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Prevention of pneumonia in the elderly

Research Project

Project/Area Number 13307021
Research Category

Grant-in-Aid for Scientific Research (A)

Allocation TypeSingle-year Grants
Section一般
Research Field Respiratory organ internal medicine
Research InstitutionTohoku University

Principal Investigator

SASAKI Hidetada  Tohoku University, Graduate School of Medicine, Professor, 大学院・医学系研究科, 教授 (20004731)

Co-Investigator(Kenkyū-buntansha) EBIHARA Satoru  Tohoku University, Hospital, Research Associate, 病院・助手 (90323013)
矢内 勝  東北大学, 医学部・附属病院, 講師 (00210287)
Project Period (FY) 2001 – 2004
Project Status Completed (Fiscal Year 2004)
Budget Amount *help
¥40,170,000 (Direct Cost: ¥30,900,000、Indirect Cost: ¥9,270,000)
Fiscal Year 2004: ¥8,320,000 (Direct Cost: ¥6,400,000、Indirect Cost: ¥1,920,000)
Fiscal Year 2003: ¥10,400,000 (Direct Cost: ¥8,000,000、Indirect Cost: ¥2,400,000)
Fiscal Year 2002: ¥10,400,000 (Direct Cost: ¥8,000,000、Indirect Cost: ¥2,400,000)
Fiscal Year 2001: ¥11,050,000 (Direct Cost: ¥8,500,000、Indirect Cost: ¥2,550,000)
Keywordspneumonia / aspiration / substance P / dopamine / Amantadine / ACEinhibitor / ACE阻害剤 / アマンタジン / 医療費 / MRSA / 抗生剤 / 老人性肺炎 / 誤嚥 / サブスタンスP / カプサイシン / ドーパミン / 細胞性免疫 / アマンダジン / シロスタゾール / VB12 / BCG / インフルエンザワクチン
Research Abstract

Pneumonia in the elderly is caused by an in apparent swallowing disorder. Most suffer silent aspiration, which eventually causes pneumonia. This is due to t lack in substance P, which transmits in an antidromic way through the sensory branches, such as vagal and glossopharyngeal nerves, and deeps swallowing and cough reflex functioning. The synthesis of substance P is stimulated by dopamine that is released from the deep cortex in the cerebrum. When there is a shortage of dopamine, widely used in the treatment of Parkinson's disease as it induced the synthesis of dopamine. A clinical trial of amantadine administration for three years showed that the incidence rate of pneumonia decreased to about 20% compared with the control group. Substance P is increased by angiotensin-converting enzyme inhibitors (ACE inhibitors). Conventional drugs can be used and are available by prescription. The use of such drugs separately or in combination enables prevention of pneumonia to a considerable degree.

Report

(5 results)
  • 2004 Annual Research Report   Final Research Report Summary
  • 2003 Annual Research Report
  • 2002 Annual Research Report
  • 2001 Annual Research Report
  • Research Products

    (36 results)

All 2004 2003 2002 2001 Other

All Journal Article (13 results) Publications (23 results)

  • [Journal Article] A combinational therapy for pneumonia in elderly people2004

    • Author(s)
      A.Kanda, S.Ebihara, H.Yasuda, T.Ohrui, T.Sasaki, H.Sasaki
    • Journal Title

      JAGS 5

      Pages: 846-847

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Care for Older Peopl2003

    • Author(s)
      T.Ohrui, H.Kubo, H.Sasaki.
    • Journal Title

      Internal Medicine 42

      Pages: 932-940

    • NAID

      10012456876

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Care for older people.2003

    • Author(s)
      T.Ohrui, H.Kubo, H.Sasaki.
    • Journal Title

      Internal Medicine 42

      Pages: 932-940

    • NAID

      10012456876

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Prevention of respiratory infections in the elderly2002

    • Author(s)
      M.Yamaya, T.Ohrui, H.Kubo, S.Ebihara, H.Arai, H.Sasaki.
    • Journal Title

      Geriatrics and Gerontology International 02

      Pages: 115-121

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Characteristics of Respiratory Diseases in Older People2002

    • Author(s)
      H.Sasaki, M, Yamaya, T.Ohrui, H.Kubo, M.Ebihara, H.Arai.
    • Journal Title

      JMAJ 45

      Pages: 231-236

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Bronchiectasis with Mycobacterium avium complex infection2002

    • Author(s)
      T.Ebihara, H.Sasaki.
    • Journal Title

      N Engl J Med 346

      Pages: 1372-1372

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Prevention of respiratory infections in the elderly.2002

    • Author(s)
      M.Yamaya, T.Ohrui, H.Kubo, S.Ebihara, H.Aarai, H.Sasaki.
    • Journal Title

      Geriatrics and Gerontology International 2

      Pages: 115-121

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Characteristics of respiratory disease in older people.2002

    • Author(s)
      H.Sasaki, M.Yamaya, T.Ohrui, H.Kubo, M.Ebihara, H.Arai.
    • Journal Title

      JMAJ 45

      Pages: 231-236

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Bronchiectasis with mycobacterium avium complex infection.2002

    • Author(s)
      T.Ebihara, H.Sasaki.
    • Journal Title

      N Eagle J Med 346

      Pages: 1372-1372

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Interventions to Prevento Pneumonia Among Older Adults2001

    • Author(s)
      M.Yamaya, M.Yanai, T.Ohrui, H.Arai, H.Sasaki.
    • Journal Title

      JAGS 49

      Pages: 85-90

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Risk factors of aspiration pneumonia in Alzheimer's disease Patients2001

