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
ISTEX:BFDECC01B525143F43DBAA9F357C83F4DC788027Le document en format XML
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when="2005-05">2005-05</date></imprint><idno type="ISSN">1354-523X</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1354-523X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acrylic resin</term><term>Acta odontol scand</term><term>Albicans</term><term>Antifungal</term><term>Antifungal susceptibility</term><term>Biological parameters</term><term>Candida</term><term>Candida albicans</term><term>Candida species</term><term>Candidiasis</term><term>Care programme</term><term>Clinical data</term><term>Clinical signs</term><term>Colonization</term><term>Dent</term><term>Denture</term><term>Denture hygiene</term><term>Diagn microbiol</term><term>Elderly patients</term><term>Elderly people</term><term>Epstein</term><term>Exclusion criteria</term><term>Full dentures</term><term>Gauze compresses</term><term>Geriatric</term><term>Geriatric care</term><term>Geriatric departments</term><term>Geriatric unit</term><term>Glabrata</term><term>Glabrata colonization</term><term>Grimoud</term><term>High degree</term><term>Highest degree</term><term>Hygiene</term><term>Hygiene care</term><term>Immunocompetent host</term><term>Legal representative</term><term>Mental illness</term><term>Mucous membranes</term><term>Mycology laboratory</term><term>Older patient</term><term>Oral candidiasis</term><term>Oral cavity</term><term>Oral colonization</term><term>Oral diseases</term><term>Oral health</term><term>Oral hygiene</term><term>Oral hygiene protocol</term><term>Oral mucosa</term><term>Oral pathol</term><term>Oral samples</term><term>Oral status</term><term>Oral surg</term><term>Oral treatment need</term><term>Oral yeast infections</term><term>Oropharyngeal candidiasis</term><term>Present study</term><term>Programme</term><term>Protocol</term><term>Rangueil university hospital</term><term>Removable dentures</term><term>Risk factors</term><term>Samaranayake</term><term>Spec care dentist</term><term>Statistical analysis</term><term>Study population</term><term>Subtherapeutic concentrations</term><term>Such colonization</term><term>Toulouse cedex</term><term>Toulouse university hospital centre</term><term>Xerostomia</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Acrylic resin</term><term>Acta odontol scand</term><term>Albicans</term><term>Antifungal</term><term>Antifungal susceptibility</term><term>Biological parameters</term><term>Candida</term><term>Candida albicans</term><term>Candida species</term><term>Candidiasis</term><term>Care programme</term><term>Clinical data</term><term>Clinical signs</term><term>Colonization</term><term>Dent</term><term>Denture</term><term>Denture hygiene</term><term>Diagn microbiol</term><term>Elderly patients</term><term>Elderly people</term><term>Epstein</term><term>Exclusion criteria</term><term>Full dentures</term><term>Gauze compresses</term><term>Geriatric</term><term>Geriatric care</term><term>Geriatric departments</term><term>Geriatric unit</term><term>Glabrata</term><term>Glabrata colonization</term><term>Grimoud</term><term>High degree</term><term>Highest degree</term><term>Hygiene</term><term>Hygiene care</term><term>Immunocompetent host</term><term>Legal representative</term><term>Mental illness</term><term>Mucous membranes</term><term>Mycology laboratory</term><term>Older patient</term><term>Oral candidiasis</term><term>Oral cavity</term><term>Oral colonization</term><term>Oral diseases</term><term>Oral health</term><term>Oral hygiene</term><term>Oral hygiene protocol</term><term>Oral mucosa</term><term>Oral pathol</term><term>Oral samples</term><term>Oral status</term><term>Oral surg</term><term>Oral treatment need</term><term>Oral yeast infections</term><term>Oropharyngeal candidiasis</term><term>Present study</term><term>Programme</term><term>Protocol</term><term>Rangueil university hospital</term><term>Removable dentures</term><term>Risk factors</term><term>Samaranayake</term><term>Spec care dentist</term><term>Statistical analysis</term><term>Study population</term><term>Subtherapeutic concentrations</term><term>Such colonization</term><term>Toulouse cedex</term><term>Toulouse university hospital centre</term><term>Xerostomia</term></keywords></textClass></profileDesc></teiHeader><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></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>denture</json:string><json:string>candida</json:string><json:string>candidiasis</json:string><json:string>colonization</json:string><json:string>glabrata</json:string><json:string>programme</json:string><json:string>grimoud</json:string><json:string>xerostomia</json:string><json:string>oral health</json:string><json:string>oral hygiene</json:string><json:string>albicans</json:string><json:string>oral status</json:string><json:string>antifungal</json:string><json:string>care programme</json:string><json:string>samaranayake</json:string><json:string>oral diseases</json:string><json:string>oral candidiasis</json:string><json:string>geriatric</json:string><json:string>hygiene</json:string><json:string>candida species</json:string><json:string>oral 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host</json:string><json:string>highest