Aspiration Pneumonia: The Current Clinical Giant for Respiratory Physicians (Respiratory Disease Series: Diagnostic Tools and Disease Managements)

This book offers an essential overview of aspiration pneumonia, and focuses on four major aspects: epidemiology, pathophysiology, new preventive strategies, and trending topics. Each part presents detailed findings and insights into critical issues for the treatment of the disease including its diagnosis, assessment, selecting antibiotics, similarities and differences between aspiration risk and aspiration pneumonia risk, different therapeutic approaches and so on. The book also discusses emerging topics concerning the definition of NHCAP and sleep apnea. Special attention is given to therapeutic and preventive approaches for the elderly, highlighting recent advances and the evidence on their positive outcomes. Since the patients with this disorder are often in a post-stroke state and elderly, the book is highly relevant for neurologists and geriatric physicians. Further, many surgeons also face this type of pneumonia in association with postoperative complications and cancer therapy related complications. Lastly, the definition of aspiration pneumonia and its therapeutic strategy have yet to be established in many countries, and the data presented here should serve as a guideline for its future diagnosis and treatment. As such, the book offers a valuable resource for primary physicians, pulmonologists, gerontologists, respiratory nurses, physical therapists, dentists and otolaryngologists alike. Front Matter ....Pages i-ix Front Matter ....Pages 1-1 Epidemiology of Aspiration Pneumonia: How Frequently Does Aspiration Pneumonia Occur in Older Adults? (Tomomi Mitsuhata, Shinji Teramoto)....Pages 3-13 Clinical Significance of Aspiration Pneumonia in All the Pneumonia Therapy: The Impact of Aspiration Pneumonia on the Therapeutic Approach for All Pneumonia (Kazuhiro Yatera, Hiroshi Mukae)....Pages 15-25 Diagnosis of Aspiration Pneumonia: What Is the Definition of Aspiration Pneumonia in Clinical Practices? (Musashi Abe, Akiko Tanaka, Azusa Otomo, Naruo Yoshimura, Emiko Kurosawa, Yutaka Nakamura et al.)....Pages 27-34 Chest Radiographic and Chest CT Images of Aspiration Pneumonia: Are the Image Features of Aspiration Pneumonia Different from Those of Non-aspiration CAP or HAP? (Kosaku Komiya, Jun-Ichi Kadota)....Pages 35-47 Assessment of Swallowing Function and Dysphagia: Is the Assessment of Swallowing Function Necessary for the Diagnosis of Aspiration Pneumonia? (Yoshihiro Suido, Shinji Teramoto)....Pages 49-62 Pathogens of Aspiration Pneumonia Based on a Novel Approach: Are the Causative Bacteria Different from Those of CAP or HAP? (Toshinori Kawanami, Kazuhiro Yatera)....Pages 63-74 Antimicrobial Selection for Aspiration Pneumonia: What Is the Important Point of Antimicrobial Selection for Aspiration Pneumonia? (Tadashi Ishida)....Pages 75-83 Front Matter ....Pages 85-85 The Relationship Between the Risk of Aspiration Pneumonia and the Risk of Aspiration: Aspiration Risk and Aspiration Pneumonia Risk Are Not the Same? (Kosaku Komiya, Jun-Ichi Kadota)....Pages 87-95 A Possible Association Between Oral Bacteria and Aspiration Pneumonia: Do Oral Bacteria Have Roles in the Pathogenesis of Aspiration Pneumonia? (Tomotaka Nishizawa)....Pages 97-104 The Role of Anaerobes on the Pathogenesis of Aspiration Pneumonia: Anaerobes May Be Involved in the Pathogenesis? (Masaki Ishii)....Pages 105-110 Diffuse Aspiration Bronchiolitis and Post-gastrectomy Aspiration Pneumonia: Are There Special Forms of Aspiration Pneumonia Due to Aging and Gastrectomy? (Hiroshi Yamamoto)....Pages 111-119 Significant Roles of the Simple Two-Step Swallowing Provocation Test (STS-SPT) in Aspiration Pneumonia but Not in Food Swallowing Problems: Does the STS-SPT Have a Special Role for Detecting Silent Aspiration? (Shinji Teramoto)....Pages 121-130 Predictive Roles of the Repetitive Saliva Swallowing Test (RSST) in Aspiration Pneumonia and Other Respiratory Diseases: Does the RSST Have a Predictive Role in Aspiration Pneumonia and Other Respiratory Diseases? (Yuki Yoshimatsu)....Pages 131-141 Animal Models of Aspiration Pneumonia (Shinji Teramoto)....Pages 143-151 Front Matter ....Pages 153-153 Pharmacological Approach Based on Substance P Theory: Does the Substance P Play a Central Role in Pathogenesis of Dysphagia in Aspiration Pneumonia? (Seiichi Kobayashi, Masaru Yanai)....Pages 155-165 Roles of Vaccination: Do PPV and Influenza Vaccination Have Preventive Roles in Aspiration Pneumonia? (Masayuki Ishida, Hiroshi Nakaoka, Konosuke Morimoto)....Pages 167-173 Oral Care: Does Oral Care Have Preventive Roles in Aspiration Pneumonia? (Kazuharu Nakagawa, Koji Hara, Haruka Tohara)....Pages 175-186 Physical Therapy: Does Physical Therapy Have Therapeutic Roles in Aspiration Pneumonia? (Ryo Momosaki)....Pages 187-191 Nutritional Care for Aspiration Pneumonia: Can a Nutritional Approach Change the Clinical Course of Aspiration Pneumonia? (Keisuke Maeda)....Pages 193-203 Surgical Approach: The Indication and Efficacy of Surgical Therapy for Aspiration Pneumonia (Masamitsu Hyodo, Asuka Nagao, Kahori Hirose)....Pages 205-216 Front Matter ....Pages 217-217 Emerging the Notion and Definition of NHCAP: What Is the NHCAP? Why Aspiration Pneumonia Is Important in NHCAP? (Masafumi Seki)....Pages 219-227 Sleep Apnea, Hypnotics, and Aspiration Pneumonia: Is There Any Association Between Sleep Apnea and Aspiration Pneumonia? (Yasuhiro Yamaguchi)....Pages 229-239