    • Author(s)
      H.Wada, K.Nakajoh, T.Satoh-Nakagawa, T.Suzuki, T.Ohrui, H.Arai, H.Sasaki.
    • Journal Title

      Gerontology 47

      Pages: 271-276

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Interventions to Prevento Pneumonia Among older adults.2001

    • Author(s)
      M.Yamaya, M.Yanai, T.Ohrui, H.Arai, H.Sasaki.
    • Journal Title

      JAGS 49

      Pages: 85-90

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Risk factor of aspiration pneumonia in Alzheimer's disease patients.2001

    • Author(s)
      H.Wada, K.Nakajoh, T.Satoh-Nakagawa, T.Suzuki, T.Ohrui, H.Arai, H.Sasaki.
    • Journal Title

      Gerontology 47

      Pages: 271-276

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Publications] Kanda A et al.: "A combinational therapy for pneumonia in the elderly people"J Am Geriatr Soc. (In press). (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] Seki T et al.: "A cupuncture and swallowing reflex in poststroke patients"J Am Geriatr Soc. 51. 726-727 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Ebihara S et al.: "Inpaired efficacy of cough in patients with Parkinson disease"Chest. 124. 1009-1015 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Ohrui T et al.: "Care for older people"Intern Med. 42. 932-940 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Kosaka Y et al.: "Tube feeding in terminal elderly care"Geriatr Gerontol Internat. 3. 172-174 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] K.Nakayama, Y.X.Jia, H.Hrai, M.Shinkawa, M.Yamaya, K.Sekizawa, H.Sasaki: "Acid stimulation reduces bactericidal activity of surface liquid in cultured human airway epithelial cells"Am. J. Respir. Cell. Mol. Biol.. 26. 105-113 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] T.Yoneyama, M.Yoshida, T.Ohrui, H.Mukaiyama, H.Okamoto, K.Hoshiba, S.Ihara, S.Yanagisawa, S.Ariumi, T.Morita, Y.Mizuno, T.Ohsawa, Y.Akagawa, K.Hashimoto, H.Sasaki: "Oral Care Reduces Pneumonia in Older Patients in Nursing Homes"J. Am. Geriatr. Soc.. 50. 430-433 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] T.Ebihara, B.Sasaki: "Bronchiectasis with Mycobacterium avium Complex Infection"N. Engl. J. Med.. 346(18). 1372 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] T.Matsui, M.Yamaya, T.Ohrui, H.Arai, H.Sasaki: "Sitting Position to Prevent Aspiration in Bed-Bound Patients"Gerontology. 48. 194-195 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] H.Sasaki, M.Yamaya, T.Ohrui, H.Kubo, S.Ebihara, H.Arai: "Characteristics of respiratory diseases in older people"JMAJ. 45(6). 231-236 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] K.Nakayama, M.Shinkwa, T.Ohrui, H.Hirai, H.Sasaki: "BCG vaccination and risk of pneumonia"Lancet. (in press).

    • Related Report
      2002 Annual Research Report
  • [Publications] H.Yasuda, M.Yamaya, M.Yanai, T.Ohrui, H.Sasaki: "Increased blood carboxy haemoglobin concentrations in inflammatory pulmonary disease"Thorax. 57. 779-783 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] T.Seki, M.Kurusu, H.Tanji, H.Arai, H.Sasaki: "Acupuncture and swallowing reflex in post-stroke patients"J. Am. Geriatr. Soc.. (in press).

    • Related Report
      2002 Annual Research Report
  • [Publications] K.Iwasaki, Jong-Chol.Cyong, S.Kitada, H.Kitamura, J.Ozeki, Y.Satoh, T.Suzuki, H.Sasaki: "A traditional Chinese herbal medicine, banxia houpo tang, improves cough reflex of patients with aspiration pneumonia"JAGS. 50. 1751-1752 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] K.Nakayama, M.Shinkawa, T.Ohrui, H.Hirai, H.Sasaki: "Interferon-gamma responses to mycobacterial antigens in Heaf-positive children"Lancet. 360. 1334-1335 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] J.Q.Li, Y.X.Jia, M.Yamaya, H.Arai, T.Ohrui, K.Sekizawa, H.Sasaki: "Neurochemical regulation of cough response to capsaicin in guinea-pigs"Autonomic & Autacoid Pharmacology. 22. 57-63 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] M.Yamaya, T.Ohrui, H.Kubo, S.Ebihara, H.Arai, H.Sasaki: "Prevention of respiratory infections in the elderly"Geriatrics and Gerontology International. 2. 115-121 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] H.Wada et al.: "Risk factors of aspiration pneumonia in Alzheimer's disease patients"Gerontorogy. 47. 271-276 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] A.Yoshino et al.: "Daily oral care and risk factors for pneumonia among elderly nursing home patients"JAMA. 286. 2235-2236 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] M.Yamaya et al.: "Interventions to prevent pneumonia among older adults"J Am Geriatr Soc. 49. 85-90 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] M.Yamaya et al.: "Antithrombotic therapy for prevention of pneumonia"J Am Geriatr Soc. 49. 687-688 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] S.Ishizuka et al.: "Acid exposure stimulates the adherence of S pneumoniae to cultured human airway epithelial cell"Am J Respir Cell Mol Biol. 24. 459-468 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] M.Yamaya et al.: "Angiotensin-converting enzyme inhibitors, angiotensin II receptor antagonists, and pneumonia in elderly hypertensive patiwnts with stroke"Chest. 119. 660-661 (2001)

    • Related Report
      2001 Annual Research Report

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Published: 2001-04-01   Modified: 2016-04-21  

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