Improved oral hygiene and Candida species colonization level in geriatric patients
Identifieur interne : 005F53 ( Istex/Corpus ); précédent : 005F52; suivant : 005F54Improved oral hygiene and Candida species colonization level in geriatric patients
Auteurs : Am Grimoud ; Jp Lodter ; N. Marty ; S. Andrieu ; H. Bocquet ; Md Linas ; M. Rumeau ; Jc CazardSource :
- Oral Diseases [ 1354-523X ] ; 2005-05.
English descriptors
- KwdEn :
- Acrylic resin, Acta odontol scand, Albicans, Antifungal, Antifungal susceptibility, Biological parameters, Candida, Candida albicans, Candida species, Candidiasis, Care programme, Clinical data, Clinical signs, Colonization, Dent, Denture, Denture hygiene, Diagn microbiol, Elderly patients, Elderly people, Epstein, Exclusion criteria, Full dentures, Gauze compresses, Geriatric, Geriatric care, Geriatric departments, Geriatric unit, Glabrata, Glabrata colonization, Grimoud, High degree, Highest degree, Hygiene, Hygiene care, Immunocompetent host, Legal representative, Mental illness, Mucous membranes, Mycology laboratory, Older patient, Oral candidiasis, Oral cavity, Oral colonization, Oral diseases, Oral health, Oral hygiene, Oral hygiene protocol, Oral mucosa, Oral pathol, Oral samples, Oral status, Oral surg, Oral treatment need, Oral yeast infections, Oropharyngeal candidiasis, Present study, Programme, Protocol, Rangueil university hospital, Removable dentures, Risk factors, Samaranayake, Spec care dentist, Statistical analysis, Study population, Subtherapeutic concentrations, Such colonization, Toulouse cedex, Toulouse university hospital centre, Xerostomia.
- Teeft :
- Acrylic resin, Acta odontol scand, Albicans, Antifungal, Antifungal susceptibility, Biological parameters, Candida, Candida albicans, Candida species, Candidiasis, Care programme, Clinical data, Clinical signs, Colonization, Dent, Denture, Denture hygiene, Diagn microbiol, Elderly patients, Elderly people, Epstein, Exclusion criteria, Full dentures, Gauze compresses, Geriatric, Geriatric care, Geriatric departments, Geriatric unit, Glabrata, Glabrata colonization, Grimoud, High degree, Highest degree, Hygiene, Hygiene care, Immunocompetent host, Legal representative, Mental illness, Mucous membranes, Mycology laboratory, Older patient, Oral candidiasis, Oral cavity, Oral colonization, Oral diseases, Oral health, Oral hygiene, Oral hygiene protocol, Oral mucosa, Oral pathol, Oral samples, Oral status, Oral surg, Oral treatment need, Oral yeast infections, Oropharyngeal candidiasis, Present study, Programme, Protocol, Rangueil university hospital, Removable dentures, Risk factors, Samaranayake, Spec care dentist, Statistical analysis, Study population, Subtherapeutic concentrations, Such colonization, Toulouse cedex, Toulouse university hospital centre, Xerostomia.
Abstract
Objectives: This work consists in improving oral hygiene (OH) for elderly dependent people in long‐term hospital care, in order to decrease the degree of colonization and the associated risk of developing oral candidiasis. As this population frequently suffers from such colonization and because it is difficult to install and practice OH care, a study protocol was designed at the request of geriatricians. The objective of the present study was to set up a programme of OH, applied by the care staff, and to monitor oral colonization of by Candida spp.
