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长期和短期新冠肺炎患者念珠菌携带率的比较分析:一项逆转录聚合酶链反应研究

Comparative analysis of candidal carriage rates in long-term and short-term COVID-19 patients: An RT-PCR study.

作者信息

Sekar Ramya, Bottu Kavitha, Gb Protyusha, Ramasamy Jeyaseelan, Venkatesalu Bargavi

机构信息

Department of Oral & Maxillofacial Pathology and Oral Microbiology, Meenakshi Ammal Dental College and Hospital, Meenakshi Academy of Higher Education and Research (Deemed to be University), Alapakkam Main Road, Maduravoyal, Chennai, 600095, India.

出版信息

J Oral Biol Craniofac Res. 2025 Jul-Aug;15(4):899-904. doi: 10.1016/j.jobcr.2025.06.014. Epub 2025 Jun 16.


DOI:10.1016/j.jobcr.2025.06.014
PMID:40607325
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12213283/
Abstract

BACKGROUND: Most individuals who had COVID-19 infection recover completely. However, current research shows that 10-20 % of the population, especially immunocompromised and elderly people, endure numerous adverse effects and multiple complications associated with different organs and systems during its pathogenic cycle. Also, many fungal coinfections are seen as post-COVID dysbiosis, the most common fungal organism being Candida. This study aims to compare the candidal carriage rate of short-term and long-term affected SARS-COV-2 patients in saliva using PCR and compare it with healthy individuals. RESULTS: The study included both male (15) and female (23) long-term and short-term post-COVID patients and healthy individuals [Male (5) and Female (15)]. The candidal carriage rate was increased in long-term COVID patients than in short-term COVID patients and healthy individuals (∗). Among long-term COVID patients, those who had oxygen assistance (=) and were admitted to the ICU (=) had relatively higher candidal carriage rates than those who didn't receive any intensive care procedures. CONCLUSION: COVID-19 significantly affects the oral microbiome, leading to dysbiosis and increased candidal carriage. The manifestation of fungal coinfections in post-COVID patients appears to be influenced by various factors, including oxygen support, catheterization, and immunosuppressive treatments. Thereby, early diagnosis and early intervention, along with health care providers acquainted with potential risks and the likelihood of secondary infections, are the only ways to reduce the consequences of this devastating disease.

摘要

背景:大多数感染新冠病毒的个体可完全康复。然而,目前的研究表明,10%-20%的人群,尤其是免疫功能低下者和老年人,在其致病周期中会遭受与不同器官和系统相关的诸多不良反应和多种并发症。此外,许多真菌合并感染被视为新冠后生态失调,最常见的真菌病原体是念珠菌。本研究旨在使用聚合酶链反应(PCR)比较短期和长期感染新冠病毒患者唾液中的念珠菌携带率,并与健康个体进行比较。 结果:该研究纳入了男性(15例)和女性(23例)的长期和短期新冠后患者以及健康个体[男性(5例)和女性(15例)]。长期新冠患者的念珠菌携带率高于短期新冠患者和健康个体(*)。在长期新冠患者中,接受氧气辅助(=)和入住重症监护病房(=)的患者的念珠菌携带率相对高于未接受任何重症监护程序的患者。 结论:新冠病毒对口腔微生物群有显著影响,导致生态失调和念珠菌携带率增加。新冠后患者真菌合并感染的表现似乎受多种因素影响,包括氧气支持、插管和免疫抑制治疗。因此,早期诊断和早期干预,以及让医护人员了解潜在风险和继发感染的可能性,是减轻这种毁灭性疾病后果的唯一途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/888c/12213283/6995ef559665/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/888c/12213283/35afa17b5fbe/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/888c/12213283/6995ef559665/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/888c/12213283/35afa17b5fbe/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/888c/12213283/6995ef559665/gr2.jpg

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本文引用的文献

[1]
Oral manifestations in hospital-admitted COVID-19 patients: a case control study.

Front Oral Health. 2023-8-10

[2]
Oral Candidiasis in Adult and Pediatric Patients with COVID-19.

Biomedicines. 2023-3-10

[3]
Oral Manifestations Associated with COVID-19 Infection: A Cross-Sectional Study of Recovered Iraqi Patients.

Int J Dent. 2023-2-17

[4]
Multiple strains causing oral infection in COVID-19 patients under corticosteroids and antibiotic therapy: An observational study.

Front Cell Infect Microbiol. 2022

[5]
Oral Manifestations of COVID-19: A Cross-Sectional Study of Their Prevalence and Association with Disease Severity.

J Clin Med. 2022-7-30

[6]
Epidemiology, risk factors, species distribution, and antifungal susceptibility of candidemia among hospitalized patients with COVID-19.

Curr Med Mycol. 2021-12

[7]
Oral manifestations in SARS-CoV-2 infection.

Med Oral Patol Oral Cir Bucal. 2022-7-1

[8]
Human Fungal Infection, Immune Response, and Clinical Challenge-a Perspective During COVID-19 Pandemic.

Appl Biochem Biotechnol. 2022-9

[9]
Dysregulated Immune Responses in SARS-CoV-2-Infected Patients: A Comprehensive Overview.

Viruses. 2022-5-18

[10]
Oral dysbiosis and its linkage with SARS-CoV-2 infection.

Microbiol Res. 2022-8

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