Association Between Pneumonia and Oral Care in Nursing Home Residents
Pneumonia remains the leading cause of death in nursing home residents. The accumulation of dental plaque and colonization of oral surfaces and dentures with respiratory pathogens serves as a reservoir for recurrent lower respiratory tract infections. Control of gingivitis and dental plaques has bee...
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| Veröffentlicht in: | Lung 2011-06, Vol.189 (3), p.173-180 |
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| creator | El-Solh, Ali A. |
| description | Pneumonia remains the leading cause of death in nursing home residents. The accumulation of dental plaque and colonization of oral surfaces and dentures with respiratory pathogens serves as a reservoir for recurrent lower respiratory tract infections. Control of gingivitis and dental plaques has been effective in reducing the rate of pneumonia but the provision of dental care for institutionalized elderly is inadequate, with treatment often sought only when patients experience pain or denture problems. Direct mechanical cleaning is thwarted by the lack of adequate training of nursing staff and residents’ uncooperativeness. Chlorhexidine-based interventions are advocated as alternative methods for managing the oral health of frail older people; however, efficacy is yet to be demonstrated in randomized controlled trials. Development and maintenance of an oral hygiene program is a critical step in the prevention of pneumonia. While resources may be limited in long-term-care facilities, incorporating oral care in daily routine practice helps to reduce systemic diseases and to promote overall quality of life in nursing home residents. |
| doi_str_mv | 10.1007/s00408-011-9297-0 |
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The accumulation of dental plaque and colonization of oral surfaces and dentures with respiratory pathogens serves as a reservoir for recurrent lower respiratory tract infections. Control of gingivitis and dental plaques has been effective in reducing the rate of pneumonia but the provision of dental care for institutionalized elderly is inadequate, with treatment often sought only when patients experience pain or denture problems. Direct mechanical cleaning is thwarted by the lack of adequate training of nursing staff and residents’ uncooperativeness. Chlorhexidine-based interventions are advocated as alternative methods for managing the oral health of frail older people; however, efficacy is yet to be demonstrated in randomized controlled trials. Development and maintenance of an oral hygiene program is a critical step in the prevention of pneumonia. While resources may be limited in long-term-care facilities, incorporating oral care in daily routine practice helps to reduce systemic diseases and to promote overall quality of life in nursing home residents.</description><identifier>ISSN: 0341-2040</identifier><identifier>EISSN: 1432-1750</identifier><identifier>DOI: 10.1007/s00408-011-9297-0</identifier><identifier>PMID: 21533635</identifier><identifier>CODEN: LUNGD9</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Aged ; Bacterial pneumonia ; Care and treatment ; Chlorhexidine ; Chlorhexidine - therapeutic use ; Dental Plaque - complications ; Dental Plaque - microbiology ; Dental Plaque - prevention & control ; Dentures - adverse effects ; Evidence-Based Medicine ; Frail Elderly ; Gingivitis - microbiology ; Gingivitis - prevention & control ; Health aspects ; Health Services for the Aged ; Homes for the Aged ; Humans ; Long-term care of the sick ; Medicine ; Medicine & Public Health ; Mouthwashes - therapeutic use ; Nursing home patients ; Nursing Homes ; Older people ; Oral Hygiene ; Patient Compliance ; Pneumology/Respiratory System ; Pneumonia ; Pneumonia, Bacterial - microbiology ; Pneumonia, Bacterial - mortality ; Pneumonia, Bacterial - prevention & control ; Preventive Health Services ; Risk Assessment ; Risk Factors ; Self Care ; Toiletries industry ; Toothbrushing ; Treatment Outcome</subject><ispartof>Lung, 2011-06, Vol.189 (3), p.173-180</ispartof><rights>Springer Science+Business Media, LLC 2011</rights><rights>COPYRIGHT 2011 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c604t-150039dc4ceffc5408a5a0883c9d6e836d0e826aabf5ff3ce9056ab434644fa23</citedby><cites>FETCH-LOGICAL-c604t-150039dc4ceffc5408a5a0883c9d6e836d0e826aabf5ff3ce9056ab434644fa23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00408-011-9297-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00408-011-9297-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21533635$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>El-Solh, Ali A.