); précédent : 000052; suivant : 000054The effect of chlorhexidine in reducing oral colonisation in geriatric patients: a randomised controlled trial.
Auteurs : Sharifah Shafinaz Binti Sharif-Abdullah [Malaisie] ; Mei Chan Chong [Malaisie] ; Surat Singh Surindar-Kaur [Malaisie] ; Shahrul Bahyah Kamaruzzaman [Malaisie] ; Kwan Hoong Ng [Malaisie]Source :
- Singapore medical journal [ 0037-5675 ] ; 2016.
Descripteurs français
- KwdFr :
- Anti-infectieux locaux (usage thérapeutique), Appareil respiratoire (microbiologie), Bouche édentée (), Chlorhexidine (usage thérapeutique), Femelle, Gériatrie (), Humains, Hygiène buccodentaire, Mâle, Méthode en double aveugle, Plan de recherche, Pneumopathie de déglutition (), Pneumopathie de déglutition (microbiologie), Pneumopathie infectieuse sous ventilation assistée, Sujet âgé, Sujet âgé de 80 ans ou plus, Thymol (usage thérapeutique).
- MESH :
- microbiologie : Appareil respiratoire, Pneumopathie de déglutition.
- usage thérapeutique : Anti-infectieux locaux, Chlorhexidine, Thymol.
- Bouche édentée, Femelle, Gériatrie, Humains, Hygiène buccodentaire, Mâle, Méthode en double aveugle, Plan de recherche, Pneumopathie de déglutition, Pneumopathie infectieuse sous ventilation assistée, Sujet âgé, Sujet âgé de 80 ans ou plus.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Anti-Infective Agents, Local (therapeutic use), Chlorhexidine (therapeutic use), Double-Blind Method, Female, Geriatrics (methods), Humans, Male, Mouth, Edentulous (therapy), Oral Hygiene, Pneumonia, Aspiration (microbiology), Pneumonia, Aspiration (prevention & control), Pneumonia, Ventilator-Associated, Research Design, Respiratory System (microbiology), Thymol (therapeutic use).
- MESH :
- chemical , therapeutic use : Anti-Infective Agents, Local, Chlorhexidine, Thymol.
- methods : Geriatrics.
- microbiology : Pneumonia, Aspiration, Respiratory System.
- prevention & control : Pneumonia, Aspiration.
- therapy : Mouth, Edentulous.
- Aged, Aged, 80 and over, Double-Blind Method, Female, Humans, Male, Oral Hygiene, Pneumonia, Ventilator-Associated, Research Design.
Abstract
Inadequate oral care has been implicated in the development of aspiration pneumonia in frail geriatric patients and is a major cause of mortality, due to the colonisation of microbes in vulnerable patients. This type of pneumonia has been associated with an increase in respiratory pathogens in the oral cavity. The aim of this study was to evaluate the effects of chlorhexidine compared to routine oral care in edentulous geriatric inpatients.
DOI: 10.11622/smedj.2016091
PubMed: 27211885
Affiliations:
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pubmed:27211885Le document en format XML
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Sharifah Shafinaz Binti" sort="Sharif Abdullah, Sharifah Shafinaz Binti" uniqKey="Sharif Abdullah S" first="Sharifah Shafinaz Binti" last="Sharif-Abdullah">Sharifah Shafinaz Binti Sharif-Abdullah</name><affiliation wicri:level="1"><nlm:affiliation>Department of Nursing Science, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.</nlm:affiliation><country xml:lang="fr">Malaisie</country><wicri:regionArea>Department of Nursing Science, Faculty of Medicine, University of Malaya, Kuala Lumpur</wicri:regionArea><wicri:noRegion>Kuala Lumpur</wicri:noRegion></affiliation></author><author><name sortKey="Chong, Mei Chan" sort="Chong, Mei Chan" uniqKey="Chong M" first="Mei Chan" last="Chong">Mei Chan Chong</name><affiliation wicri:level="1"><nlm:affiliation>Department of Nursing Science, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.</nlm:affiliation><country xml:lang="fr">Malaisie</country><wicri:regionArea>Department of Nursing Science, Faculty of Medicine, University of Malaya, Kuala Lumpur</wicri:regionArea><wicri:noRegion>Kuala Lumpur</wicri:noRegion></affiliation></author><author><name sortKey="Surindar Kaur, Surat Singh" sort="Surindar Kaur, Surat Singh" uniqKey="Surindar Kaur S" first="Surat Singh" last="Surindar-Kaur">Surat Singh Surindar-Kaur</name><affiliation wicri:level="1"><nlm:affiliation>Department of Nursing Science, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.</nlm:affiliation><country xml:lang="fr">Malaisie</country><wicri:regionArea>Department of Nursing Science, Faculty of Medicine, University of Malaya, Kuala Lumpur</wicri:regionArea><wicri:noRegion>Kuala Lumpur</wicri:noRegion></affiliation></author><author><name sortKey="Kamaruzzaman, Shahrul Bahyah" sort="Kamaruzzaman, Shahrul Bahyah" uniqKey="Kamaruzzaman S" first="Shahrul Bahyah" last="Kamaruzzaman">Shahrul Bahyah Kamaruzzaman</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.