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[Dysphagia] Nectar vs honey



It was my impression that the "honey thick" texture used in the study was extremely thick, perhaps significantly thicker than the "honey thick" texture used in many facilities.

Nancy Burnett,
Speech-Language Pathologist,
Cambridge Memorial Hospital,
700 Coronation Blvd.,
Cambridge, Ontario.
N1R 3G2
Telephone: 519 - 621 -  2330 ext 1126/Pager 1104
Fax: 519 - 740 - 4978  Attention Nancy Burnett 3BN
Email: nburnett at cmh.org


	-----Original Message-----
	From:	dysphagia-bounces at dysphagia.com [SMTP:dysphagia-bounces at dysphagia.com] On Behalf Of Irene Campbell-Taylor
	Sent:	June 15, 2007 12:18 PM
	To:	dysphagia at b9.com
	Subject:	[Dysphagia] Nectar vs honey

	Since I never use thickened fluids I must confess to not having paid much attention to the various labela used. Reading the Logemann et al study on thickeners and chin down it appears that the thicker consistency (honey) was associated with a twofold increase in pneumonia. Is this correct - that the thicker consistency is honey and this was associated with increased respiratory dysfunction? One can't say that it "caused" pneumonia because there are insufficent data to support such a conclusion. The authors state that "It is likely that the increased pneumonia in the patients who remained on honey-thickened liquids for three months resulted from the reduced ability of the chest's ciliary action to clear thicker material from the lungs" that would seem to encourage the use of plain water instead.

	Dr I Campbell-Taylor
	Clinical Neuroscientist
	Exclusive Distributor:
	www.interactivetherapy.com
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