Prevention of aspiration pneumonia (AP) with oral care

详细信息	查看全文 | 推荐本文 |

• 作者：Akio Tada^a ; ^{atada@hyogo-dai.ac.jp} ; Hiroko Miura^b
• 关键词：Aspiration pneumonia ; Oral care ; Elderly patient ; Elimination of respiratory pathogens ; Swallowing training
• 刊名：Archives of Gerontology and Geriatrics
• 出版年：2012
• 期刊代码：23_01674943
• 类别：med
• 出版时间：July-August, 2012
• 卷：55
• 期：1
• 页码：16-21
• 文件大小：338 K

摘要

AP is a major cause of morbidity and mortality in elderly patients, especially frail elderly patients. The aim of this article is to review effect of oral care, including oral hygiene and improvement of oral function, on the prevention of AP among elderly people in hospitals and nursing homes. There is now a substantial body of work studying the effect of oral care on the prevention of respiratory diseases. Oral hygiene, consisting of oral decontamination and mechanical cleaning by dental professionals, has resulted in significant clinical effects (decreased incidence of pneumonia and decreased mortality from respiratory diseases) in clinical randomized trials. Moreover, studies examining oral colonization by pneumonia pathogens have shown the effect of oral hygiene on eliminating these pathogens. In addition, swallowing training has been shown to improve the movement and function of swallowing-related muscles, also resulting in decreased incidence of pneumonia. These findings support the contention that oral care is effective in the prevention of AP.