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探索伊朗东部接受化疗的癌症患者中的口腔念珠菌病。

Exploring oral candidiasis among cancer patients undergoing chemotherapy in eastern Iran.

作者信息

Pagheh Abdol Sattar, Kardan Fatemeh, Ghojoghi Aynaz, Sebzari Ahmad Reza, Erfaninejad Maryam, Askari Parvin, Aghili Seyed Reza, Nazar Eisa, Ziaee Masood

机构信息

Infectious Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran.

Department of Medical Mycology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

Iran J Microbiol. 2024 Dec;16(6):803-811. doi: 10.18502/ijm.v16i6.17259.

Abstract

BACKGROUND AND OBJECTIVES

Understanding the epidemiology of species among cancer patients is crucial for preventing invasive infections. This study aimed to identify species and assess risk factors among cancer patients receiving chemotherapy in Birjand, eastern Iran.

MATERIALS AND METHODS

The samples were obtained from the oral cavity of 140 patients and the initial identification of species was carried out through fungal cultures. Subsequently, isolates were molecularly identified using the PCR-RFLP method with the restriction enzyme Msp1. Furthermore, the demographic characteristics, risk factors, and clinical history of the patients were extracted and scrutinized using a multiple logistic regression model.

RESULTS

Among the 140 patients examined, 55 individuals (39.3%) tested positive for oral candidiasis (OC). Notably, Hemorrhagic cancer emerged as the most common type of cancer associated with OC (46.7%). The predominant species isolated was the complex (64.8%), followed by the complex (26.8%). A noteworthy finding was the significant association between the occurrence of OC and the number of chemotherapy sessions (P<0.05). Conversely, no significant correlations were detected between OC and variables such as sex, age, type of cancer, occupation, residence, underlying disease, and drug use (P>0.05).

CONCLUSION

The prevalence of spp. and its correlation with the number of chemotherapy sessions underscored the importance of preventive measures. These findings provided valuable insights for designing targeted interventions to mitigate the burden of oral candidiasis in this vulnerable population.

摘要

背景与目的

了解癌症患者中念珠菌属的流行病学情况对于预防侵袭性感染至关重要。本研究旨在确定伊朗东部比尔詹德接受化疗的癌症患者中的念珠菌属种类并评估风险因素。

材料与方法

从140例患者的口腔获取样本,通过真菌培养对念珠菌属进行初步鉴定。随后,使用限制性内切酶Msp1通过PCR-RFLP方法对念珠菌分离株进行分子鉴定。此外,提取患者的人口统计学特征、风险因素和临床病史,并使用多元逻辑回归模型进行审查。

结果

在140例接受检查的患者中,55例(39.3%)口腔念珠菌病(OC)检测呈阳性。值得注意的是,出血性癌症是与OC相关的最常见癌症类型(46.7%)。分离出的主要菌种是热带念珠菌复合体(64.8%),其次是白色念珠菌复合体(26.8%)。一个值得注意的发现是OC的发生与化疗疗程数之间存在显著关联(P<0.05)。相反,未检测到OC与性别、年龄、癌症类型、职业、居住情况、基础疾病和药物使用等变量之间存在显著相关性(P>0.05)。

结论

热带念珠菌属的流行及其与化疗疗程数的相关性凸显了预防措施的重要性。这些发现为设计有针对性的干预措施以减轻这一脆弱人群的口腔念珠菌病负担提供了有价值的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecc9/11682546/5c56fbef9782/IJM-16-803-g001.jpg

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