We recruited 126 asthmatic patients diagnosed with pneumonia by clinical and radiological criteria (cases) and 252 asthmatics not diagnosed with pneumonia during the last year (controls), matched by age. The main factor of study was the General Oral Health Assessment Index (GOHAI) score.
Oral health and risk of pneumonia in asthmatic pacients with inhaled treatment
 
  Keywords
 
 
  
   Asthma
  
 
 
  
   Pneumonia
  
 
 
  
   Oral health
  
 
 
  
   Inhaled medication
  
 
Introduction and objective
Asthma is a chronic disease requiring inhaled treatment and in addition it is a risk factor (RF) of pneumonia. 
In the oropharyngeal cavity there are numerous species of bacteria that could be dragged to the bronco-alveolar level.
Objective
to decide whether oral health is a community acquired pneumonia (CAP) RF in asthmatic patients who are taking inhaled treatment, and determining whether the frequency of use of inhalation devices and the type of inhaled drug are CAP RF.
Patients and method
Case-control study in asthmatic population with inhaled treatment. 
We recruited 126 asthmatic patients diagnosed with pneumonia by clinical and radiological criteria (cases) and 252 asthmatics not diagnosed with pneumonia during the last year (controls), matched by age. 
The main factor of study was the General Oral Health Assessment Index (GOHAI) score.
Results
Bivariated analysis showed a statistically significant association of CAP with a GOHAI score≤57 points (poor oral health) (OR 1.69), anticholinergic treatment (OR 2.41), 6 or more inhalations (3.23), chamber use (OR 1.62), FEV1 (OR 0.98), altered functionality (OR 2.08) and <dis>psychiatric disorders</dis> or depression (OR 0.41). 
The multivariated analysis shows an independent association of performing 6 or more inhalations per day (OR 2.74) and <dis>functional impairment</dis> (OR 1.67).
Conclusions
The results suggest that poor oral health may be a CAP RF.
Introduction and objective
Asthma is a chronic disease requiring inhaled treatment and in addition it is a risk factor (RF) of pneumonia. 
In the oropharyngeal cavity there are numerous species of bacteria that could be dragged to the bronco-alveolar level.
Objective
to decide whether oral health is a community acquired pneumonia (CAP) RF in asthmatic patients who are taking inhaled treatment, and determining whether the frequency of use of inhalation devices and the type of inhaled drug are CAP RF.
Patients and method
Case-control study in asthmatic population with inhaled treatment. 
We recruited 126 asthmatic patients diagnosed with pneumonia by clinical and radiological criteria (cases) and 252 asthmatics not diagnosed with pneumonia during the last year (controls), matched by age. 
The main factor of study was the General Oral Health Assessment Index (GOHAI) score.
Results
Bivariated analysis showed a statistically significant association of CAP with a GOHAI score≤57 points (poor oral health) (OR 1.69), anticholinergic treatment (OR 2.41), 6 or more inhalations (3.23), chamber use (OR 1.62), FEV1 (OR 0.98), altered functionality (OR 2.08) and psychiatric disorders or depression (OR 0.41). 
The multivariated analysis shows an independent association of performing 6 or more inhalations per day (OR 2.74) and functional impairment (OR 1.67).
Conclusions
The results suggest that poor oral health may be a CAP RF.
We recruited 126 asthmatic patients diagnosed with pneumonia by clinical and radiological criteria (cases) and 252 asthmatics not diagnosed with pneumonia during the last year (controls), matched by age. The main factor of study was the General Oral Health Assessment Index (GOHAI) score.