</creatorcontrib><title>Association Between Pneumonia and Oral Care in Nursing Home Residents</title><title>Lung</title><addtitle>Lung</addtitle><addtitle>Lung</addtitle><description>Pneumonia remains the leading cause of death in nursing home residents. The accumulation of dental plaque and colonization of oral surfaces and dentures with respiratory pathogens serves as a reservoir for recurrent lower respiratory tract infections. Control of gingivitis and dental plaques has been effective in reducing the rate of pneumonia but the provision of dental care for institutionalized elderly is inadequate, with treatment often sought only when patients experience pain or denture problems. Direct mechanical cleaning is thwarted by the lack of adequate training of nursing staff and residents’ uncooperativeness. Chlorhexidine-based interventions are advocated as alternative methods for managing the oral health of frail older people; however, efficacy is yet to be demonstrated in randomized controlled trials. Development and maintenance of an oral hygiene program is a critical step in the prevention of pneumonia. While resources may be limited in long-term-care facilities, incorporating oral care in daily routine practice helps to reduce systemic diseases and to promote overall quality of life in nursing home residents.</description><subject>Aged</subject><subject>Bacterial pneumonia</subject><subject>Care and treatment</subject><subject>Chlorhexidine</subject><subject>Chlorhexidine - therapeutic use</subject><subject>Dental Plaque - complications</subject><subject>Dental Plaque - microbiology</subject><subject>Dental Plaque - prevention & control</subject><subject>Dentures - adverse effects</subject><subject>Evidence-Based Medicine</subject><subject>Frail Elderly</subject><subject>Gingivitis - microbiology</subject><subject>Gingivitis - prevention & control</subject><subject>Health aspects</subject><subject>Health Services for the Aged</subject><subject>Homes for the Aged</subject><subject>Humans</subject><subject>Long-term care of the sick</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mouthwashes - therapeutic use</subject><subject>Nursing home patients</subject><subject>Nursing Homes</subject><subject>Older people</subject><subject>Oral Hygiene</subject><subject>Patient Compliance</subject><subject>Pneumology/Respiratory System</subject><subject>Pneumonia</subject><subject>Pneumonia, Bacterial - microbiology</subject><subject>Pneumonia, Bacterial - mortality</subject><subject>Pneumonia, Bacterial - prevention & control</subject><subject>Preventive Health Services</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Self Care</subject><subject>Toiletries industry</subject><subject>Toothbrushing</subject><subject>Treatment Outcome</subject><issn>0341-2040</issn><issn>1432-1750</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqF0l1rFDEUBuAgil2rP8AbGRTq1dSTycdMLtelWqFYEb0O2czJNmUmqckM4r9vhq0flRXJRSDznEPm5CXkOYVTCtC-yQAcuhoorVWj2hoekBXlrKlpK-AhWQHjtG6KOSJPcr4GoK2k4jE5aqhgTDKxImfrnKP1ZvIxVG9x-o4Yqk8B5zEGbyoT-uoymaHamISVD9XHOWUfdtV5HLH6jNn3GKb8lDxyZsj47G4_Jl_fnX3ZnNcXl-8_bNYXtZXAp5oKAKZ6yy06Z0W5uxEGuo5Z1UvsmOwBu0Yas3XCOWZRgZBmyxmXnDvTsGPyet_3JsVvM-ZJjz5bHAYTMM5Zd61smBQt-7-USrTQKSjy5V_yOs4plN9YELS0Y21Br_ZoZwbUPrg4JWOXlnrNGHClOrWo-oDaYcAywhjQ-XJ8z58e8GX1OHp7sODkj4IrNMN0leMwL6-X70O6hzbFnBM6fZP8aNIPTUEv2dH77OiSHb1kRy-DeHE3iHk7Yv-r4mdYCmj2IJdPYYfp96T-3fUWZ_rKBg</recordid><startdate>20110601</startdate><enddate>20110601</enddate><creator>El-Solh, Ali A.</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9-</scope><scope>K9.