Keten Derya, Keten Hamit S, Goktas Mustafa T, Ucer Huseyin, Ersoy Ozgur, Celik Mustafa
Clinical Microbiology and Infectious Diseases, Necip Fazil City Hospital, Kahramanmaras, Turkey.
Department of Family Medicine, Onikisubat Community Health Center, Kahramanmaras, Turkey.
J Oral Pathol Med. 2015 Aug;44(7):502-6. doi: 10.1111/jop.12260. Epub 2014 Sep 12.
The aim of this study was to investigate Candida carriage and species in Maras powder users and non-users.
This study included 100 volunteering men in 12 cafés in the city of Kahramanmaras, Turkey. A questionnaire composed of questions about socio-demographic features and Maras powder use was filled in by the participants. Culture specimens were obtained from bilateral buccal mucosa and dorsum of the tongue with a sterile cotton-tipped swap. The specimens were inoculated in Sabouraud Dextrose Agar (SDA).
The mean age of the participants was 48.0 ± 12.5 years (min = 20, max = 70). Fifty-four percent of the Maras powder users and 22% of the non-users were Candida carriers. The difference between the groups was significant (P = 0.001). The most frequently isolated species was Candida albicans at a rate of 44% in the Maras powder users and at a rate of 18% in the non-users. Other frequent species were Candida glabrata at a rate of 6% in the Maras powder users and 2% in the control group and Candida tropicalis at a rate of 4% in the Maras powder users and 2% in the nonusers.
We found that a significantly high rate of the Maras powder users was Candida carriers. It should be kept in mind that opportunistic infections may be caused by Candida species in Maras powder users especially with immunosuppressive conditions since Candida species are likely to lead to such infections in cases of immunosuppressive diseases.
本研究旨在调查食用马拉斯粉者和非食用者的念珠菌携带情况及种类。
本研究纳入了土耳其卡赫拉曼马拉什市12家咖啡馆的100名男性志愿者。参与者填写了一份关于社会人口学特征和马拉斯粉使用情况的问卷。用无菌棉签从双侧颊黏膜和舌背获取培养标本。将标本接种于沙氏葡萄糖琼脂(SDA)培养基上。
参与者的平均年龄为48.0±12.5岁(最小20岁,最大70岁)。食用马拉斯粉者中有54%为念珠菌携带者,非食用者中有22%为念珠菌携带者。两组之间的差异具有统计学意义(P = 0.001)。最常分离出的菌种是白色念珠菌,在食用马拉斯粉者中的比例为44%,在非食用者中的比例为18%。其他常见菌种为光滑念珠菌,在食用马拉斯粉者中的比例为6%,在对照组中的比例为2%;热带念珠菌,在食用马拉斯粉者中的比例为4%,在非食用者中的比例为2%。
我们发现食用马拉斯粉者中念珠菌携带者的比例显著较高。应牢记,念珠菌属可能在食用马拉斯粉者中引发机会性感染,尤其是在免疫抑制状态下,因为在免疫抑制疾病的情况下,念珠菌属很可能导致此类感染。