Pneumonia prevention in the elderly patients: the other sides.

作者: Najla Chebib , Clémence Cuvelier , Astrid Malézieux-Picard , Thibault Parent , Xavier Roux

DOI: 10.1007/S40520-019-01437-7

关键词: PneumoniaPharynxMultiple morbiditiesPeriodontitisOral hygieneRisk assessmentMedicineIntensive care medicineDysphagiaMalnutrition

摘要: Pneumonia is one of the leading causes morbidity and mortality from infection in elderly patients. The increased frequency pneumonia among subjects can be explained by physiological changes linked to progressive aging respiratory tree diminished immunological response. A spiral event leads frailty, possible death; preventing consists controlling risk factors. Dysphagia, which associated with malnutrition dehydration, recognized as major pathophysiological mechanism its screening crucial for assessment. impairment oropharyngeal reflexes results stagnation foreign material lateral cavities pharynx may then get aspirated repeatedly lungs cause pneumonia. prevention starts lifestyle modifications such alcohol tobacco cessation. careful review risk-benefit prescribed medication critical adaptation required elders multiple morbidities. Respiratory physiotherapy mobilization improve functional status hence help reduce Maintaining teeth masticatory efficiency important if consequences are avoided. Daily oral hygiene regular professional removal biofilm prevent onset periodontitis avoid an environment favoring colonization pathogens than into lungs.

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