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Osland EJ, Bhatt S, Nelms M, Pateman K. Oral health access and self-reported outcomes in patients with chronic intestinal failure requiring home intravenous support. Nutr Clin Pract 2024. [PMID: 39101310 DOI: 10.1002/ncp.11196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2024] [Revised: 06/26/2024] [Accepted: 07/09/2024] [Indexed: 08/06/2024] Open
Abstract
BACKGROUND Patients with chronic intestinal failure (CIF) may be predisposed to poor oral health outcomes. This study explored the self-reported oral health status, function, and psychological impacts of oral health of adult patients with CIF, their access to dental care, and how these compare with the broader population. METHODS All patients >18 years old receiving home intravenous therapies for CIF were invited to complete a self-reported questionnaire providing information on oral health status and access to oral health services. Collateral information was provided by treating clinicians. Descriptive data analysis was undertaken, including subgroup analysis of clinical characteristics, and was compared with the available population-level data. RESULTS Twenty-four patients participated. Short gut and dysmotility accounted for 88% of the etiologies of CIF. Respondents reported good preventative oral health behaviors (96%), accessing dental care within the last 12 months (75%), and limited barriers to receiving care. Dry mouth (96%), oral pain (59%), and temperature sensitivity (60%) were commonly reported across the cohort. Smoking history and reduced oral diet were associated with significantly worse self-reported oral health outcomes. Patients with CIF reported worse oral health outcomes despites better oral health access than the general population. CONCLUSION Patients with CIF appear to be at risk of poor oral health outcomes, especially where smoking or reduced oral intake are concurrently involved. Clinicians involved in CIF care should be alert to the oral health needs of this population and consider oral and dental health as part of the multidisciplinary care required for optimal CIF care.
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Affiliation(s)
- Emma J Osland
- Department of Dietetics and Food Services, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia
- Department of Human Movements and Nutrition, University of Queensland, Brisbane, Queensland, Australia
| | - Swati Bhatt
- Department of Nutrition and Dietetics, Princess Alexandra Hospital, Brisbane, Queensland, Australia
| | - Melanie Nelms
- Department of Gastroenterology, Gold Coast University Hospital, Southport, Queensland, Australia
| | - Kelsey Pateman
- Allied Health Professions, Royal Brisbane and Women's Hospital, Metro North Health, Herston, Queensland, Australia
- School of Dentistry, The University of Queensland, Herston, Queensland, Australia
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Fiegler-Rudol J, Niemczyk W, Netkowska M, Demel K, Talaska J, Klimczak T, Hochuł D, Zawilska A. The influence of parenteral nutrition on the condition of the oral cavity: literature review. WIADOMOSCI LEKARSKIE (WARSAW, POLAND : 1960) 2024; 77:1069-1073. [PMID: 39008599 DOI: 10.36740/wlek202405129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/17/2024]
Abstract
Oral health plays a pivotal role in the overall well-being of patients. This article delves into the intricate interplay between oral health and systemic health outcomes in various patient populations, including those undergoing parenteral nutrition in childhood, individuals with impaired swallowing function, and those reliant on long-term enteral or parenteral nutrition. Through a comprehensive review of existing literature, the multifaceted role of oral health maintenance in optimizing nutritional therapy outcomes and enhancing overall quality of life is explored. Alternative forms of nutrition have a profound impact on Oral microbiota, which in turn is reflected in general health and wellbeing. Despite its significance, the importance of systematic oral health assessments and nurse involvement in providing holistic care to patients with complex medical needs has been underestimated. By elucidating critical connections between oral health and systemic health outcomes, this article aims to underscore the significance of oral health in comprehensive patient care and stimulate further research to advance our understanding of this crucial aspect of healthcare management.
