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Periodontal and Microbiological Profile of Intensive Care Unit Inpatients.

Identifieur interne : 000081 ( PubMed/Checkpoint ); précédent : 000080; suivant : 000082

Periodontal and Microbiological Profile of Intensive Care Unit Inpatients.

Auteurs : Alessandra N. Porto [Brésil] ; Alvaro H. Borges [Brésil] ; Grace Rocatto [Brésil] ; Fernanda Z. Matos [Brésil] ; Alexandre M. Borba [Brésil] ; F L Miranda Pedro [Brésil] ; Suellen L. Lima [Brésil] ; Mateus R. Tonetto [Brésil] ; Matheus C. Bandéca [Brésil] ; A M Fabio Aranha [Brésil]

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RBID : pubmed:27794150

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Abstract

The bidirectional relationship between the periodontal diseases and systemic diseases was attributed to the focal infection concept. The aims of this study were to assess the periodontal and microbiological profile of intensive care unit (ICU) inpatients submitted to orotracheal intubation, and classify them regarding gender, age group, ethnic, hospitalization reason and period, nosocomial infection occurrence, and death.

PubMed: 27794150


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pubmed:27794150

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<term>Adolescent</term>
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<term>Aggregatibacter actinomycetemcomitans (isolation & purification)</term>
<term>Dental Deposits (microbiology)</term>
<term>Female</term>
<term>Gingiva (microbiology)</term>
<term>Humans</term>
<term>Inpatients</term>
<term>Intensive Care Units</term>
<term>Jaw, Edentulous (microbiology)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mouth Mucosa (microbiology)</term>
<term>Periodontal Diseases (diagnosis)</term>
<term>Porphyromonas gingivalis (isolation & purification)</term>
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<term>Dépôts dentaires (microbiologie)</term>
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<term>Porphyromonas gingivalis (isolement et purification)</term>
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<term>Aggregatibacter actinomycetemcomitans</term>
<term>Porphyromonas gingivalis</term>
<term>Tannerella forsythia</term>
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<term>Dépôts dentaires</term>
<term>Gencive</term>
<term>Langue</term>
<term>Muqueuse de la bouche</term>
<term>Mâchoire édentée</term>
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<keywords scheme="MESH" qualifier="microbiology" xml:lang="en">
<term>Dental Deposits</term>
<term>Gingiva</term>
<term>Jaw, Edentulous</term>
<term>Mouth Mucosa</term>
<term>Tongue</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Inpatients</term>
<term>Intensive Care Units</term>
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<term>Middle Aged</term>
<term>Prospective Studies</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
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<div type="abstract" xml:lang="en">The bidirectional relationship between the periodontal diseases and systemic diseases was attributed to the focal infection concept. The aims of this study were to assess the periodontal and microbiological profile of intensive care unit (ICU) inpatients submitted to orotracheal intubation, and classify them regarding gender, age group, ethnic, hospitalization reason and period, nosocomial infection occurrence, and death.</div>
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<DateCompleted>
<Year>2017</Year>
<Month>10</Month>
<Day>24</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>10</Month>
<Day>24</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1526-3711</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>17</Volume>
<Issue>10</Issue>
<PubDate>
<Year>2016</Year>
<Month>Oct</Month>
<Day>01</Day>
</PubDate>
</JournalIssue>
<Title>The journal of contemporary dental practice</Title>
<ISOAbbreviation>J Contemp Dent Pract</ISOAbbreviation>
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<ArticleTitle>Periodontal and Microbiological Profile of Intensive Care Unit Inpatients.</ArticleTitle>
<Pagination>
<MedlinePgn>807-814</MedlinePgn>
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<Abstract>
<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">The bidirectional relationship between the periodontal diseases and systemic diseases was attributed to the focal infection concept. The aims of this study were to assess the periodontal and microbiological profile of intensive care unit (ICU) inpatients submitted to orotracheal intubation, and classify them regarding gender, age group, ethnic, hospitalization reason and period, nosocomial infection occurrence, and death.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Inpatients were assessed, distributed into toothed and toothless groups. The periodontal clinical condition was assessed 24 hours after the ICU admission through plaque index, gum index, probing depth, and clinical level of insertion. All microbiological samples were collected on the 6th day of admission. These samples were collected from different intraoral sites, depending on the group: In the toothed group, samples were collected from gingival sulcus and in the toothless group, from buccal mucosa and tongue. Identification for Aggregatibacter actinomycetemcomitans (Aa), Porphyromonas gingivalis (Pg), and Tannerella forsythia (Tf) was accomplished and analyzed, using absolute quantification and specific primer pairs through an amplification system with probes.