Professional Documents
Culture Documents
DOI 10.1007/s00408-011-9297-0
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Table 2 Effectiveness of oral care in reducing risk of pneumonia in nursing home residents
Ref.
Population
Design
Yoneyama et al.
[42]
417 NH residents
Double-blind, randomized
controlled trial over
12-month period
105 long-term-care
residents
Prospective interventional
study
Prospective, randomized
for 6 months
Prospective interventional
study over 24 months
Ishikawa et al.
[63]
Prospective interventional
study over 5-month
period
202 NH residents
Intervention
Outcomes
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Conclusion
The current review finds strong support for the need to
implement a program that uses oral hygiene in the longterm-care setting as part of daily routine. With skyrocketing
health-care costs and the increasing incidence of aspiration
pneumonia in the aging population, dental hygiene represents an effective cost-saving intervention. Programs to
improve oral health-care knowledge and skills, delivered by
dental professionals, must be included in the curricula of all
nurse-training establishments. In addition, programs for
practical training of care assistants in basic oral health care
need to be actively promoted in nursing homes. There is
also an urgent need for randomized controlled studies to
determine the optimal regimen(s) of an oral hygiene program in the prevention of NHAP [61].
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