ID 22626
Author
Michishige, Fumiko Department of Nursing, School of Medical Sciences, The University of Tokushima
Yoshinaga, Sumiko Department of Nursing, School of Medical Sciences, The University of Tokushima
Harada, Eriko Department of Nursing, School of Medical Sciences, The University of Tokushima
Hirota, Katsuhiko Department of Microbiology, The University of Tokushima School of Dentistry KAKEN Search Researchers
Miyake, Yoichiro Department of Microbiology, The University of Tokushima School of Dentistry Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Matsuo, Takashi Department of Conservative Dentistry, The University of Tokushima School of Dentistry Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Yasuoka, Susumu Department of Nursing, School of Medical Sciences, The University of Tokushima
Keywords
oral cavity care
aspiration pneumonia
cerebrovascular disease
pharyngeal swab
bacteria
Content Type
Journal Article
Description
We examined the relationships among the activity of daily living (ADL), oral cavity care, and the number of oral cavity microorganisms in 40patients with cerebro-vascular diseases (CVD). The CVD patients were classified into 4groups, I, II, III and IV based on their ADL and the method used for oral cavity care. The ADL was highest in group I and lowest in group III. Only the patients of only group III could not eat by themselves and were receiving naso-esophageal feeding. Oral cavity care was performed by the patients themselves in groups I and IV, but was performed by caregivers in groups II and III. The group IV patients had no teeth, but could eat by themselves using full dentures. The numbers of microorganisms in the pharyngeal swabs from the 4groups were measured and expressed as colony-forming units (cfu). The numbers of both Staphylococci spp. and Candida spp. were significantly higher in group III than in the other groups. Moreover, Pseudomonas aeruginosa was isolated only from patients of group III (in about 66%). The oral cavity care by caregivers was almost the same in groups II and III, but the numbers of oral cavity microorganisms were significantly higher in group III than in group II. These results indicated that microorganisms grow more easily in the oral cavities of CVD patients with low ADL compared with CVD patients with higher ADL, and that eating is thought to be important for the prevention of an increase of microorganisms in the oral cavity.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
46
Issue
1-2
Start Page
79
End Page
85
Sort Key
79
Published Date
1999
Remark
EDB ID
FullText File
language
eng
departments
Oral Sciences