Importance of oral hygiene in ischemic stroke patients_West China Medical Journal

Authors：

TAN Xiaofeng ¹ ,  LIU Fan ² , WU Bo ³

1. Jinjiang Outpatient Department, West China Hospital of Stomotology, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610066, P. R. China;
2. Nursing Department, West China Hospital of Stomotology, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LIU Fan, Email: samotj@163.com

Keywords：

Oral flora; ischemic stroke; stroke-associated pneumonia; oral healthcare

DOI：

10.7507/1002-0179.202304133

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Abstract Full text Figures/Tables Video References Cited by

Ischemic stroke can lead to disruption in the oral ecology and an overgrowth of pathogenic bacteria, resulting in periodontal disease. Meanwhile, the aspiration and pulmonary infection resulted from dysphagia can increase the unfavorable prognosis. Some studies have found that there exist oral bacteria in the thrombus in myocardial infarction and ischemic stroke patients, showing that oral flora might be associated with thrombus and stroke-associated pneumonia. There are few high quality clinical studies or evidence-based guidelines. Priority should be given to high quality research that provides oral care standards, and incorporating oral care into future stroke pathways to improve the prognosis.

Citation： TAN Xiaofeng, LIU Fan, WU Bo. Importance of oral hygiene in ischemic stroke patients. West China Medical Journal, 2023, 38(5): 653-655. doi: 10.7507/1002-0179.202304133 Copy

1.	Boaden E, Lyons M, Singhrao SK, et al. Oral flora in acute stroke patients: a prospective exploratory observational study. Gerodontology, 2017, 34(3): 343-356.
2.	Pessi T, Karhunen V, Karjalainen PP, et al. Bacterial signatures in thrombus aspirates of patients with myocardial infarction. Circulation, 2013, 127(11): 1219-1228.
3.	Liao Y, Zeng X, Xie X, et al. Bacterial signatures of cerebral thrombi in large vessel occlusion stroke. mBio, 2022, 13(4): e0108522.
4.	谭小凤, 王常屹, 刘帆. 牙周病与脑梗死相关性的研究进展. 华西医学, 2021, 36(6): 812-815.
5.	Schenkein HA, Loos BG. Inflammatory mechanisms linking periodontal diseases to cardiovascular diseases. J Clin Periodontol, 2013, 40(Suppl 14): S51-S69.
6.	Liu ZY, Wei L, Ye RC, et al. Reducing the incidence of stroke-associated pneumonia: an evidence-based practice. BMC Neurol, 2022, 22(1): 297.
7.	Millns B, Gosney M, Jack CI, et al. Acute stroke predisposes to oral gram-negative bacilli - a cause of aspiration pneumonia?. Gerontology, 2003, 49(3): 173-176.
8.	Kwok C, McIntyre A, Janzen S, et al. Oral care post stroke: a scoping review. J Oral Rehabil, 2015, 42(1): 65-74.
9.	Brady MC, Stott DJ, Weir CJ, et al. A pragmatic, multi-centered, stepped wedge, cluster randomized controlled trial pilot of the clinical and cost effectiveness of a complex Stroke Oral healthCare intervention pLan Evaluation II (SOCLE II) compared with usual oral healthcare in stroke wards. Int J Stroke, 2020, 15(3): 318-323.
10.	Brady M, Furlanetto D, Hunter RV, et al. Staff-led interventions for improving oral hygiene in patients following stroke. Cochrane Database Syst Rev, 2006(4): CD003864.
11.	Lyons M, Smith C, Boaden E, et al. Oral care after stroke: where are we now?. Eur Stroke J, 2018, 3(4): 347-354.
12.	Ab Malik N, Mohamad Yatim S, Hussein N, et al. Oral hygiene practices and knowledge among stroke-care nurses: a multicentre cross-sectional study. J Clin Nurs, 2018, 27(9/10): 1913-1919.

1. Boaden E, Lyons M, Singhrao SK, et al. Oral flora in acute stroke patients: a prospective exploratory observational study. Gerodontology, 2017, 34(3): 343-356.
2. Pessi T, Karhunen V, Karjalainen PP, et al. Bacterial signatures in thrombus aspirates of patients with myocardial infarction. Circulation, 2013, 127(11): 1219-1228.
3. Liao Y, Zeng X, Xie X, et al. Bacterial signatures of cerebral thrombi in large vessel occlusion stroke. mBio, 2022, 13(4): e0108522.
4. 谭小凤, 王常屹, 刘帆. 牙周病与脑梗死相关性的研究进展. 华西医学, 2021, 36(6): 812-815.
5. Schenkein HA, Loos BG. Inflammatory mechanisms linking periodontal diseases to cardiovascular diseases. J Clin Periodontol, 2013, 40(Suppl 14): S51-S69.
6. Liu ZY, Wei L, Ye RC, et al. Reducing the incidence of stroke-associated pneumonia: an evidence-based practice. BMC Neurol, 2022, 22(1): 297.
7. Millns B, Gosney M, Jack CI, et al. Acute stroke predisposes to oral gram-negative bacilli - a cause of aspiration pneumonia?. Gerontology, 2003, 49(3): 173-176.
8. Kwok C, McIntyre A, Janzen S, et al. Oral care post stroke: a scoping review. J Oral Rehabil, 2015, 42(1): 65-74.
9. Brady MC, Stott DJ, Weir CJ, et al. A pragmatic, multi-centered, stepped wedge, cluster randomized controlled trial pilot of the clinical and cost effectiveness of a complex Stroke Oral healthCare intervention pLan Evaluation II (SOCLE II) compared with usual oral healthcare in stroke wards. Int J Stroke, 2020, 15(3): 318-323.
10. Brady M, Furlanetto D, Hunter RV, et al. Staff-led interventions for improving oral hygiene in patients following stroke. Cochrane Database Syst Rev, 2006(4): CD003864.
11. Lyons M, Smith C, Boaden E, et al. Oral care after stroke: where are we now?. Eur Stroke J, 2018, 3(4): 347-354.
12. Ab Malik N, Mohamad Yatim S, Hussein N, et al. Oral hygiene practices and knowledge among stroke-care nurses: a multicentre cross-sectional study. J Clin Nurs, 2018, 27(9/10): 1913-1919.

West China Medical Journal

Importance of oral hygiene in ischemic stroke patients

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