degree</json:string><json:string>oral treatment need</json:string><json:string>antifungal susceptibility</json:string><json:string>legal representative</json:string></teeft></keywords><author><json:item><name>AM Grimoud</name><affiliations><json:string>Odontology Department, Hôtel‐Dieu Saint‐Jacques University Hospital</json:string></affiliations></json:item><json:item><name>JP Lodter</name><affiliations><json:string>Odontology Department, Hôtel‐Dieu Saint‐Jacques University Hospital</json:string></affiliations></json:item><json:item><name>N Marty</name><affiliations><json:string>Laboratory for Microbiology and Hygiene, Rangueil University Hospital, avenue Jean Pouilhés</json:string></affiliations></json:item><json:item><name>S Andrieu</name><affiliations><json:string>Department of Epidemiology and Public Health, Faculty of Medicine, allées Jules Guesde</json:string></affiliations></json:item><json:item><name>H Bocquet</name><affiliations><json:string>Department of Epidemiology and Public Health, Faculty of Medicine, allées Jules Guesde</json:string></affiliations></json:item><json:item><name>MD Linas</name><affiliations><json:string>Laboratory for Mycology, Rangueil University Hospital, avenue Jean Pouilhés</json:string></affiliations></json:item><json:item><name>M Rumeau</name><affiliations><json:string>Geriatrics Department, La Grave University Hospital, place Lange, Toulouse Cedex, France</json:string></affiliations></json:item><json:item><name>JC Cazard</name><affiliations><json:string>Geriatrics Department, La Grave University Hospital, place Lange, Toulouse Cedex, France</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>oral colonization</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Candida spp.</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>oral hygiene programme</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>nurse training</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>risk factor</value></json:item></subject><articleId><json:string>ODI1074</json:string></articleId><arkIstex>ark:/67375/WNG-671L1LKM-P</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><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><qualityIndicators><score>8.08</score><pdfWordCount>5020</pdfWordCount><pdfCharCount>30413</pdfCharCount><pdfVersion>1.4</pdfVersion><pdfPageCount>7</pdfPageCount><pdfPageSize>595 x 782 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>90</abstractWordCount><abstractCharCount>555</abstractCharCount><keywordCount>5</keywordCount></qualityIndicators><title>Improved oral hygiene and Candida species colonization level in geriatric patients</title><pmid><json:string>15888107</json:string></pmid><genre><json:string>article</json:string></genre><host><title>Oral Diseases</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1601-0825</json:string></doi><issn><json:string>1354-523X</json:string></issn><eissn><json:string>1601-0825</json:string></eissn><publisherId><json:string>ODI</json:string></publisherId><volume>11</volume><issue>3</issue><pages><first>163</first><last>169</last><total>7</total></pages><genre><json:string>journal</json:string></genre></host><namedEntities><unitex><date><json:string>2005</json:string><json:string>1980s</json:string></date><geogName></geogName><orgName><json:string>Rangueil University</json:string><json:string>Department of Epidemiology and Public Health</json:string><json:string>Laboratory for Mycology, Rangueil University Hospital</json:string><json:string>BASIC RESEARCH DESIGN</json:string><json:string>Epidemiology Department of the Toulouse University Hospital Centre</json:string><json:string>France OBJECTIVES</json:string><json:string>Toulouse University Hospital Centre</json:string><json:string>Geriatrics Department, La Grave University Hospital</json:string><json:string>Laboratory for Microbiology and Hygiene</json:string><json:string>Dieu Saint-Jacques University</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Martha Darce</json:string><json:string>Smith Kline</json:string><json:string>Jules Guesde</json:string><json:string>Dieu Saint-Jacques</json:string><json:string>Mac Nemar</json:string><json:string>Anne-Marie Grimoud</json:string><json:string>Jean Pouilhe</json:string><json:string>Candida</json:string><json:string>Stuart Maxwel</json:string></persName><placeName><json:string>Paris</json:string><json:string>Toulouse</json:string><json:string>France</json:string><json:string>Lyon</json:string></placeName><ref_url><json:string>http://www.blackwellmunksgaard.com</json:string></ref_url><ref_bibl><json:string>Shay and Ship, 1995</json:string><json:string>Chiappelli et al, 2002</json:string><json:string>Kuc et al (1994)</json:string><json:string>Ettinger et al (1996)</json:string><json:string>Yonezawa et al, 2002</json:string><json:string>Isaksson et al, 2003</json:string><json:string>Nordenram and Ljunggren, 2002</json:string><json:string>Ettinger (1996)</json:string><json:string>Fanello et al, 2001</json:string><json:string>Ettinger, 1996</json:string><json:string>Stanfield et al, 2003</json:string><json:string>Axell, 1992</json:string><json:string>Mersel et al (2000)</json:string><json:string>Kuc et al, 1994</json:string><json:string>Steele and Walls, 1997</json:string><json:string>Crockett et al (1992)</json:string><json:string>Isaksson