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Forty subjects composed the sample: Gender characterized by 60% of male, 27.5% of all patients were older than 60, and 22.5% were hospitalized due to cerebrovascular accident. Regarding hospitalization period, 55% of patients were hospitalized for 6 days and 70% of them died during the period of hospitalization. Of inpatients, 40% presented periodontal disease and 100% presented dental biofilm on assessed sites. When assessing the microbiota, statistical significance was observed between Aa, Pg, and Tf, for both toothed and toothless group (p < 0.0001).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Large quantities of Aa were found in samples of toothless inpatients, a fact that suggests that the oral environment, even without teeth, presents favorable conditions for bacterial biofilm formation with a related pathogenic potential.</AbstractText>
<AbstractText Label="CLINICAL SIGNIFICANCE" NlmCategory="CONCLUSIONS">The dental biofilm may comprise pulmonary pathogen colonies, promoting a perfect environment for their growth and development, facilitating the colonization of the lower airways, as well as colonization by bacteria originally from the oral cavity.</AbstractText>
</Abstract>
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<ForeName>Alessandra N</ForeName>
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<Affiliation>Department of Postgraduate Program in Integrated Dental Science, Dental School, University of Cuiabá, Cuiabá, Mato Grosso, Brazil, Phone: +556533631271, e-mail: aleporto@terra.com.br.</Affiliation>
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<Affiliation>Department of Postgraduate Program in Integrated Dental Science, Dental School, University of Cuiabá, Cuiabá, Mato Grosso, Brazil.</Affiliation>
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<Affiliation>Department of Postgraduate Program in Integrated Dental Science, Dental School, University of Cuiabá, Cuiabá, Mato Grosso, Brazil.</Affiliation>
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<Country>India</Country>
<MedlineTA>J Contemp Dent Pract</MedlineTA>
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<CitationSubset>IM</CitationSubset>
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<MeshHeading>
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<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
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<DescriptorName UI="D009061" MajorTopicYN="N">Mouth Mucosa</DescriptorName>
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<DescriptorName UI="D010510" MajorTopicYN="N">Periodontal Diseases</DescriptorName>
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<DescriptorName UI="D016966" MajorTopicYN="N">Porphyromonas gingivalis</DescriptorName>
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<DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
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<DescriptorName UI="D000070436" MajorTopicYN="N">Tannerella forsythia</DescriptorName>
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<DescriptorName UI="D014059" MajorTopicYN="N">Tongue</DescriptorName>
<QualifierName UI="Q000382" MajorTopicYN="N">microbiology</QualifierName>
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<DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
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</MeshHeadingList>
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<Keyword MajorTopicYN="N">Biofilm</Keyword>
<Keyword MajorTopicYN="N">Intensive care unit Periodontal disease.</Keyword>
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<li>Brésil</li>
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<name sortKey="Aranha, A M Fabio" sort="Aranha, A M Fabio" uniqKey="Aranha A" first="A M Fabio" last="Aranha">A M Fabio Aranha</name>
<name sortKey="Bandeca, Matheus C" sort="Bandeca, Matheus C" uniqKey="Bandeca M" first="Matheus C" last="Bandéca">Matheus C. Bandéca</name>
<name sortKey="Borba, Alexandre M" sort="Borba, Alexandre M" uniqKey="Borba A" first="Alexandre M" last="Borba">Alexandre M. Borba</name>
<name sortKey="Borges, Alvaro H" sort="Borges, Alvaro H" uniqKey="Borges A" first="Alvaro H" last="Borges">Alvaro H. Borges</name>
<name sortKey="Lima, Suellen L" sort="Lima, Suellen L" uniqKey="Lima S" first="Suellen L" last="Lima">Suellen L. Lima</name>
<name sortKey="Matos, Fernanda Z" sort="Matos, Fernanda Z" uniqKey="Matos F" first="Fernanda Z" last="Matos">Fernanda Z. Matos</name>
<name sortKey="Pedro, F L Miranda" sort="Pedro, F L Miranda" uniqKey="Pedro F" first="F L Miranda" last="Pedro">F L Miranda Pedro</name>
<name sortKey="Rocatto, Grace" sort="Rocatto, Grace" uniqKey="Rocatto G" first="Grace" last="Rocatto">Grace Rocatto</name>
<name sortKey="Tonetto, Mateus R" sort="Tonetto, Mateus R" uniqKey="Tonetto M" first="Mateus R" last="Tonetto">Mateus R. Tonetto</name>
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