Aspiration Pneumonia and Oral Health

Question 1

recipe for aspiration pneumonia

Answer 1

1. colonization with pathogenic bacteria in upper airway
2. aspiration of bacteria
3. impaired host defence mechanisms

Question 2

aspiration

Answer 2

inhalation of oropharyngeal secretions into the larynx and down to the lower respiratory tract

Question 3

aspiration is common feature of

Answer 3

dysphagia

Question 4

how to detect aspiration

Answer 4

objectively by radiographic studies (Video Fluoroscopic Swallow Study)

Question 5

community acquired pneumonia timeline

Answer 5

outside hospital or after <3 days of hospitalization

Question 6

community acquired pneumonia causative agents

Answer 6

Streptococcus pneumoniae
Haemophilus influenzae

Question 7

community acquired pneumonia at risk population

Answer 7

history of smoking, alcoholism, chronic pulmonary disease

Question 8

hospital acquired pneumonia timeline

Answer 8

after 3 or more days of hospitalization

Question 9

hospital acquired pneumonia causative agents

Answer 9

Staphylococcus aureus
aerobic gram negative bacilli (AGNB)

Question 10

hospital acquired pneumonia at risk population

Answer 10

older population with terminal disease
weak, frail, immunocompromised

Question 11

aspiration pneumonia

Answer 11

bacterial infection that results from aspiration of bacteria that are pathogenic to the lungs (not viruses or blood borne pathogens)

Question 12

aspiration pneumonitis

Answer 12

acute lung injury following the inhalation of regurgitated acidic gastric contents
risk increases with reduced level of consciousness

Question 13

mechanism 1 of pathogen colonization

Answer 13

increased dental plaque

Question 14

mechanism 2 of pathogen colonization

Answer 14

decreased buffering and antimicrobial capacity of saliva

Question 15

pneumonia risk factors

Answer 15

inadequate provision of oral care
dependency for feeding and oral care
elevated levels of anaerobic and aerobic bacteria in plaque and oral secretions