Pathogenic oral bacteria in hospitalised patients with dysphagia: The silent epidem

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dc.citation.issue1
dc.citation.volume68
dc.contributor.authorWeimers MJ
dc.contributor.authorPillay M
dc.coverage.spatialSouth Africa
dc.date.accessioned2023-09-06T03:10:23Z
dc.date.accessioned2023-09-21T22:15:02Z
dc.date.available2021-07-30
dc.date.available2023-09-06T03:10:23Z
dc.date.available2023-09-21T22:15:02Z
dc.date.issued2021-07-30
dc.date.updated2023-09-06T02:14:32Z
dc.description© 2021. The Authors.en_US
dc.description.abstractBackground: Aspiration pneumonia is a serious and fatal complication of dysphagia, secondary to the ingestion of bacteria-laden secretions. However, no studies have documented the oral hygiene features present in patients who present with dysphagia. Objectives: The purpose of this study was to describe the oral hygiene problems of adults admitted to a sub-acute rehabilitation hospital and who presented with dysphagia. Methods: A descriptive, cross-sectional survey was conducted, during which 40 participants – 57.5% (n = 23) male and 42.5% (n = 17) female – underwent a clinical swallow evaluation using the Mann Assessment of Swallowing Ability (MASA) augmented with cervical auscultation (CA) and pulse oximetry (PO), an oral hygiene assessment using an adapted version of the Oral Health Assessment Tool (OHAT), followed by microbiology laboratory analysis of buccal swab samples to detect bacteria not considered part of the normal oral flora. Results: Results indicated that poor oral hygiene status was a common feature amongst all participants who presented with dysphagia. The most prevalent oral hygiene issues were related to abnormalities concerning saliva (60%), oral cleanliness (82.5%), the tongue (80%) and the use of dentures (71.4%). A high prevalence, 62.5% (n = 25), of opportunistic bacteria was found. The most commonly occurring bacteria groups were: (1) Candida albicans (47.5%) and (2) respiratory pathogens (37.5%) such as Klebsiella pneumoniae and Staphylococcus aureus. Conclusion: Persons with dysphagia have poor oral hygiene which creates favourable environments for bacteria to flourish and increases the prevalence of pathogenic oral bacteria associated with the development of aspiration pneumonia. The management of oral health issues for persons with dysphagia should receive greater attention during hospitalisation.
dc.description.confidentialfalse
dc.format.extente1-e7
dc.identifierhttps://www.ncbi.nlm.nih.gov/pubmed/34342488
dc.identifier.citationWeimers MJ, Pillay M. (2021). Pathogenic oral bacteria in hospitalised patients with dysphagia: The silent epidemic.. S Afr J Commun Disord. 68. 1. (pp. e1-e7).
dc.identifier.doi10.4102/sajcd.v68i1.798
dc.identifier.eissn2225-4765
dc.identifier.elements-typejournal-article
dc.identifier.harvestedMassey_Dark
dc.identifier.issn0379-8046
dc.identifier.urihttp://hdl.handle.net/10179/20113
dc.languageeng
dc.publisherAOSIS
dc.relation.isPartOfS Afr J Commun Disord
dc.rightsCC BY 4.0en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en_US
dc.subjectaspiration pneumonia
dc.subjectdysphagia
dc.subjecthospitalised patients
dc.subjectoral bacteria
dc.subjectoral hygiene
dc.subjectBacteria
dc.subjectCross-Sectional Studies
dc.subjectDeglutition Disorders
dc.subjectEpidemics
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectPneumonia, Aspiration
dc.titlePathogenic oral bacteria in hospitalised patients with dysphagia: The silent epidem
dc.typeJournal article
pubs.elements-id447868
pubs.organisational-groupOther
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