BUFFALO, N.Y.
-- Patients admitted to a hospital's intensive care unit (ICU)
already are seriously ill, so the last thing they need is a
new infection. Unfortunately, statistics show that as many as
25 percent of all patients admitted to the ICU and placed on
ventilators develop pneumonia, which can be fatal.
Ventilator-associated pneumonia is a major cause of infection
in the hospital.
Studies have shown that this infection can add $40,000
to costs and double one’s length of stay in the hospital. Ironically, it turns
out that the patient's own dental plaque is a major source of
germs causing ventilator-associated pneumonia.
Researchers from the University at Buffalo School of
Dental Medicine presented findings at the International
Association of Dental Research (IADR). They showed that the
same bacteria identified in dental plaque of patients when
they were admitted to the ICU and placed on ventilators were
found later in the lungs from those who subsequently developed
pneumonia.
"Our study shows that a
strong relationship exists between oral and respiratory
pathogens in patients with ventilator-associated pneumonia,"
said Paul Heo, D.D.S., a doctoral student in the UB dental
school's Department of Oral Biology and first author on the
study. "We
are saying that if the patients' mouths and teeth aren't
cleaned while they are in the hospital, they may easily
develop lung disease."
The presentation is part of a three-year double-blind
study funded by the National Institute of Dental and
Craniofacial Research, headed by Frank A. Scannapieco, D.D.S.,
Ph.D., professor and chair of
the Department of Oral Biology. The trial
aims to determine if swabbing ventilated ICU patients' mouths
with a bactericide protects them from developing pneumonia.
In
this component, Heo and colleagues concentrated on three
strains of suspected pathogens that are responsible for most
hospital-acquired pneumonia: Staphylococcus aureus,
Escherichia coli and Pseudomonas aeruginosa. Samples of plaque
from teeth and of secretions from the trachea were obtained
from ICU patients on the day of admission and every third day
thereafter, up to 21 days. Bronchial alveolar lavage samples
also were collected from those suspected of having developed
pneumonia.
"These results suggest that the teeth
likely serve as an important reservoir of infection in these
patients," said Heo. "To prevent opportunistic,
hospital-acquired disease, taking care of teeth and gums while
hospitalized might be especially important." Elaine M. Haase,
Ph.D., research associate professor of oral biology, also
contributed to the study.
The University at
Buffalo is a premier research-intensive
public university, the largest and most comprehensive campus
in the State University of New York. The
School of Dental
Medicine is one of five schools that
constitute UB's Academic Health Center.
What does this
study mean for you?
Research is
uncovering ever-stronger links between the health
of your mouth and the health of your body. Even medical doctors
who long considered dentistry to be a separate entity from
medicine are now ordering their patients to “clean up their
mouths” before a variety of surgical procedures. Don’t get caught
in a dental bind when you need a medical procedure. Let us help you keep
your mouth healthy 24/7 year-round. As always, prevention
is the best solution.
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A good
credo
“A customer is the most important
visitor on our premises.
He is not dependent on us. We are dependent on
him. He is not an
interruption in our work. He is the purpose of
it. We are not
doing him a favor by serving him. He is doing us a favor
by giving us an opportunity to serve
you.”
Mahatma
Gandhi
Positive quote
“The world is moved not only by the mighty shoves of
heroes, but also by the aggregate of the tiny pushes of each
honest worker.”
Helen
Keller
The Teacher
Story:
The
Life-Changing Gift of
Appreciation
by Barbara Glanz
“In my keynote speeches and workshops,
CARE is the acronym I use for the elements of a caring,
creative, joyful workplace and home. The ‘A’ in CARE stands
for ‘Appreciation for
ALL.’
As I speak about appreciation, I use
this quote by Albert Schweitzer: ‘Sometimes our light
goes out but is blown again into flame by an encounter with
another human being.
Each of us owes the deepest thanks to those who have
rekindled this inner light.’
Then I ask my audiences to please shut
their eyes and think about someone who, at some time in their
lives, has rekindled their inner flame. I leave the room in
silence for several minutes, and it is always a profound
experience to see them remember the joy they
received from being appreciated by someone when they needed it
the most.
Afterwards
I ask them to write down the name of the person they thought
of and to make a commitment to their own act of appreciation
by letting that person know in the next 72 hours that he or
she was being thought about. I suggest a phone
call, a note, or even a thought or prayer if the person is no
longer
living.
After one moving session, a gentleman
came up to talk with me and thanked me for creating a new
awareness in him.
He said he thought of his eighth grade literature
teacher because she was everyone’s favorite teacher and had
really made a difference in all of their lives. He planned to track
her down and let me know what happened.
One afternoon nearly two and a half
months later I received a call from him. He was choked up on
the phone and could hardly get through his story. He said that it had
taken him all that time to track his teacher down, and he
wrote to her as soon as he finally found her. The following week he
received this letter:
‘Dear John,
You will never know how much your letter meant to
me. I am 83 years
old and I am living all alone in one room. My friends are all
gone. My family’s
gone. I taught
for 50 years and yours is the first “thank you” letter I have
ever gotten from a student. Sometimes I wonder
what I did with my life.
I will read and reread your letter until the day I
die.’
He
just sobbed on the phone. He said, ‘She is
always the one we talk about at every reunion. She was everyone’s
favorite teacher;
we loved
her! But no one
had ever told her until she received this
letter.’”
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