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Affiliation(s)
- Jakub Fiegler-Rudol
- STUDENT SCIENTIFIC SOCIETY AT THE DEPARTMENT OF CONSERVATIVE DENTISTRY WITH ENDODONTICS, MEDICAL UNIVERSITY OF SILESIA, KATOWICE, POLAND
| | - Wojciech Niemczyk
- STUDENT SCIENTIFIC SOCIETY AT THE DEPARTMENT OF CONSERVATIVE DENTISTRY WITH ENDODONTICS, MEDICAL UNIVERSITY OF SILESIA, KATOWICE, POLAND
| | | | - Karol Demel
- FACULTY OF MEDICAL SCIENCES, MEDICAL UNIVERSITY OF SILESIA, KATOWICE, POLAND
| | - Justyna Talaska
- FACULTY OF MEDICAL SCIENCES, MEDICAL UNIVERSITY OF SILESIA, KATOWICE, POLAND
| | - Tytus Klimczak
- FACULTY OF MEDICAL SCIENCES, MEDICAL UNIVERSITY OF SILESIA, KATOWICE, POLAND
| | - Dawid Hochuł
- FACULTY OF MEDICAL SCIENCES, MEDICAL UNIVERSITY OF SILESIA, KATOWICE, POLAND
| | - Anna Zawilska
- DEPARTMENT OF CONSERVATIVE DENTISTRY WITH ENDODONTICS, MEDICAL UNIVERSITY OF SILESIA, KATOWICE, POLAND
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Gigola F, Grimaldi C, Cairo F, Cammarata-Scalisi F, Cianci MC, Coletta R, Morabito A, Callea M. Oral health in pediatric short bowel syndrome. Oral Dis 2023; 29:2638-2639. [PMID: 35906835 DOI: 10.1111/odi.14326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Revised: 06/28/2022] [Accepted: 07/20/2022] [Indexed: 12/01/2022]
Affiliation(s)
- Francesca Gigola
- Department of Neurosciences, Psychology, Drug Research and Child Health (NEUROFARBA), University of Florence, Florence, Italy
- Department of Pediatric Surgery, Meyer Children's Hospital, Florence, Italy
| | - Chiara Grimaldi
- Department of Pediatric Surgery, Meyer Children's Hospital, Florence, Italy
| | - Francesco Cairo
- Department of Periodontology, University of Florence, Florence, Italy
| | | | - Maria Chiara Cianci
- Department of Neurosciences, Psychology, Drug Research and Child Health (NEUROFARBA), University of Florence, Florence, Italy
- Department of Pediatric Surgery, Meyer Children's Hospital, Florence, Italy
| | - Riccardo Coletta
- Department of Pediatric Surgery, Meyer Children's Hospital, Florence, Italy
- School of Health and Society, University of Salford, Salford, UK
| | - Antonino Morabito
- Department of Neurosciences, Psychology, Drug Research and Child Health (NEUROFARBA), University of Florence, Florence, Italy
- School of Health and Society, University of Salford, Salford, UK
| | - Michele Callea
- Pediatric Dentistry and Special Dental Care Unit, Meyer Children's Hospital, Florence, Italy
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Crowe M, O'Sullivan M, Winning L, Cassetti O, O'Connell B, O'Sullivan A, Gibney E, Doyle SL, Bennett A, Moynihan P. Implementation of a food science and nutrition module in a dental undergraduate curriculum. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2023; 27:402-408. [PMID: 35582770 DOI: 10.1111/eje.12822] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Revised: 03/03/2022] [Accepted: 04/02/2022] [Indexed: 06/15/2023]
Abstract
INTRODUCTION To outline the development and implementation of a food science and nutrition module for dental undergraduate students that provides basic knowledge and clinical skills for improving oral health outcomes and understanding their importance for overall health. MATERIALS AND METHODS Interdisciplinary discussions with professionals with expertise in food science and nutrition, including dentists, dietitians and nutritionists, were held to agree on core subject areas in line with the evidence base. The module was delivered online to 2nd-year dental students due to COVID-19 restrictions. Students completed an online evaluation on completing the module. Final examination consisted of one essay question. RESULTS Subject areas and learning outcomes were derived from current and previous approaches to curriculum development. A total of 14 prerecorded lectures, including healthy eating guidelines, dietary assessment, specific oral effects of diet and food constituents were delivered and tutorials provided. The evaluation survey had a 90% (n = 39/43) response rate. A majority indicated that the course was "interesting," "worth doing" (59%) and "provided a good evidence base to understand nutrition and oral health" (87%). Nearly all students (92%) agreed that the course was "sufficiently structured to allow understanding of the key topics" and that "a good understanding of nutrition is important for a dentist" (95%). CONCLUSION A food science and nutrition module developed by a multidisciplinary team enabled dental students to gain an understanding of the role of diet in oral and overall health. The module facilitated the development of skills that enable students to utilise dietary assessment techniques and promote dietary interventions beneficial to oral health. The approach taken may act as a template for other institutions.
