老年学与老年病学研究

抽象的

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

Shinji Teramoto

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.