</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>7T2</scope><scope>7U2</scope></search><sort><creationdate>20110601</creationdate><title>Association Between Pneumonia and Oral Care in Nursing Home Residents</title><author>El-Solh, Ali A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c604t-150039dc4ceffc5408a5a0883c9d6e836d0e826aabf5ff3ce9056ab434644fa23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Aged</topic><topic>Bacterial pneumonia</topic><topic>Care and treatment</topic><topic>Chlorhexidine</topic><topic>Chlorhexidine - therapeutic use</topic><topic>Dental Plaque - complications</topic><topic>Dental Plaque - microbiology</topic><topic>Dental Plaque - prevention & control</topic><topic>Dentures - adverse effects</topic><topic>Evidence-Based Medicine</topic><topic>Frail Elderly</topic><topic>Gingivitis - microbiology</topic><topic>Gingivitis - prevention & control</topic><topic>Health aspects</topic><topic>Health Services for the Aged</topic><topic>Homes for the Aged</topic><topic>Humans</topic><topic>Long-term care of the sick</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mouthwashes - therapeutic use</topic><topic>Nursing home patients</topic><topic>Nursing Homes</topic><topic>Older people</topic><topic>Oral Hygiene</topic><topic>Patient Compliance</topic><topic>Pneumology/Respiratory System</topic><topic>Pneumonia</topic><topic>Pneumonia, Bacterial - microbiology</topic><topic>Pneumonia, Bacterial - mortality</topic><topic>Pneumonia, Bacterial - prevention & control</topic><topic>Preventive Health Services</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Self Care</topic><topic>Toiletries industry</topic><topic>Toothbrushing</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>El-Solh, Ali A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - 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The accumulation of dental plaque and colonization of oral surfaces and dentures with respiratory pathogens serves as a reservoir for recurrent lower respiratory tract infections. Control of gingivitis and dental plaques has been effective in reducing the rate of pneumonia but the provision of dental care for institutionalized elderly is inadequate, with treatment often sought only when patients experience pain or denture problems. Direct mechanical cleaning is thwarted by the lack of adequate training of nursing staff and residents’ uncooperativeness. Chlorhexidine-based interventions are advocated as alternative methods for managing the oral health of frail older people; however, efficacy is yet to be demonstrated in randomized controlled trials. Development and maintenance of an oral hygiene program is a critical step in the prevention of pneumonia. While resources may be limited in long-term-care facilities, incorporating oral care in daily routine practice helps to reduce systemic diseases and to promote overall quality of life in nursing home residents.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>21533635</pmid><doi>10.1007/s00408-011-9297-0</doi><tpages>8</tpages></addata></record> |
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| ispartof | Lung, 2011-06, Vol.189 (3), p.173-180 |
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| subjects | Aged Bacterial pneumonia Care and treatment Chlorhexidine Chlorhexidine - therapeutic use Dental Plaque - complications Dental Plaque - microbiology Dental Plaque - prevention & control Dentures - adverse effects Evidence-Based Medicine Frail Elderly Gingivitis - microbiology Gingivitis - prevention & control Health aspects Health Services for the Aged Homes for the Aged Humans Long-term care of the sick Medicine Medicine & Public Health Mouthwashes - therapeutic use Nursing home patients Nursing Homes Older people Oral Hygiene Patient Compliance Pneumology/Respiratory System Pneumonia Pneumonia, Bacterial - microbiology Pneumonia, Bacterial - mortality Pneumonia, Bacterial - prevention & control Preventive Health Services Risk Assessment Risk Factors Self Care Toiletries industry Toothbrushing Treatment Outcome |
| title | Association Between Pneumonia and Oral Care in Nursing Home Residents |
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