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Affiliation(s)
- Michael Crowe
- Division of Restorative Dentistry & Periodontology, Dublin Dental University Hospital, Trinity College Dublin, Dublin 2, Ireland
| | - Michael O'Sullivan
- Division of Restorative Dentistry & Periodontology, Dublin Dental University Hospital, Trinity College Dublin, Dublin 2, Ireland
| | - Lewis Winning
- Division of Restorative Dentistry & Periodontology, Dublin Dental University Hospital, Trinity College Dublin, Dublin 2, Ireland
| | - Oscar Cassetti
- Division of Restorative Dentistry & Periodontology, Dublin Dental University Hospital, Trinity College Dublin, Dublin 2, Ireland
| | - Brian O'Connell
- Division of Restorative Dentistry & Periodontology, Dublin Dental University Hospital, Trinity College Dublin, Dublin 2, Ireland
| | - Aifric O'Sullivan
- UCD Institute of Food and Health, 2.05 Science Centre, South, UCD, Dublin, Ireland
| | - Eileen Gibney
- UCD Institute of Food and Health, 2.05 Science Centre, South, UCD, Dublin, Ireland
| | - Suzanne L Doyle
- School of Biological and Health Sciences, Technological University Dublin, Dublin 7, Ireland
| | - Annemarie Bennett
- Department of Clinical Medicine, Trinity Centre for Health Sciences, St. James' Healthcare Campus, Dublin 8, Ireland
| | - Paula Moynihan
- Adelaide Dental School and Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia
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Terech-Skóra S, Kasprzyk-Mazur J, Leyk-Kolańczak M, Kruk A, Piotrkowska R, Mędrzycka-Dąbrowska W, Książek J. Assessment of Oral Health in Long-Term Enteral and Parenteral Nutrition Patients: Significant Aspects of Nursing Care. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3381. [PMID: 36834077 PMCID: PMC9967838 DOI: 10.3390/ijerph20043381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Revised: 02/10/2023] [Accepted: 02/13/2023] [Indexed: 06/18/2023]
Abstract
Oral health is an underestimated factor affecting overall human health and quality of life. Long-term enteral or parenteral nutritional treatment requires not only regular assessment of access routes, the patient's nutritional status, and tolerance to the selected method of nutrition but also of oral health. This article discusses the connections between the influence of chewing function, salivation, and xerostomia on the health of the oral cavity of patients on long-term enteral and parenteral nutrition. In addition, the role of nurses in assessing oral health is presented as well as crucial elements of a comprehensive oral assessment in a nursing care plan. Patients receiving long-term enteral and parenteral nutrition have an increased risk of developing oral diseases. Increasing knowledge about the factors affecting oral health among nurses is crucial to provide appropriate care for patients requiring long-term nutritional treatment with omission of the natural route of food intake. Regular assessment of oral health by nurses should be an important aspect in long-term nutritional treatment recommendations.
