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​Professional associations and helpful websites

Clinical Practice Guidelines

American Association of Critical-Care Nurses (AACN). AACN practice alert: Prevention of aspiration in adults.Critical Care Nurse. 2016; 36 (1): e20 – e24. doi: 10.4037/ccn2016831: 

Safer Healthcare Now!Prevent ventilator associated pneumonia (VAP): Getting Started Kit. Canadian Patient Safety Institute; 2012:

Tablan OC, Anderson LJ, Besser R, et al. Guidelines for preventing health-care--associated pneumonia, 2003: recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee.MMWRRecommRep. 2004; 53 (RR-3): 1-36:

Additional Aspiration Pneumonia Resources

Prevention of aspiration. AACN Bold Voices. 2012; 4 (4): 11-4.

Armstrong JR, Mosher BD. Aspiration pneumonia after stroke: intervention and prevention. Neurohospitalist. 2011; 1 (2): 85-93. doi: 10.1177/1941875210395775.

Bradley S. Strategies to improve outcomes in nursing home residents with modifiable risk factors for respiratory tract infections. Pennsylvania Patient Safety Advisory. 2011; 8 (4): 131-137.

Cleary S, McLeod B, Travers J, Scott A, Namdaran N. Decreasing the risk of aspiration pneumonia. Canadian Nursing Home. 2007; 18 (3): 4.

d'Escrivan T, Guery B.  Prevention and treatment of aspiration pneumonia in intensive care units.  Treat Respir Med. 2005; 4 (5): 317-324.

Drinka P. Preventing aspiration in the nursing home: the role of biofilm and data from the ICU. J Am Med Dir Assoc. 2010; 11 (1): 70-77. doi: 10.1016/j.jamda.2009.03.020.

Ebihara S, Ebihara T. Cough in the elderly: a novel strategy for preventing aspiration pneumonia. PulmPharmacolTher. 2011; 24 (3): 318-323. doi: 10.1016/j.pupt.2010.10.003.

Ebihara S, Ebihara T, Kohzuki M. Effect of aging on cough and swallowing reflexes: implications for preventing aspiration pneumonia.  Lung. 2012; 190 (1): 29-33. doi: 10.1007/s00408-011-9334-z.

Ebihara S, Kohzuki M, Sumi Y, Ebihara T.  Sensory stimulation to improve swallowing reflex and prevent aspiration pneumonia in elderly dysphagic people. J Pharmacol Sci. 2011; 115 (2): 99-104. 

Echevarria IM, Schwoebel A. Development of an intervention model for the prevention of aspiration pneumonia in high-risk patients on a medical-surgical unit. Medsurg Nurs. 2012; 21 (5): 303-308.

Gray D. Enteral tube feeding and the prevention of aspiration. Clin Nutr Insight. 2007; 33 (12): 1-5.

Habel M. Aspiration: preventing a deadly complication in vulnerable populations. Nurs Spectrum (DC Maryland Virginia). 2008; 18 (24): 22-27.

Hinchey JA, Shephard T, Furie K, et al. Formal dysphagia screening protocols prevent pneumonia. Stroke. 2005; 36 (9): 1972-1976. 

Huang JY, Zhang DY, Yao Y, Xia QX, Fan QQ. Training in swallowing prevents aspiration pneumonia in stroke patients with dysphagia. J Int Med Res. 2006; 34 (3): 303-306.

Huggins S. Reducing morbidity of acute respiratory distress syndrome in hospitalized patients: with preventing nosocomial infection or aspiration. Top Adv Pract Nurs. 2006; 6 (2): 14.

Liantonio J, Salzman B, Snyderman D. Preventing aspiration pneumonia by addressing three key risk factors: Dysphagia, poor oral hygiene, and medication use. Ann Long Term Care. 2014; 22 (10): 42-48.

Loeb MB, Becker M, Eady A, Walker-Dilks C. Interventions to prevent aspiration pneumonia in older adults: a systematic review. J Am Geriatr Soc. 2003; 51 (7): 1018-1022.

Mamun K, Lim J. Role of nasogastric tube in preventing aspiration pneumonia in patients with dysphagia. Singapore Med J. 2005; 46 (11): 627-631.

Palmer JL, Metheny NA. Preventing aspiration in older adults with dysphagia: aspiration can lead to aspiration pneumonia, a serious health problem for older adults. Am J Nurs. 2008; 108 (2): 40-49.

Panagiotakis PH, DiSario JA, Hilden K, Ogara M, Fang JC. DPEJ tube placement prevents aspiration pneumonia in high-risk patients. Nutr Clin Pract. 2008; 23 (2): 172-175. doi: 10.1177/0884533608314537.

Petroianni, A., Ceccarelli, D., Conti, V., and Terzano, C.  Aspiration pneumonia. Pathophysiological aspects, prevention and management. A review.  Panminerva Med. 2006; 48 (4): 231-239. PM:17215795.

Ra JY, Hyun JK, Ko KR, Lee SJ. Chin tuck for prevention of aspiration: effectiveness and appropriate posture.Dysphagia. 2014; 29 (5): 603-609. doi: 10.1007/s00455-014-9551-8.

Sarin J, Balasubramaniam R, Corcoran AM, Laudenbach JM, Stoopler ET. Reducing the risk of aspiration pneumonia among elderly patients in long-term care facilities through oral health interventions. J Am Med Dir Assoc. 2008; 9 (2): 128-135. doi: 10.1016/j.jamda.2007.10.003.

Scannapieco FA, Shay K. Oral health disparities in older adults: oral bacteria, inflammation, and aspiration pneumonia. Dent Clin North Am. 2014; 58 (4): 771-782. doi: 10.1016/j.cden.2014.06.005.

Serna ED, McCarthy MS. Doing it better: putting research into practice. Heads up to prevent aspiration during enteral feeding. Nursing. 2006; 36 (1): 76-77.

Smith LH. Preventing aspiration: a common and dangerous problem for patients with cancer. Clin J Oncol Nurs. 2009; 13 (1): 105-108. doi: 10.1188/09.CJON.105-108.

Starks B, Harbert C. Aspiration prevention protocol: decreasing postoperative pneumonia in heart surgery patients. Crit Care Nurse. 2011; 31 (5): 38-45. doi: 10.4037/ccn2011462.

Steele CM, Allen C, Barker J, et al. Dysphagia service delivery by speech-language pathologists in Canada: results of a national surveyCan J Speech Lang Pathol Audiol. 2007; 31 (4): 166-177.

Tada A, Miura H. Prevention of aspiration pneumonia (AP) with oral care.  Arch Gerontol Geriatr. 2012; 55 (1): 16-21. doi: 10.1016/j.archger.2011.06.029.

Takatori K, Yoshida R, Horai A, et al. Therapeutic effects of mosapride citrate and lansoprazole for prevention of aspiration pneumonia in patients receiving gastrostomy feeding. J Gastroenterol. 2013; 48 (10): 1105-1110. doi: 10.1007/s00535-012-0725-6.

van der Maarel-Wierink CD, Vanobbergen JNO, Bronkhorst EM, Schols JMGA, de Baat C. Risk factors for aspiration pneumonia in frail older people: A systematic literature review. J Am Med Dir Assoc. 2011; 12 (5): 344-354. doi: 10.1016/j.jamda.2010.12.099.

Yoon MN, Steele CM. The oral care imperative: the link between oral hygiene and aspiration pneumonia. Top Geriatr Rehabil. 2007; 23 (3): 280-288.