THERAPEUTICS
Review: enhanced oral hygiene prevents respiratory infection in elderly people in hospitals and nursing homes
| The first 150 words of the full text of this article appear below. |
QUESTION
In elderly people in hospitals and nursing homes, does enhanced oral hygiene prevent respiratory infection?
REVIEW SCOPE
Included studies evaluated the effect of enhanced oral hygiene care or frequent professional oral care on respiratory infection in elderly people in hospitals or nursing homes. Outcomes were respiratory infection, pneumonia, and death from pneumonia.
REVIEW METHODS
Medline, Cochrane Central Register of Controlled Trials, and National Health Service Economic Evaluation Database (1996 to Nov 2007); and reference lists were searched for randomised controlled trials (RCTs) published in English, German, Dutch, or a Nordic language between 1996 and 2007. Studies involving patients with mechanical ventilation or tube-feeding were excluded. 3 RCTs (n = 807) met the selection criteria. 1 placebo-controlled trial was double-blinded. An additional crossover trial (n = 46) of uncertain randomisation status did not provide useful data.
MAIN RESULTS
Meta-analysis was not done because of differences in interventions and outcomes. The table shows the results of individual trials.
CONCLUSION
Ohio State University College of Medicine, Columbus, Ohio, USA
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Dentistry and oral medicine
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Geriatric medicine
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Clinical trials (epidemiology)
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Pneumonia (infectious disease)
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Pneumonia (respiratory medicine)
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