Naslov
Oral candidal colonization and oral candidiasis in the institutionalized and non- institutionalized elderly

Autori
Glažar, Irena ; Peršić, Romana ; Jurčević, Marija ; Muhvić Urek, Miranda ; Brekalo Pršo, Ivana ; Pezelj-Ribarić, Sonja

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
21st European Congress of Clinical Microbiology and Infectious Diseases and the 27th / - , 2011, 2526-2526

Skup
21st European Congress of Clinical Microbiology and Infectious Diseases and the 27th International Congress of Chemotherapy

Mjesto i datum
Milano, Italija, 07.05.2011. - 10.05.2011

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
Oral candidal colonization; oral candidiasis; institutionalized

Sažetak
Objectives: Oral candidiasis is an opportunistic infection of the oral cavity and it is common among the elderly. This study was carried out in order to evaluate colonization of the oral cavity with Candida species and oral candidiasis in the institutionalized and non-institutionalized elderly. Methods: A total of 341 elderly were included, 280 institutionalized elderly in nursing home (134 males, 146 females, mean age 72.68ą8.43) and 61 non-institutionalized elderly (23 males, 38 females, mean age 70.39ą6.16). Specimens were isolated from oral cavity with sterile swabs (Copan, Zagreb, Croatia) from the surface of oral mucosa and were inoculated on a isolation medium, Sabouraud`s dextrose agar. Cultures were incubated at 37°C for 48 hours. In cases of no growth, the plates were considered negative and discarded. The count of colony- forming units was recorded. Oral cavity is considered colonized with Candida spp. in the case of positive microbiological analysis and normal oral mucosal appearance. The diagnosis of oral candidiasis was established by taking account of the clinical appearance (pseudomembranous candidiasis, erythematous candidiasis, denture-related stomatitis or candida-associated lesions) and positive microbiological analysis. The diagnosis was made according to the number of the colonies described by Budtz-Jorgensen. Results: Altogether, 68.92% of institutionalized elderly in our study were colonized with Candida spp. This result was statistically different compared with the non-institutionalized elderly (50.81 % ; p<0.001). The results of our investigation also showed an increased number of the institutionalized elderly with oral candidiasis compare with the non- institutionalized ones (17.14% for institutionalized elderly ; 9.83% for non- institutionalized elderly ; p=0.035). Conclusion: Results of this study showed a higher prevalence of colonization of the oral cavity with Candida spp., as well as oral candidiasis in the institutionalized elderly compared with the non-institutionalized elderly.

Izvorni jezik
Engleski

Znanstvena područja
Dentalna medicina

POVEZANOST RADA