Effect of oral hygiene programmes on oral opportunistic pathogens during stroke rehabilitation.
Oral Dis
; 25(2): 617-633, 2019 Mar.
Article
en En
| MEDLINE
| ID: mdl-30447165
ABSTRACT
OBJECTIVES:
This study was to assess the effectiveness of a conventional oral hygiene care programme (COHCP) and an advanced oral hygiene care programme (AOHCP) on prevalence and viable counts of oral opportunistic pathogens among patients undergoing stroke rehabilitation.METHODS:
A total of 94 patients were randomized to two groups. Subjects were block randomized to either (a) COHCP manual toothbrushing with oral hygiene instruction (OHI); or (b) AOHCP powered toothbrushing, mouthrinsing with chlorhexidine and OHI. Prevalence and viable counts of oral opportunistic pathogens including yeasts, aerobic and facultative anaerobic gram-negative bacilli, Staphylococcus aureus, were assessed at baseline, the end of 3 and 6 months.RESULTS:
No significant difference was observed in the prevalence of oral opportunistic pathogens within each group over the clinical trial period. A significant decrease in the viable counts of S. aureus was found over the clinical trial period within AOHCP group (p < 0.05), while the viable counts of yeasts and anaerobic gram-negative bacillus (AGNB) remained stable within each group. Regression analysis failed to detect an association between intervention and the prevalence/viable counts of oral opportunistic pathogens.CONCLUSIONS:
Neither oral healthcare programme significantly affects AGNB, yeast or S. aureus over the study period in terms of prevalence and viable counts.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Higiene Bucal
/
Rehabilitación de Accidente Cerebrovascular
/
Boca
Tipo de estudio:
Clinical_trials
/
Evaluation_studies
/
Guideline
/
Risk_factors_studies
Límite:
Aged
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Oral Dis
Asunto de la revista:
ODONTOLOGIA
Año:
2019
Tipo del documento:
Article
País de afiliación:
Hong Kong