</nlm:affiliation><country xml:lang="fr">Malaisie</country><wicri:regionArea>Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur</wicri:regionArea><wicri:noRegion>Kuala Lumpur</wicri:noRegion></affiliation></author><author><name sortKey="Ng, Kwan Hoong" sort="Ng, Kwan Hoong" uniqKey="Ng K" first="Kwan Hoong" last="Ng">Kwan Hoong Ng</name><affiliation wicri:level="1"><nlm:affiliation>Department of Biomedical Imaging & University of Malaya Research Imaging Centre, University of Malaya, Kuala Lumpur, Malaysia.</nlm:affiliation><country xml:lang="fr">Malaisie</country><wicri:regionArea>Department of Biomedical Imaging & University of Malaya Research Imaging Centre, University of Malaya, Kuala Lumpur</wicri:regionArea><wicri:noRegion>Kuala Lumpur</wicri:noRegion></affiliation></author></analytic><series><title level="j">Singapore medical journal</title><idno type="ISSN">0037-5675</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Anti-Infective Agents, Local (therapeutic use)</term><term>Chlorhexidine (therapeutic use)</term><term>Double-Blind Method</term><term>Female</term><term>Geriatrics (methods)</term><term>Humans</term><term>Male</term><term>Mouth, Edentulous (therapy)</term><term>Oral Hygiene</term><term>Pneumonia, Aspiration (microbiology)</term><term>Pneumonia, Aspiration (prevention & control)</term><term>Pneumonia, Ventilator-Associated</term><term>Research Design</term><term>Respiratory System (microbiology)</term><term>Thymol (therapeutic use)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Anti-infectieux locaux (usage thérapeutique)</term><term>Appareil respiratoire (microbiologie)</term><term>Bouche édentée ()</term><term>Chlorhexidine (usage thérapeutique)</term><term>Femelle</term><term>Gériatrie ()</term><term>Humains</term><term>Hygiène buccodentaire</term><term>Mâle</term><term>Méthode en double aveugle</term><term>Plan de recherche</term><term>Pneumopathie de déglutition ()</term><term>Pneumopathie de déglutition (microbiologie)</term><term>Pneumopathie infectieuse sous ventilation assistée</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Thymol (usage thérapeutique)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-Infective Agents, Local</term><term>Chlorhexidine</term><term>Thymol</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Geriatrics</term></keywords><keywords scheme="MESH" qualifier="microbiologie" xml:lang="fr"><term>Appareil respiratoire</term><term>Pneumopathie de déglutition</term></keywords><keywords scheme="MESH" qualifier="microbiology" xml:lang="en"><term>Pneumonia, Aspiration</term><term>Respiratory System</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Pneumonia, Aspiration</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Mouth, Edentulous</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Anti-infectieux locaux</term><term>Chlorhexidine</term><term>Thymol</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Double-Blind Method</term><term>Female</term><term>Humans</term><term>Male</term><term>Oral Hygiene</term><term>Pneumonia, Ventilator-Associated</term><term>Research Design</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Bouche édentée</term><term>Femelle</term><term>Gériatrie</term><term>Humains</term><term>Hygiène buccodentaire</term><term>Mâle</term><term>Méthode en double aveugle</term><term>Plan de recherche</term><term>Pneumopathie de déglutition</term><term>Pneumopathie infectieuse sous ventilation assistée</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Inadequate oral care has been implicated in the development of aspiration pneumonia in frail geriatric patients and is a major cause of mortality, due to the colonisation of microbes in vulnerable patients. This type of pneumonia has been associated with an increase in respiratory pathogens in the oral cavity. The aim of this study was to evaluate the effects of chlorhexidine compared to routine oral care in edentulous geriatric inpatients.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27211885</PMID><DateCompleted><Year>2017</Year><Month>04</Month><Day>06</Day></DateCompleted><DateRevised><Year>2017</Year><Month>04</Month><Day>06</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0037-5675</ISSN><JournalIssue CitedMedium="Internet"><Volume>57</Volume><Issue>5</Issue><PubDate><Year>2016</Year><Month>May</Month></PubDate></JournalIssue><Title>Singapore medical journal</Title><ISOAbbreviation>Singapore Med J</ISOAbbreviation></Journal><ArticleTitle>The effect of chlorhexidine in reducing oral colonisation in geriatric patients: a randomised controlled trial.