Chronic Periodontitis Clinical Trial
Official title:
Chronic Periodontitis in Critically Ill Patients: Diagnosis and Epidemiology
This study evaluates the diagnostic performances of Point of Care P. gingivalis test in saliva with serum IgG P. gingivalis, in reference to dental examination as a gold standard in patients hospitalised in intensive care unit (ICU)
Chronic Periodontitis (CP) is a common but under diagnosed chronic infection and inflammation
of the periodontal tissue. Porphyromonas gingivalis is one of the most common pathogens
associated with CP. In patients hospitalised in Intensive Care Unit (ICU), P. gingivalis has
been reported to be associated with Ventilator-Associated Pneumonia (VAP).
This pilot study evaluate an easily accessible method the Point of care P. gingivalis tests
on saliva and detection of antibodies against P. gingivalis in sera (already validated to
diagnose CP in the general population) to dental examination as a gold standard, in ICU
patients.
A biobank from critically ill patients will be establish for future oral health research in
this patient population: for about 50 patients with both samples available, at enrolment and
at day 5 +/-2 days after enrolment. Oral pathogens of different sites (tongue, saliva, dental
plaque, internal jaw) at enrolment and at day 5 +/- 2 days after enrolment. Samples of
periodontal pocket will be collected only for patients diagnosed with CP. When patients will
have a pulmonary sample performed in routine, pulmonary sample will also be stored. Plasma
and sera will also be taken at enrolment and stored for further research on P. gingivalis and
inflammation in ICU patients Patients will be enrolled and will be contacted after 3 months.
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