Poor oral hygiene, oral microorganisms and aspiration pneumonia risk in older people in residential aged care: a systematic review Khadka, S, Khan, Shahrukh, King, A, Goldberg, LR, Crocombe, L and Bettiol, S 2021, Poor oral hygiene, oral microorganisms and aspiration pneumonia risk in older people in residential aged care: a systematic review, Age and Ageing, vol. 50, no. 1, pp. 81-87, doi: 10.1093/ageing/afaa102. Attached Files Name Description MIMEType Size Downloads Title Poor oral hygiene, oral microorganisms and aspiration pneumonia risk in older people in residential aged care: a systematic review Author(s) Khadka, S Khan, Shahrukh orcid.org/0000-0002-6695-4013 King, A Goldberg, LR Crocombe, L Bettiol, S Journal name Age and Ageing Volume number 50 Issue number 1 Start page 81 End page 87 Total pages 7 Publisher Oxford University Press Place of publication Oxford, Eng. Publication date 2021-01 ISSN 0002-0729 1468-2834 Keyword(s) aspiration pneumonia older people oral health pathogenic microorganisms residential aged care Summary Background aspiration pneumonia increases hospitalisation and mortality of older people in residential aged care. Objectives determine potentially pathogenic microorganisms in oral specimens of older people with aspiration pneumonia and the effect of professional oral care in reducing aspiration pneumonia risk. Data Sources PUBMED/MEDLINE, CINAHL, EMBASE, COCHRANE, PROQUEST, Google Scholar, Web of Science. Study Eligibility Criteria published between January 2001 and December 2019 addressing oral microorganisms, aspiration pneumonia, oral health and treatment. Participants people 60 years and older in residential aged care. Study Appraisal and Synthesis Methods the Newcastle–Ottawa Scale and the Standard Protocol Items: Recommendations for Intervention Trials checklist. Results twelve studies (four cross-sectional, five cohort and three intervention) reported colonisation of the oral cavity of older people by microorganisms commonly associated with respiratory infections. Aspiration pneumonia occurred less in people who received professional oral care compared with no such care. Isolation of Candida albicans, Staphylococcus aureus, methicillin-resistant S. aureus and Pseudomonas aeruginosa was related to mortality due to aspiration pneumonia. An interesting finding was isolation of Escherichia coli, a gut bacterium. Limitations more information may be present in publications about other co-morbidities that did not meet inclusion criteria. A high degree of heterogeneity prevented a meta-analysis. Issues included sampling size, no power and effect size calculations; different oral health assessments; how oral specimens were analysed and how aspiration pneumonia was diagnosed. Conclusions and Implications of Key Findings pathogenic microorganisms colonising the oral microbiome are associated with aspiration pneumonia in older people in residential care; professional oral hygiene care is useful in reducing aspiration pneumonia risk. Language eng DOI 10.1093/ageing/afaa102 Indigenous content off Field of Research 1103 Clinical Sciences 1117 Public Health and Health Services 1701 Psychology HERDC Research category C1 Refereed article in a scholarly journal Persistent URL http://hdl.handle.net/10536/DRO/DU:30140491 Document type: Journal Article Collections: Faculty of Health School of Nursing and Midwifery Related Links Link Description Connect to published version Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Wed, 29 Jul 2020, 09:46:26 EST Wed, 29 Jul 2020, 09:47:56 EST Thu, 30 Jul 2020, 05:00:15 EST Thu, 30 Jul 2020, 08:08:50 EST Sat, 16 Jan 2021, 05:07:51 EST Fri, 22 Jan 2021, 14:35:33 EST Fri, 22 Jan 2021, 14:36:48 EST Fri, 22 Jan 2021, 15:06:27 EST Filtered Full Citation counts:   Cited 0 times in TR Web of Science Cited 0 times in Scopus Search Google Scholar Access Statistics: 13 Abstract Views, 0 File Downloads  -  Detailed Statistics Created: Wed, 29 Jul 2020, 09:47:56 EST

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