{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T23:10:06Z","timestamp":1752534606848,"version":"3.41.2"},"reference-count":67,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pneumologie"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Formen der akuten Aspirationspneumonie (AP) umfassen die Aspiration gr\u00f6\u00dferer Mengen dem Magen zugef\u00fchrter Substanzen und die im Rahmen einer schleichenden Aspiration oropharyngealen Sekrets entstehenden Pneumonien.Schleichenden Aspirationen liegt eine Dysphagie, ggf. zusammen mit einem eingeschr\u00e4nkten Hustenreflex, zugrunde. Ein hohes Lebensalter, h\u00e4ufig zusammen mit schwerer Komorbidit\u00e4t und eingeschr\u00e4nkter Funktionalit\u00e4t beg\u00fcnstigen die Entstehung von Aspirationspneumonien.Daher ist die schleichende Aspiration eine h\u00e4ufige Ursache der ambulant erworbenen Pneumonie des Menschen in h\u00f6herem Lebensalter, ebenso aber auch der nosokomialen Pneumonie. An eine AP ist dar\u00fcber hinaus immer bei rezidivierenden Pneumonien zu denken.Zur Akutbehandlung geh\u00f6ren \u00fcber die antimikrobielle Therapie hinaus eine Atem- und eine Physiotherapie. Zudem sollten alle Patienten mit schleichender Aspiration bzw. AP einer Schluckuntersuchung und bei bestehender Dysphagie auch einer Schlucktherapie zugef\u00fchrt werden. Diese kann im Rahmen einer logop\u00e4dischen Therapie restituierende, kompensatorische und adaptierende Verfahren einschlie\u00dfen.<\/jats:p>","DOI":"10.1055\/a-2486-6598","type":"journal-article","created":{"date-parts":[[2024,12,13]],"date-time":"2024-12-13T18:49:41Z","timestamp":1734115781000},"page":"501-512","source":"Crossref","is-referenced-by-count":0,"title":["Pneumonien durch schleichende Aspiration \u2013 eine diagnostische und therapeutische Herausforderung"],"prefix":"10.1055","volume":"79","author":[{"given":"Santiago","family":"Ewig","sequence":"additional","affiliation":[{"name":"Kliniken f\u00fcr Pneumologie und Infektiologie, EVK Herne und Augusta Krankenhaus Bochum, Thoraxzentrum Ruhrgebiet, Bochum, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00f6ren","family":"Gatermann","sequence":"additional","affiliation":[{"name":"Medizinische Mikrobiologie, Ruhr-Universit\u00e4t Bochum Institut f\u00fcr Hygiene und Mikrobiologie Abteilung f\u00fcr Medizinische Mikrobiologie, Bochum, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai","family":"Wiesweg","sequence":"additional","affiliation":[{"name":"EVK Hattingen, Praxis f\u00fcr Logop\u00e4die, Hattingen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,12,13]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"328","DOI":"10.1378\/chest.124.1.328","article-title":"Aspiration pneumonia and dysphagia in the elderly","volume":"124","author":"PE Marik","year":"2003","journal-title":"Chest"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"665","DOI":"10.1056\/NEJM200103013440908","article-title":"Aspiration pneumonitis and aspiration pneumonia","volume":"344","author":"PA Marik","year":"2001","journal-title":"N Engl J Med"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"651","DOI":"10.1056\/NEJMra1714562","article-title":"Aspiration pneumonia","volume":"380","author":"LA Mandell","year":"2019","journal-title":"N Engl J Med"},{"issue":"S 1","key":"ref4","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1136\/thorax-2022-219699","article-title":"BTS statememnt on silent aspiration","volume":"78","author":"AJ Simpson","year":"2023","journal-title":"Thorax"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"344","DOI":"10.1016\/j.jamda.2010.12.099","article-title":"Risk factors for aspiration pneumonia in frail older people: a systematic literature review","volume":"12","author":"CD van der Maarel-Wierink","year":"2011","journal-title":"J Am Med Dir Assoc"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"26","DOI":"10.3928\/00989134-20140807-99","article-title":"Risk of aspiration in care home residents and associated factors","volume":"41","author":"CD van der Maarel-Wierink","year":"2015","journal-title":"J Gerontol Nurs"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1002\/jhm.1996","article-title":"Mortality, morbidity, and disease severity of patients with aspiration pneumonia","volume":"8","author":"MJ Lanspa","year":"2013","journal-title":"J Hosp Med"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1513\/AnnalsATS.201709-728OC","article-title":"Variation in the diagnosis of aspiration pneumonia and association with hospital pneumonia outcomes","volume":"15","author":"PK Lindenauer","year":"2018","journal-title":"Ann Am Thorac Soc"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"867","DOI":"10.1164\/ajrccm.165.7.2105078","article-title":"Ventilator-associated pneumonia","volume":"165","author":"J Chastre","year":"2002","journal-title":"Am J Respir Crit Care Med"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1055\/a-1010-8764","article-title":"Prolongiertes Weaning. 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