Mouth Odor on Preventing Pneumonia by Oral Frailty

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age50+
SponsorNational Cheng-Kung University Hospital

About this trial

This research plan aims to first collect data on the oral function and oral hygiene status of the elderly population in the community and to understand the normal model of oral frailty among the older adults in the community. Subsequently, a comparison will be made between the oral status of hospitalized patients and the community-dwelling elderly population. The goal is to verify whether oral odor can be used as an objective biological indicator following intervention.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Age ≥ 50 years old,

Alert and oriented,

With sufficient comprehension and cooperation,

Willing to participate in oral assessment.

Disqualifiers

Patients who score below 5 on the General Practitioner Assessment of Cognition (GPCOG),

Patients with oral treatments such as oral cancer treatment,

Patients with oral treatments such as periodontal disease treatment.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Oral exercises and oral hygiene

    Procedure/Surgery

    The patients will be required to perform oral exercises and maintain oral hygiene twice a day. The investigators will assess their oral frailty, oral bacteria, oral odor, and other related clinical care data on the following time points: day 1 of hospitalization, day 3 of hospitalization, the day of discharge, one week after discharge, and one month after discharge.

  • Oral care

    Procedure/Surgery

    The patients will be required to maintain oral hygiene twice a day. The investigators will assess their oral frailty, oral bacteria, oral odor, and other related clinical care data on the following time points: day 1 of hospitalization, day 3 of hospitalization, the day of discharge, one week after discharge, and one month after discharge.

Treatment groups

304 Participants
are divided into 3 treatment groups
Group A: Group with oral managementExperimental treatment 1 intervention
Group B: Group with oral careExperimental treatment 1 intervention
Group C: Group with standard of careNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Clearance of pneumonia associated oral bacteria

The investigators collected tongue specimens from participants for bacterial isolation and identification. The participants' specimens were collected using an eswab and sent for bacterial culture within 2 hours. Bacterial colonies were quantified (CFU/ml). To observe the variation caused by the number of bacteria, measurements were taken again after the intervention. The investigators assessed the clearance of bacteria based on the baseline.

Time frame
The first day of admission (baseline)
2

Clearance of pneumonia associated oral bacteria

The investigators collected tongue specimens from participants for bacterial isolation and identification. The participants' specimens were collected using an eswab and sent for bacterial culture within 2 hours. Bacterial colonies were quantified (CFU/ml). To observe the variation caused by the number of bacteria, measurements were taken again after the intervention. The investigators assessed the clearance of bacteria based on the baseline.

Time frame
Day 3 of admission
3

Clearance of pneumonia associated oral bacteria

The investigators collected tongue specimens from participants for bacterial isolation and identification. The participants' specimens were collected using an eswab and sent for bacterial culture within 2 hours. Bacterial colonies were quantified (CFU/ml). To observe the variation caused by the number of bacteria, measurements were taken again after the intervention. The investigators assessed the clearance of bacteria based on the baseline.

Time frame
Discharge day
4

Clearance of pneumonia associated oral bacteria

The investigators collected tongue specimens from participants for bacterial isolation and identification. The participants' specimens were collected using an eswab and sent for bacterial culture within 2 hours. Bacterial colonies were quantified (CFU/ml). To observe the variation caused by the number of bacteria, measurements were taken again after the intervention. The investigators assessed the clearance of bacteria based on the baseline.

Time frame
1-week after discharge day

Secondary outcomes

Other outcomes

Sponsors and contacts

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