Oral care reduces pneumonia in older patients in nursing homes

Takeyoshi Yoneyama; Mitsuyoshi Yoshida; Takashi Ohrui; Hideki Mukaiyama; Hiroshi Okamoto; Kanji Hoshiba; Shinichi Ihara; Shozo Yanagisawa; Shiro Ariumi; Tomonori Morita; Yasuro Mizuno; Takayuki Ohsawa; Yasumasa Akagawa; Kenji Hashimoto; Hidetada Sasaki

doi:10.1046/j.1532-5415.2002.50106.x

Oral care reduces pneumonia in older patients in nursing homes

Takeyoshi Yoneyama
, Mitsuyoshi Yoshida
, Takashi Ohrui
, Hideki Mukaiyama
, Hiroshi Okamoto
, Kanji Hoshiba
, Shinichi Ihara
, Shozo Yanagisawa
, Shiro Ariumi
, Tomonori Morita
, Yasuro Mizuno
, Takayuki Ohsawa
, Yasumasa Akagawa
, Kenji Hashimoto
, Hidetada Sasaki

Research output: Contribution to journal › Article › peer-review

615 Citations (Scopus)

Abstract

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.

Original language	English
Pages (from-to)	430-433
Number of pages	4
Journal	Journal of the American Geriatrics Society
Volume	50
Issue number	3
DOIs	https://doi.org/10.1046/j.1532-5415.2002.50106.x
Publication status	Published - 2002
Externally published	Yes

All Science Journal Classification (ASJC) codes

Geriatrics and Gerontology

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10.1046/j.1532-5415.2002.50106.x

Cite this

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. (2002). Oral care reduces pneumonia in older patients in nursing homes. Journal of the American Geriatrics Society, 50(3), 430-433. https://doi.org/10.1046/j.1532-5415.2002.50106.x

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title = "Oral care reduces pneumonia in older patients in nursing homes",

abstract = "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.",

author = "Takeyoshi Yoneyama and Mitsuyoshi Yoshida and Takashi Ohrui and Hideki Mukaiyama and Hiroshi Okamoto and Kanji Hoshiba and Shinichi Ihara and Shozo Yanagisawa and Shiro Ariumi and Tomonori Morita and Yasuro Mizuno and Takayuki Ohsawa and Yasumasa Akagawa and Kenji Hashimoto and Hidetada Sasaki",

year = "2002",

doi = "10.1046/j.1532-5415.2002.50106.x",

language = "English",

volume = "50",

pages = "430--433",

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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 2002, 'Oral care reduces pneumonia in older patients in nursing homes', Journal of the American Geriatrics Society, vol. 50, no. 3, pp. 430-433. https://doi.org/10.1046/j.1532-5415.2002.50106.x

TY - JOUR

T1 - Oral care reduces pneumonia in older patients in nursing homes

AU - Yoneyama, Takeyoshi

AU - Yoshida, Mitsuyoshi

AU - Ohrui, Takashi

AU - Mukaiyama, Hideki

AU - Okamoto, Hiroshi

AU - Hoshiba, Kanji

AU - Ihara, Shinichi

AU - Yanagisawa, Shozo

AU - Ariumi, Shiro

AU - Morita, Tomonori

AU - Mizuno, Yasuro

AU - Ohsawa, Takayuki

AU - Akagawa, Yasumasa

AU - Hashimoto, Kenji

AU - Sasaki, Hidetada

PY - 2002

Y1 - 2002

N2 - 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.

AB - 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.

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U2 - 10.1046/j.1532-5415.2002.50106.x

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AN - SCOPUS:0036119186

SN - 0002-8614

VL - 50

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JO - Journal of the American Geriatrics Society

JF - Journal of the American Geriatrics Society

IS - 3

ER -

Oral care reduces pneumonia in older patients in nursing homes

Abstract

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