Tosello A, Chevaux J M, Montal S, Foti B
Fac d'odontologie de Marseille, France.
Odontostomatol Trop. 2008 Mar;31(121):43-8.
To evaluate prevalence of oral candidosis and predisposing conditions in hospitalized elderly patients.
We examined 104 elder patients recently hospitalized in two geriatric hospitals for shortterm hospital care.
Information was collected on patients' sex, age, mental and physical disabilities, smoking habits, medical prescriptions, oral pathologies, denture wearing, oral hygiene habits and oral hygiene level. Quality of existing dentures was evaluated. Oral mucosae were examined for clinical signs suggesting oral candidosis. Semiquantitative cultures of Candida were carried out to confirm the clinical diagnosis.
The diagnosis of oral candidosis was confirmed in 18/54 patients showing clinical signs of oral candidosis. Confirmed oral candidosis was associated with the presence of other infections, proteo-caloric denutrition, ongoing antibiotic therapy, and denture wearing. Dentures in patients with confirmed oral candidosis at poorer technical quality of the acrylic surface in contact with the underlying mucosa.
The wearing of removable dentures is a major predisposing factor for oro-pharyngeal candidosis of elderly patients in short-term hospital care. Appropriate oral and denture hygiene measures as well as denture wearing habits should be introduced or maintained to prevent this infection.
评估住院老年患者口腔念珠菌病的患病率及诱发因素。
我们检查了104名近期在两家老年医院短期住院治疗的老年患者。
收集患者的性别、年龄、精神和身体残疾情况、吸烟习惯、医疗处方、口腔疾病、佩戴假牙情况、口腔卫生习惯及口腔卫生水平等信息。评估现有假牙的质量。检查口腔黏膜是否有提示口腔念珠菌病的临床体征。进行念珠菌的半定量培养以确诊临床诊断。
在54名有口腔念珠菌病临床体征的患者中，18名确诊为口腔念珠菌病。确诊的口腔念珠菌病与其他感染、蛋白质-热量营养不良、正在进行的抗生素治疗及佩戴假牙有关。确诊口腔念珠菌病患者的假牙与黏膜接触的丙烯酸表面技术质量较差。
在短期住院治疗的老年患者中，佩戴可摘局部假牙是口咽念珠菌病的主要诱发因素。应采取或保持适当的口腔和假牙卫生措施以及佩戴假牙习惯以预防这种感染。
