Prevention of Aspiration: Oral Care, Antibiotics, Others.

IF 2.3 3区 医学 Q2 CRITICAL CARE MEDICINE
Maria Eugenia Perticone, Ariel Manti, Carlos M Luna
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引用次数: 0

Abstract

Patients with aspiration pneumonia often develop this lung infection due to poor oral health or because the contents of the digestive tract or upper airway enter the lower airway traversing the larynx through different mechanisms. Prevention of this condition is directed at the mechanism by which it occurs. The elderly are the most likely to suffer from aspiration pneumonia, occasionally due to issues related to poor dental health, but more frequently due to abnormal swallowing, which may appear after a stroke, a functional impairment related to aging, or may be part of a specific disease such as Parkinson's disease or some other nervous system condition. People with dysphagia complicated by pneumonia have limited feeding and become debilitated, and aspiration pneumonia in these individuals has a high mortality rate at 90 days. Dietary modifications, assistance with feeding, use of postures that facilitate a normal deglutition, rehabilitation, and use of medications to improve swallowing defects are the tools of medicine to overcome the obstacles to swallowing normally and prevent the development of aspiration pneumonia and its consequences.

预防误吸:口腔护理,抗生素,其他。
吸入性肺炎患者往往由于口腔健康状况不佳或消化道或上呼吸道的内容物通过不同的机制经喉部进入下呼吸道而发生这种肺部感染。预防这种情况是针对其发生的机制。老年人最容易患吸入性肺炎,有时是由于与牙齿健康状况不佳有关的问题,但更常见的是由于吞咽异常,这可能在中风、与衰老有关的功能损伤之后出现,也可能是帕金森病或其他神经系统疾病等特定疾病的一部分。吞咽困难合并肺炎的人摄食受限,变得虚弱,这些人的吸入性肺炎在90天内有很高的死亡率。饮食调整、协助喂养、使用有利于正常吞咽的姿势、康复和使用药物改善吞咽缺陷是克服正常吞咽障碍和预防吸入性肺炎发展及其后果的医学工具。
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来源期刊
CiteScore
6.10
自引率
0.00%
发文量
87
审稿时长
6-12 weeks
期刊介绍: The journal focuses on new diagnostic and therapeutic procedures, laboratory studies, genetic breakthroughs, pathology, clinical features and management as related to such areas as asthma and other lung diseases, critical care management, cystic fibrosis, lung and heart transplantation, pulmonary pathogens, and pleural disease as well as many other related disorders.The journal focuses on new diagnostic and therapeutic procedures, laboratory studies, genetic breakthroughs, pathology, clinical features and management as related to such areas as asthma and other lung diseases, critical care management, cystic fibrosis, lung and heart transplantation, pulmonary pathogens, and pleural disease as well as many other related disorders.
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