Effects of the Oral Care With Vaccines for Pneumonia in Elderly; Going Home Together Both Physician and Dentist

Study Overview
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Brief Summary
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Prospective study comparing the effects of interventions (combined oral care and pneumococcal plus influenza vaccinations) in preventing pneumonia and increasing the survival rate from pneumonia.

Detailed Description
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The elderly population can be expected to increase not only in developed countries, but also in developing countries. Pneumonia is one of the most common causes of death in the elderly. The investigators conducted a prospective study comparing the effects of interventions (combined oral care and pneumococcal plus influenza vaccinations) in preventing pneumonia and increasing the survival rate from pneumonia in consecutive elderly patients at a nursing home in Yubari during one year from 2009, with the results in a non-intervention group.

Official Title
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The Interventional Study in the Effects of Oral Care With Vaccines at Nursing Home; the Role of the Partnership With Physician, Dentist and Other Co-medical Stuff

Conditions
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Pneumonia

Intervention / Treatment
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* Biological: Pneumococcal vaccination (Pneumovax NP, 21800AMY10131000)
* Biological: Influenza vaccination (Flubik HA, 16100EZZ01207000)
* Biological: Influenza vaccination (Flubik HA, 16100EZZ01207000)
* Other: Specific frequency of oral care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The residents or an agent who understand the purpose of this study and give informed consent. Exclusion Criteria: The residents contraindicated to vaccine
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Oral care and vaccines<br>Oral care and pneumococcal plus influenza vaccines | Biological: Pneumococcal vaccination (Pneumovax NP, 21800AMY10131000)<br>* Injection,subcutaneous,0.5ml,ones,Planned duration of intervention:a day<br>* Other names: Serial Number: 21800AMY10131000;Biological: Influenza vaccination (Flubik HA, 16100EZZ01207000)<br>* Injection,subcutaneous,0.5ml,ones,Planned duration of intervention:a day<br>* Other names: Serial Number: 16100EZZ01207000;Other: Specific frequency of oral care<br>* 1 dentist and 2 dental hygienists visited the nursing home once a week. After the residents agreed our receive oral care, the dentist/dental hygienist spent 15 minutes with brushing of teeth, scaling, oral wiping, gargling and cleaning of dentures, to reduce dental plaque which is oral bacteria mechanically by using cleaning tools, including toothbrush, interdental brush, dental scaler, tongue brush, and sponge brush to treatment of periodontal disease at the washstand in their private room primary care physicians. At the same time, they taught and recorded to the nursing care workers the methods of administering responsible oral care to dye for dental plaque by using plaque disclosing agent material.<br>* Other names: Not applicable:Behaviour;|
| Active Comparator: Vaccine<br>Influenza vaccine only | Biological: Influenza vaccination (Flubik HA, 16100EZZ01207000)<br>* Injection,subcutaneous,0.5ml,ones,Planned duration of intervention:a day<br>* Other names: Serial Number: 16100EZZ01207000;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Participants With Pneumonia | Number of Participants with Pneumonia sufferers | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Death From Pneumonia | Number of participants for the death from pneumonia | 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Prevention, Primary care, Oral care, Vaccine, Pneumonia, Elderly