Evidence map›Paper›PMID 32460697›Full record

ArticleBMC infectious diseases2020

The effect of oral care intervention on pneumonia hospitalization, Staphylococcus aureus distribution, and salivary bacterial concentration in Taiwan nursing home residents: a pilot study.

Tien-Cheng Chiang, Ming-Shyan Huang, Po-Liang Lu, Shun-Te Huang, Ying-Chu Lin

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03874962 nacompletednot on this map

Improvements in Pneumonia Status and Salivary Bacterial Concentration After Professional Oral Care Intervention in Taiwanese Nursing Home Residents

TypeinterventionalSponsorKaohsiung Medical University Chung-Ho Memorial HospitalRan2015 to 2017Enrolled220ConditionsPneumoniaArmsRoutine oral cleaning and professional oral care group
NCT05407532 nacompletednot on this mapstarted 2021, after this paper: background citation

Effectiveness of Oral Management Strategies on Improving Oral Frailty and Oral Bacteria Among Middle-aged and Elderly Hospitalized Adults With Pneumonia

TypeinterventionalSponsorNational Cheng-Kung University HospitalRan2021 to 2024Enrolled55ConditionsOral Hygiene, Pneumonia, BacterialArmsGroup with oral management, Group with oral care
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Oral care measures for preventing nursing home-acquired pneumonia.The Cochrane database of systematic reviews · 2022
    Pooled it
  3. Trial
  4. Observational
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Tien-Cheng ChiangSchool of Dentistry, College of Dental Medicine, Kaohsiung Medical University, No.100, Shiquan 1st Rd., Sanmin Dist., Kaohsiung City, 807, Taiwan.
Ming-Shyan HuangDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, E-DA Cancer Hospital, No. 21, Yida Rd., Yanchao Dist., Kaohsiung City, 824, Taiwan.
Po-Liang LuDivision of Infectious Diseases, Department of Internal Medicine, Kaohsiung Medical University Hospital, No.100, Tzyou 1st Rd., Sanmin Dist., Kaohsiung City, 807, Taiwan.
Shun-Te HuangDivision of Special Care Dentistry, Department of Dentistry, Kaohsiung Medical University Hospital, No.100, Tzyou 1st Rd., Sanmin Dist., Kaohsiung City, 807, Taiwan. shuntehuang@gmail.com.
Ying-Chu LinSchool of Dentistry, College of Dental Medicine, Kaohsiung Medical University, No.100, Shiquan 1st Rd., Sanmin Dist., Kaohsiung City, 807, Taiwan. chulin@kmu.edu.tw.ORCID http://orcid.org/0000-0002-2499-8632
Kaohsiung Medical University · TWE-Da Hospital · TW

Funding

Kaohsiung Medical University Chung-Ho Memorial Hospital KMUH103-3M47
6 · The paper itself

Abstract

backgroundElevated Staphylococcus aureus and oral bacterial concentrations are known to correlate with pneumonia hospitalization in nursing home residents. However, the effects of a professional oral care intervention on these factors remain unclear. The aims of this quasi-experimental study were to compare bacterial concentrations in saliva and sputum, oral health status, distribution of Staphylococcus aureus, and pneumonia status before and after a professional oral care intervention.

methodsA purposive sample of residents from two nursing homes was divided into an intervention group that received a weekly professional oral care intervention and a control group. Oral bacterial concentration was determined by real-time polymerase chain reaction. The Staphylococcus aureus distribution was determined by bacterial culture and matrix-assisted laser desorption/ionization-time of flight mass spectrometry. After data collection, a statistical analysis was performed to evaluate the effect of the intervention.

resultsMost residents were unconscious (80%), and most had a history of pneumonia (76%). Baseline demographic data did not significantly differ between the two groups. After the intervention, the intervention group had significant improvements in plaque index (1.66 ± 0.78 vs. 0.94 ± 0.64, p <  0.01), gingival index (2.36 ± 0.76 vs. 1.65 ± 0.83, p <  0.01), tongue coating index (0.96 ± 1.10 vs. 0.16 ± 0.47, p <  0.01), distribution of Staphylococcus aureus in salivary samples (11.11 ± 14.47% vs. 1.74 ± 3.75%, p = 0.02), and salivary bacterial concentration ([4.27 ± 3.65] × 10

conclusionA professional oral care intervention in nursing home residents can improve oral health, reduce levels of salivary bacteria and Staphylococcus aureus, and decrease the annual prevalence of pneumonia hospitalization.

trial registrationTrial registration: ClinicalTrials.gov, NCT03874962. Registered 12 March 2019 - Retrospectively registered.

Indexed as

AgedAged, 80 and overFemaleHealthcare-Associated PneumoniaHospitalizationHumansMaleMouthNursing HomesOral HealthPilot ProjectsPneumoniaSalivaSputumStaphylococcal InfectionsStaphylococcus aureusDental careNursing homesOral healthPneumoniaSalivaStaphylococcus aureus

Identifiers

PMID32460697
PMCPMC7251833
OpenAlexW3031097278

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.