alexa Clinical Significance of Aspiration Pneumonia and Diffu
ISSN: 2167-7182

Journal of Gerontology & Geriatric Research
Open Access

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Review Article

Clinical Significance of Aspiration Pneumonia and Diffuse Aspiration Bronchiolitis in the Elderly

Shinji Teramoto*
Department of Pulmonary Medicine, University of Tsukuba, Japan
Corresponding Author : Shinji Teramoto
Professor, Department of Pulmonary Medicine
Hitachinaka Medical Education and Research Center
Graduate School of Comprehensive Human Sciences
University of Tsukuba, 20-1 Ishikawa-cho
Hitachinaka-shi, Ibaraki-ken, 312-0057, Japan
Tel: 81-29-354-5111
Fax: +81-29-354-5926
E-mail: [email protected]
Received December 09, 2013; Accepted January 07, 2014; Published January 09, 2014
Citation: Teramoto S (2014) Clinical Significance of Aspiration Pneumonia and Diffuse Aspiration Bronchiolitis in the Elderly. J Gerontol Geriat Res 3:142. doi:10.4172/2167-7182.1000142
Copyright: © 2014 Teramoto S. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

Abstract

Aspiration Pneumonia (AP) and Diffuse Aspiration Bronchiolitis (DAB) are often found in elderly, debilitated patients with dysphagia. The prevalence of AP in hospitals and nursing homes is rapidly expanding. The incidence of AP to total pneumonia is very high in elderly patients aged 70 years and older. For the diagnosis of AP or DAB, the evaluation of swallowing function is important. Food aspiration alone may cause DAB, but not always cause AP. Two different therapeutic approaches such as antibiotics administration and swallowing rehabilitation with oral hygiene are necessary for the cure of AP. Drugs that improve the swallowing reflex, vaccinations and oral health care management are effective in preventing aspiration pneumonia; however, percutaneous endoscopic gastrostomy is not recommended for the purpose of preventing aspiration pneumonia. The proper management of AP and DAB may be a central issue of geriatric medicine.

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