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Article: Effect of oral hygiene interventions on opportunistic pathogens in patients after stroke

TitleEffect of oral hygiene interventions on opportunistic pathogens in patients after stroke
Authors
KeywordsBacteria
Mouth
Issue Date2013
PublisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/ajic
Citation
American Journal of Infection Control, 2013, v. 41 n. 2, p. 149-154 How to Cite?
AbstractBACKGROUND: Despite the role of the oral cavity as a reservoir of opportunistic pathogens for infection in patients following stroke, the evaluation of the effects of oral hygiene interventions has been largely neglected. METHODS: This randomized clinical trial included 102 patients undergoing hospital-based rehabilitation for stroke. Patients were randomized to one of 3 groups: oral hygiene instruction (OHI) only; OHI and 0.2% chlorhexidine mouth rinse twice daily; or OHI, 0.2% chlorhexidine mouth rinse twice daily, and assisted brushing twice weekly. Oral samples were obtained at baseline and after 3 weeks for detection of Staphylococcus aureus, aerobic and facultatively anaerobic gram-negative bacilli, and yeasts. RESULTS: Almost three-quarters (72.8%) of the patients harbored oral anaerobic gram-negative bacilli at baseline, and more than half had detectable S aureus (56.8%) and yeasts (59.3%). Percentage frequencies and viable counts of pathogens remained relatively stable during the course of the clinical trial, and no significant differences were observed among the 3 patient groups. CONCLUSIONS: In our study cohort, there was no significant difference in the effectiveness of the 3 different oral hygiene interventions on the prevalence or viable counts of oral opportunistic pathogens. Copyright © 2013 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
DescriptionMajor article
Persistent Identifierhttp://hdl.handle.net/10722/181040
ISSN
2015 Impact Factor: 1.995
2015 SCImago Journal Rankings: 1.259
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLam, OLTen_US
dc.contributor.authorMcMillan, ASen_US
dc.contributor.authorSamaranayake, LPen_US
dc.contributor.authorLi, LSWen_US
dc.contributor.authorMcGrath, Cen_US
dc.date.accessioned2013-02-19T11:31:08Z-
dc.date.available2013-02-19T11:31:08Z-
dc.date.issued2013en_US
dc.identifier.citationAmerican Journal of Infection Control, 2013, v. 41 n. 2, p. 149-154en_US
dc.identifier.issn0196-6553en_US
dc.identifier.urihttp://hdl.handle.net/10722/181040-
dc.descriptionMajor article-
dc.description.abstractBACKGROUND: Despite the role of the oral cavity as a reservoir of opportunistic pathogens for infection in patients following stroke, the evaluation of the effects of oral hygiene interventions has been largely neglected. METHODS: This randomized clinical trial included 102 patients undergoing hospital-based rehabilitation for stroke. Patients were randomized to one of 3 groups: oral hygiene instruction (OHI) only; OHI and 0.2% chlorhexidine mouth rinse twice daily; or OHI, 0.2% chlorhexidine mouth rinse twice daily, and assisted brushing twice weekly. Oral samples were obtained at baseline and after 3 weeks for detection of Staphylococcus aureus, aerobic and facultatively anaerobic gram-negative bacilli, and yeasts. RESULTS: Almost three-quarters (72.8%) of the patients harbored oral anaerobic gram-negative bacilli at baseline, and more than half had detectable S aureus (56.8%) and yeasts (59.3%). Percentage frequencies and viable counts of pathogens remained relatively stable during the course of the clinical trial, and no significant differences were observed among the 3 patient groups. CONCLUSIONS: In our study cohort, there was no significant difference in the effectiveness of the 3 different oral hygiene interventions on the prevalence or viable counts of oral opportunistic pathogens. Copyright © 2013 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.-
dc.languageengen_US
dc.publisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/ajicen_US
dc.relation.ispartofAmerican Journal of Infection Controlen_US
dc.subjectBacteria-
dc.subjectMouth-
dc.titleEffect of oral hygiene interventions on opportunistic pathogens in patients after strokeen_US
dc.typeArticleen_US
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0196-6553&volume=41&spage=149&epage=154&date=2013&atitle=Effect+of+oral+hygiene+interventions+on+opportunistic+pathogens+in+patients+after+strokeen_US
dc.identifier.emailLam, OLT: ottolam@hku.hken_US
dc.identifier.emailMcMillan, AS: annemcmillan@hku.hken_US
dc.identifier.emailSamaranayake, LP: lakshman@hku.hken_US
dc.identifier.emailLi, LSW: lswli@hku.hk-
dc.identifier.emailMcGrath, C: mcgrathc@hkucc.hku.hk-
dc.identifier.authorityLam, OLT=rp01567en_US
dc.identifier.authorityMcMillan, AS=rp00014en_US
dc.identifier.authoritySamaranayake, LP=rp00023en_US
dc.identifier.authorityMcGrath, C=rp00037-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.ajic.2012.02.020-
dc.identifier.pmid22818804-
dc.identifier.scopuseid_2-s2.0-84873082719-
dc.identifier.hkuros213360en_US
dc.identifier.volume41en_US
dc.identifier.issue2-
dc.identifier.spage149en_US
dc.identifier.epage154en_US
dc.identifier.isiWOS:000314105500014-
dc.publisher.placeUnited States-

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