Correlation of Active Daily Living and Oral Opportunistic Pathogens in Institutionalised People With Intellectual Disability

IF 1.9 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL
Yu-Fen Yen, Pei-Yun Sun, Pei-Fang Tsai, Yen-Chin Chen, Sheng-Hsiang Lin
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引用次数: 0

Abstract

Background

Oral opportunistic bacteria pose health risks for people with intellectual disability, yet their relationship with activities of daily living (ADLs) remains underexplored.

Methods

We conducted a cross-sectional study of 178 institutionalised people with intellectual disability. ADL was assessed by caregivers. Oral samples were collected non-invasively and analysed via culture-based methods. Student's t-test, Fisher exact test, and logistic regression were used to examine associations between ADL and oral pathogens.

Results

Interestingly, individuals with intellectual disability and higher ADL scores exhibited a greater prevalence of oral opportunistic bacteria, notably Klebsiella pneumoniae (15.7%) and Prevotella melaninogenica (14.7%). No significant associations were found with demographic variables.

Conclusions

Functional independence does not equate to adequate oral hygiene among people with intellectual disability. Enhancing self-care training, providing caregiver-assisted support, and increasing outreach dental services are recommended to mitigate oral health risks. Culture-based methods offer a practical approach for identifying bacterial presence in resource-limited settings.

智力残疾者日常生活活动与口腔机会致病菌的相关性。
背景:口腔机会性细菌对智力残疾患者构成健康风险,但它们与日常生活活动(adl)的关系仍未得到充分研究。方法:我们对178名智力残疾者进行了横断面研究。ADL由护理人员评估。非侵入性收集口腔样本,并通过培养方法进行分析。使用学生t检验、Fisher精确检验和逻辑回归检验ADL与口腔病原体之间的关系。结果:有趣的是,智力残疾和ADL得分较高的个体表现出更高的口腔机会性细菌患病率,特别是肺炎克雷伯菌(15.7%)和黑色素普雷沃菌(14.7%)。未发现与人口统计学变量有显著关联。结论:智力障碍患者的功能独立并不等同于口腔卫生。建议加强自我保健培训,提供护理人员辅助支持,并增加外展牙科服务,以减轻口腔健康风险。基于培养的方法为在资源有限的环境中识别细菌提供了一种实用的方法。
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来源期刊
CiteScore
4.70
自引率
12.50%
发文量
79
期刊介绍: JARID is an international, peer-reviewed journal which draws together findings derived from original applied research in intellectual disabilities. The journal is an important forum for the dissemination of ideas to promote valued lifestyles for people with intellectual disabilities. It reports on research from the UK and overseas by authors from all relevant professional disciplines. It is aimed at an international, multi-disciplinary readership. Topics covered include community living, quality of life, challenging behaviour, communication, sexuality, medication, ageing, supported employment, family issues, mental health, physical health, autism, economic issues, social networks, staff stress, staff training, epidemiology and service provision.
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