Hauck H
Dtsch Med Wochenschr. 1980 Oct 17;105(42):1447-51. doi: 10.1055/s-2008-1070890.
Investigations for candidiasis of the skin and mucous membranes were done in 191 probands over 65 years of age, of whon 187 were occupants of an old people's home and 4 were having in-patient treatment. In the homes being tested Candida infections of the skin and mucous membranes were very numerous (48% and 26% of those investigated) comparable with the epidemics of thrush in premature and newborn units in previous years. Even the localisation of candidiasis was remarkably similar to that in the newborn and infant age groups (Candida mycosis of the external ear and intercrural area, generalised skin candidiasis resembling Leiner's desquamating erythrodermia). The cause of cutaneous candidiasis in old age was in most cases faecal incontinence in chronically bedridden obese patients (intestinal colonisation with C. albicans). Diabetes mellitus, on the other hand, seems to play only a secondary role in the conditions of old people's homes.
对191名65岁以上的受试者进行了皮肤和黏膜念珠菌病的调查，其中187人是养老院的居住者，4人正在接受住院治疗。在接受检测的养老院中，皮肤和黏膜念珠菌感染非常普遍（分别占受调查者的48%和26%），这与前几年早产儿和新生儿病房的鹅口疮流行情况相当。甚至念珠菌病的发病部位也与新生儿和婴儿年龄组非常相似（外耳道和腹股沟间区域的念珠菌病、类似莱纳剥脱性红皮病的全身性皮肤念珠菌病）。老年皮肤念珠菌病的病因在大多数情况下是长期卧床的肥胖患者大便失禁（白色念珠菌肠道定植）。另一方面，糖尿病在养老院的环境中似乎只起次要作用。
