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Oral Care Reduces Pneumonia in Older Patients in Nursing Homes
Open accessAbstract
OBJECTIVES: Aspiration of oral secretions and their bacteria is increasingly being recognized as an important factor in pneumonia. We investigated whether oral care lowers the frequency of pneumonia in institutionalized older people. DESIGN: Survey. SETTING: Eleven nursing homes in Japan. PARTICIPANTS: Four hundred seventeen patients randomly assigned to an oral care group or a no oral care group. INTERVENTION: Nurses or caregivers cleaned the patients' teeth by toothbrush after each meal. Swabbing with povidone iodine was additionally used in some cases. Dentists or dental hygienists provided professional care once a week. MEASUREMENTS: Pneumonia, febrile days, death from pneumonia, activities of daily living, and cognitive functions. RESULTS: During follow‐up, pneumonia, febrile days, and death from pneumonia decreased significantly in patients with oral care. Oral care was beneficial in edentate and dentate patients. Activities of daily living and cognitive functions showed a tendency to improve with oral care. CONCLUSION: We suggest that oral care may be useful in preventing pneumonia in older patients in nursing homes. J Am Geriatr Soc 50:430–433, 2002.
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Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975) · Journal of Psychiatric Research · doi:10.1016/0022-3956(75)90026-6 · Cited by 88,282
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Serra-Prat, M., Palomera, M., Gomez, C., Sar-Shalom, D., Saiz, A., Montoya, J. G., Navajas, M., Palomera, E., & Clave, P. (2012) · Age and Ageing · doi:10.1093/ageing/afs006 · Cited by 331
Periodontitis is associated with cognitive impairment among older adults: Analysis of NHANES-III
Noble, J. M., Borrell, L. N., Papapanou, P. N., Elkind, M. S. V., Scarmeas, N., & Wright, C. B. (2009) · Journal of Neurology, Neurosurgery & Psychiatry · doi:10.1136/jnnp.2009.174029 · Cited by 324
The Oral Microbiome in Health and Its Implication in Oral and Systemic Diseases
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The Role of Oral Microbiome in Respiratory Health and Diseases
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Metadata
- Authors
- Yoneyama, T., Yoshida, M., Ohrui, T., Mukaiyama, H., Okamoto, H., Hoshiba, K., Ihara, S., Yanagisawa, S., Ariumi, S., Morita, T., Mizuno, Y., Ohsawa, T., Akagawa, Y., Hashimoto, K., Sasaki, H., & Of The Oral Care Working Group, M.
- Venue
- Journal of the American Geriatrics Society
- Publisher
- Wiley
- Published
- 2002-03
- Volume
- 50
- Issue
- 3
- Pages
- 430-433
- ISSN
- 0002-8614 (ISSN-L)
- 1532-5415
- OpenAlex
- W2101049134
- Cited by
- 791
- References
- 1
- FWCI
- 82.75
- Type
- journal article
- Language
- en
- Open access
- green
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- Yoneyama, T., Yoshida, M., Ohrui, T., Mukaiyama, H., Okamoto, H., Hoshiba, K., Ihara, S., Yanagisawa, S., Ariumi, S., Morita, T., Mizuno, Y., Ohsawa, T., Akagawa, Y., Hashimoto, K., Sasaki, H., & Of The Oral Care Working Group, M. (2002). Oral Care Reduces Pneumonia in Older Patients in Nursing Homes. Journal of the American Geriatrics Society. https://doi.org/10.1046/j.1532-5415.2002.50106.x
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