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oral hygiene

Pathology: - poor oral hygiene [2] a) linked to cardiovascular disease b) associated with elevated markers of inflammation 1] serum C-reactive protein 2] plasma fibrinogen [2] c) may contribute to frailty in older adults [4] Management: - effective & consistent oral hygiene may reduce incidence of pneumonia in nursing home residents [3]

Related

hand hygiene

General

hygiene

References

  1. Stedman's Medical Dictionary 27th ed, Williams & Wilkins, Baltimore, 1999.
  2. de Oliveira C et al Toothbrushing, inflammation, and risk of cardiovascular disease: results from Scottish Health Survey BMJ 2010;340:c2451 PMID: 20508025 http://www.bmj.com/cgi/content/full/340/may27_1/c2451
  3. Zimmerman S, Sloane PD, Ward K et al Effectiveness of a Mouth Care Program Provided by Nursing Home Staff vs Standard Care on Reducing Pneumonia IncidenceA Cluster Randomized Trial. JAMA Netw Open. 2020;3(6):e20432 PMID: 32558913 Free PMC article. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2767357
  4. Jiang Z, Liu X, Lu Y Unhealthy oral status contributes to the older patients with cognitive frailty: an analysis based on a 5-year database. BMJ Geriatr. 2022 Dec 19;22(1):980. PMID: 36536305 PMCID: PMC9764571 Free PMC article