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长期住院护理的老年患者口腔念珠菌病

Oral candidosis in the elderly in long term hospital care.

作者信息

Wilkieson C, Samaranayake L P, MacFarlane T W, Lamey P J, MacKenzie D

机构信息

Department of Geriatric Medicine, Victoria Infirmary, Glasgow, Scotland.

出版信息

J Oral Pathol Med. 1991 Jan;20(1):13-6. doi: 10.1111/j.1600-0714.1991.tb00880.x.

DOI:10.1111/j.1600-0714.1991.tb00880.x
PMID:1900531
Abstract

A total of 137 patients in long term hospital care were interviewed and examined to determine the prevalence, nature and most important causes of oral candidosis in the hospitalized elderly. Oral candidal infection as determined by the imprint culture technique was present in 47% of patients with a further 31% being carriers of Candida. The prevalence of chronic atrophic candidosis in denture wearers was 38%, while 26% of all patients had angular cheilitis, 67% of which had an infective etiology. Microbiologic examination strongly indicated the upper denture as the major source of infection in those with dentures despite the existence of a ward policy which should have encouraged good oral and denture hygiene.

摘要

对137名长期住院治疗的患者进行了访谈和检查,以确定老年住院患者口腔念珠菌病的患病率、性质及最重要的病因。通过印迹培养技术确定,47%的患者存在口腔念珠菌感染,另有31%为念珠菌携带者。义齿佩戴者慢性萎缩性念珠菌病的患病率为38%,而所有患者中有26%患有口角炎,其中67%有感染性病因。微生物学检查有力地表明,尽管病房有鼓励良好口腔和义齿卫生的政策,但上半口义齿仍是有义齿患者的主要感染源。

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