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Affiliation(s)
- Sylwia Terech-Skóra
- Department of Surgical Nursing, Medical University of Gdańsk, 80-211 Gdańsk, Poland
| | - Joanna Kasprzyk-Mazur
- Laboratory of Microbiology, Medical Diagnostic Laboratories Invicta, 81-740 Sopot, Poland
| | - Magdalena Leyk-Kolańczak
- Department of Oncology, Transplantation and General Surgery, University Clinical Centre of Gdańsk, 80-952 Gdańsk, Poland
| | - Agnieszka Kruk
- Department of Surgical Nursing, Medical University of Gdańsk, 80-211 Gdańsk, Poland
| | - Renata Piotrkowska
- Department of Surgical Nursing, Medical University of Gdańsk, 80-211 Gdańsk, Poland
| | | | - Janina Książek
- Department of Surgical Nursing, Medical University of Gdańsk, 80-211 Gdańsk, Poland
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Coffey N, O' Leary F, Burke F, Roberts A, Howlett C, Plant B, Hayes M. "Oral Nutritional Supplements: Sugar Content and Potential Dental Implications". Gerodontology 2021; 39:354-358. [PMID: 34569084 DOI: 10.1111/ger.12592] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2021] [Accepted: 09/13/2021] [Indexed: 01/10/2023]
Abstract
OBJECTIVES The objectives of this article are to list the most commonly prescribed Oral Nutritional Supplements in the UK and Ireland and their sugar content; and to raise awareness among the dental profession regarding their uses and potential dental risks involved. BACKGROUND Many older patients benefit from Oral Nutritional Supplements. Prescribers may not consider dental implications of these. Patients may not think to disclose these medications to their dentist. MATERIALS AND METHODS A list of commonly prescribed Oral Nutritional Supplements in the UK and Ireland was compiled. Nutritional information was obtained from the manufacturers' website and arranged in order of decreasing sugar content. Potential dental implications are discussed and recommendations made for dental practitioners. RESULTS Pre-formed Oral Nutritional Supplements can contain between 6.6 and 27.2 g of sugar per serving. Powdered Oral Nutritional Supplements, which are to be mixed with 200 ml whole milk, contain between 16.4 and 35.0 g sugar per serving. The "shot"-type Oral Nutritional Supplements contain less sugar, ranging from 0.0 to 4.0 g per serving. CONCLUSIONS The sugar content of frequently prescribed Oral Nutritional Supplements can be high. While they are beneficial in assisting the patient to maintain a healthy BMI, they may increase the risk of dental caries. Dental professionals should enquire specifically about Oral Nutritional Supplements during history taking, particularly in groups who are likely to be prescribed such supplements. Consideration should also be given to increasing caries-preventive measures for patients who take these supplements.
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Affiliation(s)
- Niamh Coffey
- ¹Department of Restorative Dentistry, Cork University Dental School and Hospital, University College Cork, Cork, Ireland
| | - Fiona O' Leary
- ¹Department of Restorative Dentistry, Cork University Dental School and Hospital, University College Cork, Cork, Ireland
| | - Francis Burke
- ¹Department of Restorative Dentistry, Cork University Dental School and Hospital, University College Cork, Cork, Ireland
| | - Anthony Roberts
- ¹Department of Restorative Dentistry, Cork University Dental School and Hospital, University College Cork, Cork, Ireland
| | | | | | - Martina Hayes
- ¹Department of Restorative Dentistry, Cork University Dental School and Hospital, University College Cork, Cork, Ireland
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Imran S, Tanweer A. Postoperative nutritional support of the patient with gut gangrene-a case report. JOURNAL OF HEALTH, POPULATION, AND NUTRITION 2019; 38:11. [PMID: 30967150 PMCID: PMC6454718 DOI: 10.1186/s41043-019-0169-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/03/2017] [Accepted: 01/18/2019] [Indexed: 06/09/2023]
Abstract
BACKGROUND Bowel necrosis is a commonly observed condition in elderly patients with longstanding diabetes. In such condition, intestinal resection is usually performed for the removal of the gangrenous part. Post-surgical dietary management after bowel resection poses several challenges for the health care team. CASE PRESENTATION The case presented in this study is that of an elderly diabetic male who developed acute renal failure as a result of neglect in post-surgical feeding after intestinal resection. After the intervention by a trained dietitian, a transitional diet was planned and successfully executed, resulting in reversal of acute renal failure, dehydration, and post-surgical stress. Several complications including hepatic dysfunction and mouth ulcers were resolved through well-planned transitional diet. The patient was finally discharged in a stable health condition and was regularly followed up for any nutritional or medical issues. CONCLUSION Neglects in nutritional care of patients can have severe implications including development of medical complications, resulting in increased length of hospital stay, augmenting the disease stress of the patient and family, and finally the preventable drainage of several human and monetary resources. Therefore, recognition of nutritional intervention as an important part of in-hospital health care may have social as well as economic impacts.
