Aspiration pneumonia primary prevention: Difference between revisions
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==Overview== | ==Overview== | ||
==Primary Prevention== | ==Primary Prevention== | ||
*Effective measures for the primary prevention of aspiration pneumonia include:<ref name="pmid18179994">{{cite journal |vauthors=El Solh AA, Saliba R |title=Pharmacologic prevention of aspiration pneumonia: a systematic review |journal=Am J Geriatr Pharmacother |volume=5 |issue=4 |pages=352–62 |date=December 2007 |pmid=18179994 |doi=10.1016/j.amjopharm.2007.12.005 |url=}}</ref> | *Effective measures for the primary prevention of aspiration pneumonia include:<ref name="pmid18179994">{{cite journal |vauthors=El Solh AA, Saliba R |title=Pharmacologic prevention of aspiration pneumonia: a systematic review |journal=Am J Geriatr Pharmacother |volume=5 |issue=4 |pages=352–62 |date=December 2007 |pmid=18179994 |doi=10.1016/j.amjopharm.2007.12.005 |url=}}</ref><ref name="pmid18261707">{{cite journal |vauthors=Sarin J, Balasubramaniam R, Corcoran AM, Laudenbach JM, Stoopler ET |title=Reducing the risk of aspiration pneumonia among elderly patients in long-term care facilities through oral health interventions |journal=J Am Med Dir Assoc |volume=9 |issue=2 |pages=128–35 |date=February 2008 |pmid=18261707 |doi=10.1016/j.jamda.2007.10.003 |url=}}</ref> | ||
**Bed positioning | **Bed positioning | ||
**Dietary changes | **[[Diet (nutrition)|Dietary]] habit changes such as: | ||
** | ***Eating small meals at a slow pace and consistent | ||
***Elevated position at least 1 to 2 hours after meals | |||
***Elemental diets in bedridden [[PEG gastroscopy|PEG]] patients | |||
**Good [[oral hygiene]] such as: | |||
***Professional cleaning of the oral cavity weekly | |||
***Tooth brushing after each meal | |||
***Cleaning [[dentures]] daily | |||
***Gargling of [[disinfectant]] solution | |||
**Postural maneuvers and [[swallowing]] training to improve [[swallowing]] difficulties | |||
**Checking [[Feeding tube|feeding tubes]] regularly to prevent displacement | |||
**Administrating postpyloric [[feeding]] than [[Feeding tube|gastric feeding]] | |||
**[[Medication|Medications]] such as: | |||
***[[H2 antagonist|Histamine-2 receptor antagonists]] | |||
***[[Metoclopramide]] | |||
***[[Mosapride]] | |||
***[[Amantadine]] | |||
***[[Cilostazol]] | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} |
Revision as of 16:35, 4 April 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]
Overview
Primary Prevention
- Effective measures for the primary prevention of aspiration pneumonia include:[1][2]
- Bed positioning
- Dietary habit changes such as:
- Eating small meals at a slow pace and consistent
- Elevated position at least 1 to 2 hours after meals
- Elemental diets in bedridden PEG patients
- Good oral hygiene such as:
- Professional cleaning of the oral cavity weekly
- Tooth brushing after each meal
- Cleaning dentures daily
- Gargling of disinfectant solution
- Postural maneuvers and swallowing training to improve swallowing difficulties
- Checking feeding tubes regularly to prevent displacement
- Administrating postpyloric feeding than gastric feeding
- Medications such as:
References
- ↑ El Solh AA, Saliba R (December 2007). "Pharmacologic prevention of aspiration pneumonia: a systematic review". Am J Geriatr Pharmacother. 5 (4): 352–62. doi:10.1016/j.amjopharm.2007.12.005. PMID 18179994.
- ↑ Sarin J, Balasubramaniam R, Corcoran AM, Laudenbach JM, Stoopler ET (February 2008). "Reducing the risk of aspiration pneumonia among elderly patients in long-term care facilities through oral health interventions". J Am Med Dir Assoc. 9 (2): 128–35. doi:10.1016/j.jamda.2007.10.003. PMID 18261707.