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- Paul Drinka.
- University of Wisconsin, Madison, Medical College of Wisconsin-Milwaukee, N3379 Bailey Street,Waupaca, WI 54981, USA. pauldrinka@sbcglobal.net
- J Am Med Dir Assoc. 2010 Jan 1; 11 (1): 70-7.
AbstractTwo aspiration syndromes have been identified: Aspiration pneumonia is infectious caused by micro-aspiration of oral bacteria secondary to neurogenic dysphagia or sedation. Infectious bacteria may also be aspirated from the stomach. Aspiration pneumonitis classically follows large bolus aspiration of food, acid, or digestive enzymes and is initially noninfectious. Large bolus gastric aspiration events may have an acute/dramatic onset. This article discusses (1) prevention of recurrent aspiration events caused by 2 common motility disorders: neurogenic dysphagia and gastro esophageal reflux; (2) mechanical source control (debridement/drainage) of sites that may harbor large collections of bacteria protected from antibiotics in biofilm including dental plaque, coated tongue, and chronic sinusitis.Copyright (c) 2010 American Medical Directors Association. Published by Elsevier Inc. All rights reserved.
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