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Affiliation(s)
- Samra Imran
- Department of Food and Nutrition, Government College of Home Economics, Lahore, Pakistan
| | - Afifa Tanweer
- School of Health Sciences, University of Management and Technology, Lahore, Pakistan
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Vaizey CJ, Maeda Y, Barbosa E, Bozzetti F, Calvo J, Irtun Ø, Jeppesen PB, Klek S, Panisic-Sekeljic M, Papaconstantinou I, Pascher A, Panis Y, Wallace WD, Carlson G, Boermeester M. European Society of Coloproctology consensus on the surgical management of intestinal failure in adults. Colorectal Dis 2016; 18:535-48. [PMID: 26946219 DOI: 10.1111/codi.13321] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/06/2016] [Accepted: 01/22/2016] [Indexed: 12/19/2022]
Abstract
Intestinal failure (IF) is a debilitating condition of inadequate nutrition due to an anatomical and/or physiological deficit of the intestine. Surgical management of patients with acute and chronic IF requires expertise to deal with technical challenges and make correct decisions. Dedicated IF units have expertise in patient selection, operative risk assessment and multidisciplinary support such as nutritional input and interventional radiology, which dramatically improve the morbidity and mortality of this complex condition and can beneficially affect the continuing dependence on parenteral nutritional support. Currently there is little guidance to bridge the gap between general surgeons and specialist IF surgeons. Fifteen European experts took part in a consensus process to develop guidance to support surgeons in the management of patients with IF. Based on a systematic literature review, statements were prepared for a modified Delphi process. The evidence for each statement was graded using Oxford Centre for Evidence-Based Medicine Levels of Evidence. The current paper contains the statements reflecting the position and practice of leading European experts in IF encompassing the general definition of IF surgery and organization of an IF unit, strategies to prevent IF, management of acute IF, management of wound, fistula and stoma, rehabilitation, intestinal and abdominal reconstruction, criteria for referral to a specialist unit and intestinal transplantation.
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Affiliation(s)
| | - C J Vaizey
- The Lennard Jones Intestinal Failure Unit, St Mark's Hospital, Northwick Park, Harrow, UK.,Imperial College London, London, UK
| | - Y Maeda
- The Lennard Jones Intestinal Failure Unit, St Mark's Hospital, Northwick Park, Harrow, UK.,Imperial College London, London, UK
| | - E Barbosa
- Serviço de Cirurgia, Hospital Pedro Hispano, Senhora da Hora, Portugal
| | - F Bozzetti
- Faculty of Medicine, University of Milan, Milan, Italy
| | - J Calvo
- Department of General, Digestive, Hepato-Biliary-Pancreatic Surgery and Abdominal Organ Transplantation Unit, University Hospital 12 de Octubre, Madrid, Spain
| | - Ø Irtun
- Gastrosurgery Research Group, UiT the Arctic University of Norway, University Hospital North-Norway, Tromsø, Norway.,Department of Gastroenterologic Surgery, University Hospital North-Norway, Tromsø, Norway
| | - P B Jeppesen
- Department of Medical Gastroenterology CA-2121, Rigshospitalet, Copenhagen, Denmark
| | - S Klek
- General and Oncology Surgery, General and Oncology Unit, Stanley Dudrick's Memorial Hospital, Skawina, Poland
| | - M Panisic-Sekeljic
- Department for Perioperative Nutrition, Clinic for General Surgery, Military Medical Academy, Belgrade, Serbia
| | - I Papaconstantinou
- 2nd Department of Surgery, Areteion Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - A Pascher
- Department of General, Visceral, Vascular, Thoracic and Transplant Surgery, Charité - Universitaetsmedizin Berlin, Berlin, Germany
| | - Y Panis
- Colorectal Department, Beaujon Hospital and University Paris VII, Clichy, France
| | - W D Wallace
- Northern Ireland Regional Intestinal Failure Service, Belfast City Hospital, Belfast, UK
| | - G Carlson
- National Intestinal Failure Centre, Salford Royal NHS Foundation Trust, University of Manchester, Salford, Manchester, UK
| | - M Boermeester
- Department of Surgery/Intestinal Failure Team, Academic Medical Center, Amsterdam, The Netherlands
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