</ArticleTitle><Pagination><MedlinePgn>262-6</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.11622/smedj.2016091</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Inadequate oral care has been implicated in the development of aspiration pneumonia in frail geriatric patients and is a major cause of mortality, due to the colonisation of microbes in vulnerable patients. This type of pneumonia has been associated with an increase in respiratory pathogens in the oral cavity. The aim of this study was to evaluate the effects of chlorhexidine compared to routine oral care in edentulous geriatric inpatients.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A double-blind, parallel-group randomised controlled trial was carried out. The intervention group received oral care with chlorhexidine 0.2%, while the control group received routine oral care with thymol. Nurses provided oral care with assigned solutions of 20 mL once daily over seven days. Oral cavity assessment using the Brief Oral Health Status Examination form was performed before each oral care procedure. Data on medication received and the subsequent development of aspiration pneumonia was recorded. An oral swab was performed on Day 7 to obtain specimens to test for colonisation.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The final sample consisted of 35 (control) and 43 (intervention) patients. Chlorhexidine was effective in reducing oral colonisation compared to routine oral care with thymol (p < 0.001). The risk of oral bacterial colonisation was nearly three times higher in the thymol group compared to the chlorhexidine group.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The use of chlorhexidine 0.2% significantly reduced oral colonisation and is recommended as an easier and more cost-effective alternative for oral hygiene.</AbstractText><CopyrightInformation>Copyright: © Singapore Medical Association.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Sharif-Abdullah</LastName><ForeName>Sharifah Shafinaz Binti</ForeName><Initials>SS</Initials><AffiliationInfo><Affiliation>Department of Nursing Science, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Nursing, Faculty of Health Science, Universiti Teknologi MARA, Puncak Alam Campus, Selangor, Malaysia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chong</LastName><ForeName>Mei Chan</ForeName><Initials>MC</Initials><AffiliationInfo><Affiliation>Department of Nursing Science, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Surindar-Kaur</LastName><ForeName>Surat Singh</ForeName><Initials>SS</Initials><AffiliationInfo><Affiliation>Department of Nursing Science, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kamaruzzaman</LastName><ForeName>Shahrul Bahyah</ForeName><Initials>SB</Initials><AffiliationInfo><Affiliation>Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ng</LastName><ForeName>Kwan Hoong</ForeName><Initials>KH</Initials><AffiliationInfo><Affiliation>Department of Biomedical Imaging & University of Malaya Research Imaging Centre, University of Malaya, Kuala Lumpur, Malaysia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Singapore</Country><MedlineTA>Singapore Med J</MedlineTA><NlmUniqueID>0404516</NlmUniqueID><ISSNLinking>0037-5675</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000891">Anti-Infective Agents, Local</NameOfSubstance></Chemical><Chemical><RegistryNumber>3J50XA376E</RegistryNumber><NameOfSubstance UI="D013943">Thymol</NameOfSubstance></Chemical><Chemical><RegistryNumber>R4KO0DY52L</RegistryNumber><NameOfSubstance UI="D002710">Chlorhexidine</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Gerodontology. 2013 Mar;30(1):3-9</RefSource><PMID Version="1">22390255</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Spec Care Dentist. 2014 Jan-Feb;34(1):19-26</RefSource><PMID Version="1">24382367</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Infect Control Hosp Epidemiol. 2008 Oct;29 Suppl 1:S31-40</RefSource><PMID Version="1">18840087</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Int J Nurs Stud. 2012 Nov;49(11):1354-63</RefSource><PMID Version="1">22771160</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Infect Control Hosp Epidemiol. 2008 Feb;29(2):131-6</RefSource><PMID Version="1">18179368</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Dent Res. 2011 Dec;90(12):1398-404</RefSource><PMID Version="1">21940518</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Int J Nurs Stud. 2013 Apr;50(4):569-82</RefSource><PMID Version="1">23290098</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Spec Care Dentist. 