Url:
DOI: 10.1111/j.1601-0825.2005.01074.x
Links to Exploration step
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<front><div type="abstract">Objectives: This work consists in improving oral hygiene (OH) for elderly dependent people in long‐term hospital care, in order to decrease the degree of colonization and the associated risk of developing oral candidiasis. As this population frequently suffers from such colonization and because it is difficult to install and practice OH care, a study protocol was designed at the request of geriatricians. The objective of the present study was to set up a programme of OH, applied by the care staff, and to monitor oral colonization of by Candida spp.</div>
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<abstract>Objectives: This work consists in improving oral hygiene (OH) for elderly dependent people in long‐term hospital care, in order to decrease the degree of colonization and the associated risk of developing oral candidiasis. As this population frequently suffers from such colonization and because it is difficult to install and practice OH care, a study protocol was designed at the request of geriatricians. The objective of the present study was to set up a programme of OH, applied by the care staff, and to monitor oral colonization of by Candida spp.</abstract>
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<ref_bibl><json:string>Shay and Ship, 1995</json:string>
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<profileDesc><abstract xml:lang="en" style="main"><p><hi rend="bold">Objectives: </hi>
This work consists in improving oral hygiene (OH) for elderly dependent people in long‐term hospital care, in order to decrease the degree of colonization and the associated risk of developing oral candidiasis. As this population frequently suffers from such colonization and because it is difficult to install and practice OH care, a study protocol was designed at the request of geriatricians. The objective of the present study was to set up a programme of OH, applied by the care staff, and to monitor oral colonization of by <hi rend="italic">Candida</hi>
spp.</p>
<p><hi rend="bold">Basic research design: </hi>
We compared the levels of hygiene and <hi rend="italic">Candida</hi>
spp. colonization for a group of 110 long‐term patients in geriatric departments at T1, when clinical data were collected and oral mycological samples taken before the OH protocol was applied, and at T2, during the postprotocol phase after 3 months of application, when the clinical data and sample collection were repeated.</p>
<p><hi rend="bold">Results: </hi>
During these 3 months 11 patients died. These patients were excluded from the results, which are presented for matched series of the 99 patients still present at T2. Statistical analysis comparing the clinical and biological parameters at T1 and T2 established that there had been an improvement in OH: the ‘adequate’ level was reached for 72.4% of patients at T2 compared with 41.8% at T1 (<hi rend="italic">P</hi>
< 0.001) and the ‘very inadequate’ level was observed for 9.2% at T2 compared with 27.9% at T1 (<hi rend="italic">P</hi>
< 0.01). A reduction was observed in the number of patients showing the highest degree of <hi rend="italic">C. albicans</hi>
and <hi rend="italic">C. glabrata</hi>
colonization (>50 colony forming units) from 41.9% at T1 to 24.9% at T2 (<hi rend="italic">P</hi>
< 0.05) and from 56.4% at T1 to 13.0% at T2 (<hi rend="italic">P</hi>
< 0.05) respectively. The number of patients with candidiasis fell significantly from 43.2% at T1 to 10.2% at T2.</p>
<p><hi rend="bold">Conclusions: </hi>
The OH protocol led to an overall decrease in <hi rend="italic">Candida</hi>
spp. colonization, a significant reduction in the number of candidiasis and an improvement in the level of oral and denture hygiene but vigilance is still necessary concerning OH care and the initial training of staff in specific care of the mouth.</p>
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<correspondenceTo>Dr Anne‐Marie Grimoud, Service d'Odontologie, Hôtel‐Dieu Saint‐Jacques, 2, rue Viguerie, TSA 800 35, 31059 Toulouse Cedex, 9, France. Tel. & Fax: +33 5 61 76 82 47, E‐mail: <email>annemarie.grimoud@wanadoo.fr</email>
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<abstractGroup><abstract type="main" xml:lang="en"><p><b>Objectives: </b>
This work consists in improving oral hygiene (OH) for elderly dependent people in long‐term hospital care, in order to decrease the degree of colonization and the associated risk of developing oral candidiasis. As this population frequently suffers from such colonization and because it is difficult to install and practice OH care, a study protocol was designed at the request of geriatricians. The objective of the present study was to set up a programme of OH, applied by the care staff, and to monitor oral colonization of by <i>Candida</i>
