ID 22626
著者
道重, 文子 Department of Nursing, School of Medical Sciences, The University of Tokushima
吉永, 純子 Department of Nursing, School of Medical Sciences, The University of Tokushima
原田, 江梨子 Department of Nursing, School of Medical Sciences, The University of Tokushima
弘田, 克彦 Department of Microbiology, The University of Tokushima School of Dentistry KAKEN研究者をさがす
三宅, 洋一郎 Department of Microbiology, The University of Tokushima School of Dentistry 徳島大学 教育研究者総覧 KAKEN研究者をさがす
松尾, 敬志 Department of Conservative Dentistry, The University of Tokushima School of Dentistry 徳島大学 教育研究者総覧 KAKEN研究者をさがす
安岡, 劭 Department of Nursing, School of Medical Sciences, The University of Tokushima
キーワード
oral cavity care
aspiration pneumonia
cerebrovascular disease
pharyngeal swab
bacteria
資料タイプ
学術雑誌論文
抄録
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.
掲載誌名
The journal of medical investigation : JMI
ISSN
13431420
cat書誌ID
AA11166929
46
1-2
開始ページ
79
終了ページ
85
並び順
79
発行日
1999
備考
EDB ID
フルテキストファイル
言語
eng
部局
歯学系