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- Publisher Website: 10.1016/j.ajic.2012.02.020
- Scopus: eid_2-s2.0-84873082719
- PMID: 22818804
- WOS: WOS:000314105500014
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Article: Effect of oral hygiene interventions on opportunistic pathogens in patients after stroke
Title | Effect of oral hygiene interventions on opportunistic pathogens in patients after stroke |
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Authors | |
Keywords | Bacteria Mouth |
Issue Date | 2013 |
Publisher | Mosby, 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? |
Abstract | BACKGROUND: 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. |
Description | Major article |
Persistent Identifier | http://hdl.handle.net/10722/181040 |
ISSN | 2023 Impact Factor: 3.8 2023 SCImago Journal Rankings: 0.959 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Lam, OLT | en_US |
dc.contributor.author | McMillan, AS | en_US |
dc.contributor.author | Samaranayake, LP | en_US |
dc.contributor.author | Li, LSW | en_US |
dc.contributor.author | McGrath, C | en_US |
dc.date.accessioned | 2013-02-19T11:31:08Z | - |
dc.date.available | 2013-02-19T11:31:08Z | - |
dc.date.issued | 2013 | en_US |
dc.identifier.citation | American Journal of Infection Control, 2013, v. 41 n. 2, p. 149-154 | en_US |
dc.identifier.issn | 0196-6553 | en_US |
dc.identifier.uri | http://hdl.handle.net/10722/181040 | - |
dc.description | Major article | - |
dc.description.abstract | BACKGROUND: 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.language | eng | en_US |
dc.publisher | Mosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/ajic | en_US |
dc.relation.ispartof | American Journal of Infection Control | en_US |
dc.subject | Bacteria | - |
dc.subject | Mouth | - |
dc.title | Effect of oral hygiene interventions on opportunistic pathogens in patients after stroke | en_US |
dc.type | Article | en_US |
dc.identifier.openurl | http://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+stroke | en_US |
dc.identifier.email | Lam, OLT: ottolam@hku.hk | en_US |
dc.identifier.email | McMillan, AS: annemcmillan@hku.hk | en_US |
dc.identifier.email | Samaranayake, LP: lakshman@hku.hk | en_US |
dc.identifier.email | Li, LSW: lswli@hku.hk | - |
dc.identifier.email | McGrath, C: mcgrathc@hkucc.hku.hk | - |
dc.identifier.authority | Lam, OLT=rp01567 | en_US |
dc.identifier.authority | McMillan, AS=rp00014 | en_US |
dc.identifier.authority | Samaranayake, LP=rp00023 | en_US |
dc.identifier.authority | McGrath, C=rp00037 | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1016/j.ajic.2012.02.020 | - |
dc.identifier.pmid | 22818804 | - |
dc.identifier.scopus | eid_2-s2.0-84873082719 | - |
dc.identifier.hkuros | 213360 | en_US |
dc.identifier.volume | 41 | en_US |
dc.identifier.issue | 2 | - |
dc.identifier.spage | 149 | en_US |
dc.identifier.epage | 154 | en_US |
dc.identifier.isi | WOS:000314105500014 | - |
dc.publisher.place | United States | - |
dc.identifier.issnl | 0196-6553 | - |