2014 Mar-Apr;34(2):64-9</RefSource><PMID Version="1">24588490</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Infect Control. 2012 Mar;40(2):175-82</RefSource><PMID Version="1">21719150</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Respir Crit Care Med. 2006 Jun 15;173(12):1348-55</RefSource><PMID Version="1">16603609</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Perspect Clin Res. 2010 Apr;1(2):67-9</RefSource><PMID Version="1">21829786</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Dent. 2013 May;41(5):420-7</RefSource><PMID Version="1">23454226</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Arch Gerontol Geriatr. 2012 Jul-Aug;55(1):16-21</RefSource><PMID Version="1">21764148</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Gerodontology. 2012 Jun;29(2):e870-82</RefSource><PMID Version="1">22126396</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Clin Periodontol. 2003 Sep;30(9):773-7</RefSource><PMID Version="1">12956652</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Community Dent Health. 2010 Dec;27(4 Suppl 2):257-67</RefSource><PMID Version="1">21313969</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Prosthodont. 2012 Jan;21(1):2-6</RefSource><PMID Version="1">21972847</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Periodontol. 2005 Dec;76(12):2187-93</RefSource><PMID Version="1">16332229</PMID></CommentsCorrections></CommentsCorrectionsList><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="D000891" MajorTopicYN="N">Anti-Infective Agents, Local</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002710" MajorTopicYN="N">Chlorhexidine</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004311" MajorTopicYN="N">Double-Blind Method</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005853" MajorTopicYN="N">Geriatrics</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009066" MajorTopicYN="N">Mouth, Edentulous</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009910" MajorTopicYN="N">Oral Hygiene</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011015" MajorTopicYN="N">Pneumonia, Aspiration</DescriptorName><QualifierName UI="Q000382" MajorTopicYN="N">microbiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D053717" MajorTopicYN="N">Pneumonia, Ventilator-Associated</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012107" MajorTopicYN="N">Research Design</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012137" MajorTopicYN="N">Respiratory System</DescriptorName><QualifierName UI="Q000382" MajorTopicYN="N">microbiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013943" MajorTopicYN="N">Thymol</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading></MeshHeadingList><OtherID Source="NLM">PMC4876416</OtherID><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">aspiration</Keyword><Keyword MajorTopicYN="Y">chlorhexidine</Keyword><Keyword MajorTopicYN="Y">geriatrics</Keyword><Keyword MajorTopicYN="Y">oral</Keyword><Keyword MajorTopicYN="Y">pneumonia</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>5</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>5</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>4</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27211885</ArticleId><ArticleId IdType="pii">j57/5/262</ArticleId><ArticleId IdType="doi">10.11622/smedj.2016091</ArticleId><ArticleId IdType="pmc">PMC4876416</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Malaisie</li></country></list><tree><country name="Malaisie"><noRegion><name sortKey="Sharif Abdullah, Sharifah Shafinaz Binti" sort="Sharif Abdullah, Sharifah Shafinaz Binti" uniqKey="Sharif Abdullah S" first="Sharifah Shafinaz Binti" last="Sharif-Abdullah">Sharifah Shafinaz Binti Sharif-Abdullah</name></noRegion><name sortKey="Chong, Mei Chan" sort="Chong, Mei Chan" uniqKey="Chong M" first="Mei Chan" last="Chong">Mei Chan Chong</name><name sortKey="Kamaruzzaman, Shahrul Bahyah" sort="Kamaruzzaman, Shahrul Bahyah" uniqKey="Kamaruzzaman S" first="Shahrul Bahyah" last="Kamaruzzaman">Shahrul Bahyah Kamaruzzaman</name><name sortKey="Ng, Kwan Hoong" sort="Ng, Kwan Hoong" uniqKey="Ng K" first="Kwan Hoong" last="Ng">Kwan Hoong Ng</name><name sortKey="Surindar Kaur, Surat Singh" sort="Surindar Kaur, Surat Singh" uniqKey="Surindar Kaur S" first="Surat Singh" last="Surindar-Kaur">Surat Singh Surindar-Kaur</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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| HfdSelect -Kh $EXPLOR_AREA/Data/PubMed/Checkpoint/biblio.hfd \
| NlmPubMed2Wicri -a EdenteV2
| This area was generated with Dilib version V0.6.32. |  |