spp.</p>
<p><b>Basic research design: </b>
We compared the levels of hygiene and <i>Candida</i>
spp. colonization for a group of 110 long‐term patients in geriatric departments at T1, when clinical data were collected and oral mycological samples taken before the OH protocol was applied, and at T2, during the postprotocol phase after 3 months of application, when the clinical data and sample collection were repeated.</p>
<p><b>Results: </b>
During these 3 months 11 patients died. These patients were excluded from the results, which are presented for matched series of the 99 patients still present at T2. Statistical analysis comparing the clinical and biological parameters at T1 and T2 established that there had been an improvement in OH: the ‘adequate’ level was reached for 72.4% of patients at T2 compared with 41.8% at T1 (<i>P</i>
< 0.001) and the ‘very inadequate’ level was observed for 9.2% at T2 compared with 27.9% at T1 (<i>P</i>
< 0.01). A reduction was observed in the number of patients showing the highest degree of <i>C. albicans</i>
and <i>C. glabrata</i>
colonization (>50 colony forming units) from 41.9% at T1 to 24.9% at T2 (<i>P</i>
< 0.05) and from 56.4% at T1 to 13.0% at T2 (<i>P</i>
< 0.05) respectively. The number of patients with candidiasis fell significantly from 43.2% at T1 to 10.2% at T2.</p>
<p><b>Conclusions: </b>
The OH protocol led to an overall decrease in <i>Candida</i>
spp. colonization, a significant reduction in the number of candidiasis and an improvement in the level of oral and denture hygiene but vigilance is still necessary concerning OH care and the initial training of staff in specific care of the mouth.</p>
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<abstract>Objectives: This work consists in improving oral hygiene (OH) for elderly dependent people in long‐term hospital care, in order to decrease the degree of colonization and the associated risk of developing oral candidiasis. As this population frequently suffers from such colonization and because it is difficult to install and practice OH care, a study protocol was designed at the request of geriatricians. The objective of the present study was to set up a programme of OH, applied by the care staff, and to monitor oral colonization of by Candida spp.</abstract>
<abstract>Basic research design: We compared the levels of hygiene and Candida spp. colonization for a group of 110 long‐term patients in geriatric departments at T1, when clinical data were collected and oral mycological samples taken before the OH protocol was applied, and at T2, during the postprotocol phase after 3 months of application, when the clinical data and sample collection were repeated.</abstract>
<abstract>Results: During these 3 months 11 patients died. These patients were excluded from the results, which are presented for matched series of the 99 patients still present at T2. Statistical analysis comparing the clinical and biological parameters at T1 and T2 established that there had been an improvement in OH: the ‘adequate’ level was reached for 72.4% of patients at T2 compared with 41.8% at T1 (P < 0.001) and the ‘very inadequate’ level was observed for 9.2% at T2 compared with 27.9% at T1 (P < 0.01). A reduction was observed in the number of patients showing the highest degree of C. albicans and C. glabrata colonization (>50 colony forming units) from 41.9% at T1 to 24.9% at T2 (P < 0.05) and from 56.4% at T1 to 13.0% at T2 (P < 0.05) respectively. The number of patients with candidiasis fell significantly from 43.2% at T1 to 10.2% at T2.</abstract>
<abstract>Conclusions: The OH protocol led to an overall decrease in Candida spp. colonization, a significant reduction in the number of candidiasis and an improvement in the level of oral and denture hygiene but vigilance is still necessary concerning OH care and the initial training of staff in specific care of the mouth.</abstract>
<subject lang="en"><genre>keywords</genre>
<topic>oral colonization</topic>
<topic>Candida spp.</topic>
<topic>oral hygiene programme</topic>
<topic>nurse training</topic>
<topic>risk factor</topic>
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<identifier type="eISSN">1601-0825</identifier>
<identifier type="DOI">10.1111/(ISSN)1601-0825</identifier>
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<part><date>2005</date>
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