Journal ArticleDOI
Association Between Pneumonia and Oral Care in Nursing Home Residents
TLDR
Developing and maintenance of an oral hygiene program is a critical step in the prevention of pneumonia and incorporating oral care in daily routine practice helps to reduce systemic diseases and to promote overall quality of life in nursing home residents.Abstract:
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.read more
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Journal ArticleDOI
The role of the local microbial ecosystem in respiratory health and disease
TL;DR: It is postulate that specific ecological perturbations of the bacterial communities in the URT can occur in response to various lifestyle or environmental effectors, leading to diminished colonization resistance, loss of containment of newly acquired or resident pathogens, preluding bacterial overgrowth, ultimately resulting in local or systemic bacterial infections.
Journal ArticleDOI
Protective Microbiota: From Localized to Long-Reaching Co-Immunity.
Lynn Chiu,Thomas Bazin,Marie-Elise Truchetet,Thierry Schaeverbeke,Laurence Delhaes,Thomas Pradeu +5 more
TL;DR: This review shows that the protection against pathogens also involves the mitigation of pathogenic impact without eliminating the pathogens (i.e., “disease tolerance”) and the containment of microorganisms to prevent pathogenic spread.
Journal ArticleDOI
Dentures are a reservoir for respiratory pathogens
Lindsay E. O'Donnell,Karen Smith,Craig Williams,Christopher J. Nile,David F. Lappin,David J. Bradshaw,Margaret Lambert,Douglas Robertson,Jeremy Bagg,V.E. Hannah,Gordon Ramage +10 more
TL;DR: The findings indicate that dentures can act as a reservoir for potential respiratory pathogens in the oral cavity, thus increasing the theoretical risk of developing aspiration pneumonia.
Journal ArticleDOI
Common infections in nursing homes: a review of current issues and challenges.
Ana Montoya,Lona Mody +1 more
TL;DR: This review discusses the common infections, challenges, and a framework for a practical infection prevention program in nursing homes.
References
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Book
Principles and Practice of Infectious Diseases
TL;DR: This updated and expanded edition now offers 297 chapters that cover the basic principles of diagnosis and management, major clinical syndromes, all important pathogenic microbes and the diseases they cause, plus a number of specialised topics useful to the practitioner.
Journal Article
Guidelines for Preventing Health-Care-- Associated Pneumonia, 2003 Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee
TL;DR: The new guidelines are designed to reduce the incidence of pneumonia and other severe, acute lower respiratory tract infections in acute-care hospitals and in other health-care settings (e.g., ambulatory and longterm care institutions) and other facilities where health care is provided.
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Hospital Epidemiology and Infection Control
TL;DR: This new edition of "Hospital Epidemiology and Infection Control, Fourth Edition", continues to build upon its well-earned acclaim as the most comprehensive reference on hospital epidemiology and infection control as well as examining every type of nosocomial infection.
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Principles of geriatric medicine and gerontology
TL;DR: The new Fifth Edition has been significantly reorganized to enhance geriatric assessment skills, general medical management, management of specific diseases, surgical management, gender issues in clinical geriatrics, and more.
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Oral care reduces pneumonia in older patients in nursing homes.
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