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[Oral care reduces pneumonia of elderly patients in nursing homes, irrespective of dentate or edentate status].

Identifieur interne : 003446 ( PubMed/Curation ); précédent : 003445; suivant : 003447

[Oral care reduces pneumonia of elderly patients in nursing homes, irrespective of dentate or edentate status].

Auteurs : M. Yoshida ; T. Yoneyama ; Y. Akagawa

Source :

RBID : pubmed:11523155

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English descriptors

Abstract

Aspiration of oral secretions and their bacteria, especially gram-negative bacilli, is increasingly being recognized as an important factor in pneumonia. We investigated whether oral care reduces the frequency of pneumonia in the institutionalized elderly. Nurses or caregivers cleaned patients' teeth with toothbrushes after each meal, and scrubbed the oropharynx with an applicator with povidone iodine (1%) every day. Dentists or dental hygienists gave professional care once a week. During follow up, pneumonia decreased significantly in patients with oral care. Oral care was of benefit for both edentate as well as dentate subjects, although periodontal diseases might cause pneumonia. We suggest that oral care may be useful in preventing pneumonia in institutionalized elderly, irrespective of dentate or edentate status.

PubMed: 11523155

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M. Yoshida
<affiliation>
<nlm:affiliation>Department of Removable Prosthodontics, Faculty of Dentistry, Hiroshima University.</nlm:affiliation>
<wicri:noCountry code="subField">Hiroshima University</wicri:noCountry>
</affiliation>

Le document en format XML

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<nlm:affiliation>Department of Removable Prosthodontics, Faculty of Dentistry, Hiroshima University.</nlm:affiliation>
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<term>Mâchoire partiellement édentée</term>
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<div type="abstract" xml:lang="en">Aspiration of oral secretions and their bacteria, especially gram-negative bacilli, is increasingly being recognized as an important factor in pneumonia. We investigated whether oral care reduces the frequency of pneumonia in the institutionalized elderly. Nurses or caregivers cleaned patients' teeth with toothbrushes after each meal, and scrubbed the oropharynx with an applicator with povidone iodine (1%) every day. Dentists or dental hygienists gave professional care once a week. During follow up, pneumonia decreased significantly in patients with oral care. Oral care was of benefit for both edentate as well as dentate subjects, although periodontal diseases might cause pneumonia. We suggest that oral care may be useful in preventing pneumonia in institutionalized elderly, irrespective of dentate or edentate status.</div>
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