Continuous Professional Oral Health Care Intervention Improves Severe Aspiration Pneumonia

Professional oral health care (POHC) is known to prevent aspiration pneumonia in patients with dysphagia and/or those at the perioperative stage of surgery. However, the effect of POHC on patients suffering from aspiration pneumonia remains unknown. Here, we report a case where continual POHC interv...

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Main Authors: Wakako Nawata, Yojiro Umezaki, Masahiro Yamaguchi, Masato Nakajima, Michiko Makino, Masahiro Yoneda, Takao Hirofuji, Takafumi Yamano, Hiroaki Ooboshi, Hiromitsu Morita
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2019/4945921
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author Wakako Nawata
Yojiro Umezaki
Masahiro Yamaguchi
Masato Nakajima
Michiko Makino
Masahiro Yoneda
Takao Hirofuji
Takafumi Yamano
Hiroaki Ooboshi
Hiromitsu Morita
author_facet Wakako Nawata
Yojiro Umezaki
Masahiro Yamaguchi
Masato Nakajima
Michiko Makino
Masahiro Yoneda
Takao Hirofuji
Takafumi Yamano
Hiroaki Ooboshi
Hiromitsu Morita
author_sort Wakako Nawata
collection DOAJ
description Professional oral health care (POHC) is known to prevent aspiration pneumonia in patients with dysphagia and/or those at the perioperative stage of surgery. However, the effect of POHC on patients suffering from aspiration pneumonia remains unknown. Here, we report a case where continual POHC intervention improved severe aspiration pneumonia. A 74-year-old male patient with a brain infarction suffered from severe aspiration pneumonia (PSI: IV, A-DROP: 3) complicated by vascular dementia and severe dysphagia. Because an antimicrobial approach following the treatment guidelines for pneumonia was not effective, we started a POHC intervention to improve his poor oral condition at the request of the attending doctor and the patient’s family. The severe pneumonia markedly improved after continual POHC by the dental team. This case suggests that continual POHC intervention by a dental hygienist may improve severe aspiration pneumonia.
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institution Kabale University
issn 2090-6447
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language English
publishDate 2019-01-01
publisher Wiley
record_format Article
series Case Reports in Dentistry
spelling doaj-art-ee53208d175f471d962b906bd71076e92025-02-03T05:48:24ZengWileyCase Reports in Dentistry2090-64472090-64552019-01-01201910.1155/2019/49459214945921Continuous Professional Oral Health Care Intervention Improves Severe Aspiration PneumoniaWakako Nawata0Yojiro Umezaki1Masahiro Yamaguchi2Masato Nakajima3Michiko Makino4Masahiro Yoneda5Takao Hirofuji6Takafumi Yamano7Hiroaki Ooboshi8Hiromitsu Morita9The Center for Visiting Dental Service, Fukuoka Dental College Medical and Dental General Hospital, Fukuoka, JapanThe Center for Visiting Dental Service, Fukuoka Dental College Medical and Dental General Hospital, Fukuoka, JapanThe Center for Visiting Dental Service, Fukuoka Dental College Medical and Dental General Hospital, Fukuoka, JapanThe Center for Visiting Dental Service, Fukuoka Dental College Medical and Dental General Hospital, Fukuoka, JapanThe Center for Visiting Dental Service, Fukuoka Dental College Medical and Dental General Hospital, Fukuoka, JapanSection of General Dentistry, Department of General Dentistry, Fukuoka Dental College, Fukuoka, JapanSection of General Dentistry, Department of General Dentistry, Fukuoka Dental College, Fukuoka, JapanSection of Otorhinolaryngology, Department of General Medicine, Fukuoka Dental College, Fukuoka, JapanSection of Internal Medicine, Department of General Medicine, Fukuoka Dental College, Fukuoka, JapanThe Center for Visiting Dental Service, Fukuoka Dental College Medical and Dental General Hospital, Fukuoka, JapanProfessional oral health care (POHC) is known to prevent aspiration pneumonia in patients with dysphagia and/or those at the perioperative stage of surgery. However, the effect of POHC on patients suffering from aspiration pneumonia remains unknown. Here, we report a case where continual POHC intervention improved severe aspiration pneumonia. A 74-year-old male patient with a brain infarction suffered from severe aspiration pneumonia (PSI: IV, A-DROP: 3) complicated by vascular dementia and severe dysphagia. Because an antimicrobial approach following the treatment guidelines for pneumonia was not effective, we started a POHC intervention to improve his poor oral condition at the request of the attending doctor and the patient’s family. The severe pneumonia markedly improved after continual POHC by the dental team. This case suggests that continual POHC intervention by a dental hygienist may improve severe aspiration pneumonia.http://dx.doi.org/10.1155/2019/4945921
spellingShingle Wakako Nawata
Yojiro Umezaki
Masahiro Yamaguchi
Masato Nakajima
Michiko Makino
Masahiro Yoneda
Takao Hirofuji
Takafumi Yamano
Hiroaki Ooboshi
Hiromitsu Morita
Continuous Professional Oral Health Care Intervention Improves Severe Aspiration Pneumonia
Case Reports in Dentistry
title Continuous Professional Oral Health Care Intervention Improves Severe Aspiration Pneumonia
title_full Continuous Professional Oral Health Care Intervention Improves Severe Aspiration Pneumonia
title_fullStr Continuous Professional Oral Health Care Intervention Improves Severe Aspiration Pneumonia
title_full_unstemmed Continuous Professional Oral Health Care Intervention Improves Severe Aspiration Pneumonia
title_short Continuous Professional Oral Health Care Intervention Improves Severe Aspiration Pneumonia
title_sort continuous professional oral health care intervention improves severe aspiration pneumonia
url http://dx.doi.org/10.1155/2019/4945921
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