et al (2003)</json:string><json:string>Nordenram and Ljunggren (2002)</json:string><json:string>Sumi et al (2002)</json:string><json:string>Loesche et al (1995)</json:string><json:string>Shay and Ship (1995)</json:string><json:string>Imsand et al, 2002</json:string><json:string>Kulak-Ozkan et al (2002)</json:string><json:string>Akpan and Morgan, 2002</json:string><json:string>Fotos et al, 1992</json:string><json:string>Shenkin and Baum, 2001</json:string><json:string>Blair et al, 1995</json:string><json:string>Grimoud et al, 2003</json:string><json:string>Grimoud et al</json:string><json:string>Steele and Walls (1997)</json:string><json:string>Rindum et al, 1994</json:string><json:string>Loesche et al, 1995</json:string><json:string>Pfaller et al, 1998, 1999</json:string><json:string>Epstein et al, 1980</json:string><json:string>Epstein, 1996</json:string><json:string>Rak and Warren (1990)</json:string><json:string>Egusa et al (2000)</json:string><json:string>Egusa et al, 2000</json:string><json:string>Chiappelli et al (2002)</json:string><json:string>Luo and Samaranayake, 2002</json:string><json:string>Maillie et al, 1999</json:string><json:string>Ohno et al (2003)</json:string><json:string>Friedlander and Friedlander, 2003</json:string><json:string>Yonezawa et al (2003)</json:string><json:string>Ohno et al, 2003</json:string><json:string>Clay and Nelson, 2002</json:string><json:string>Budtz-Jorgensen, 1990</json:string><json:string>Yonezawa et al, 2003</json:string><json:string>Epstein et al (1992)</json:string><json:string>Guivante-Nabet et al (1998)</json:string><json:string>Marshall et al, 2002</json:string><json:string>Fischer-Hoch and Hutwagner, 1995</json:string><json:string>Banting and Hill, 2001</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-671L1LKM-P</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - dentistry, oral surgery & medicine</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - dentistry</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Dentistry</json:string><json:string>3 - General Dentistry</json:string><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Otorhinolaryngology</json:string></scopus></categories><publicationDate>2005</publicationDate><copyrightDate>2005</copyrightDate><doi><json:string>10.1111/j.1601-0825.2005.01074.x</json:string></doi><id>BFDECC01B525143F43DBAA9F357C83F4DC788027</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/BFDECC01B525143F43DBAA9F357C83F4DC788027/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/BFDECC01B525143F43DBAA9F357C83F4DC788027/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/BFDECC01B525143F43DBAA9F357C83F4DC788027/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Improved oral hygiene and <hi rend="italic">Candida</hi> species colonization level in geriatric patients</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Munksgaard International Publishers</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2005-05"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Improved oral hygiene and <hi rend="italic">Candida</hi> species colonization level in geriatric patients</title><title level="a" type="short">Improved oral hygiene by care programme</title><author xml:id="author-0000"><persName><forename type="first">AM</forename><surname>Grimoud</surname></persName><affiliation>Odontology Department, Hôtel‐Dieu Saint‐Jacques University Hospital</affiliation></author><author xml:id="author-0001"><persName><forename type="first">JP</forename><surname>Lodter</surname></persName><affiliation>Odontology Department, Hôtel‐Dieu Saint‐Jacques University Hospital</affiliation></author><author xml:id="author-0002"><persName><forename type="first">N</forename><surname>Marty</surname></persName><affiliation>Laboratory for Microbiology and Hygiene, Rangueil University Hospital, avenue Jean Pouilhés</affiliation></author><author xml:id="author-0003"><persName><forename type="first">S</forename><surname>Andrieu</surname></persName><affiliation>Department of Epidemiology and Public Health, Faculty of Medicine, allées Jules Guesde</affiliation></author><author xml:id="author-0004"><persName><forename type="first">H</forename><surname>Bocquet</surname></persName><affiliation>Department of Epidemiology and Public Health, Faculty of Medicine, allées Jules Guesde</affiliation></author><author xml:id="author-0005"><persName><forename type="first">MD</forename><surname>Linas</surname></persName><affiliation>Laboratory for Mycology, Rangueil University Hospital, avenue Jean Pouilhés</affiliation></author><author xml:id="author-0006"><persName><forename type="first">M</forename><surname>Rumeau</surname></persName><affiliation>Geriatrics Department, La Grave University Hospital, place Lange, Toulouse Cedex, France<address><country key="FR"></country></address></affiliation></author><author xml:id="author-0007"><persName><forename type="first">JC</forename><surname>Cazard</surname></persName><affiliation>Geriatrics Department, La Grave University Hospital, place Lange, Toulouse Cedex, France<address><country key="FR"></country></address></affiliation></author><idno type="istex">BFDECC01B525143F43DBAA9F357C83F4DC788027</idno><idno type="ark">ark:/67375/WNG-671L1LKM-P</idno><idno type="DOI">10.1111/j.1601-0825.2005.01074.x</idno><idno type="unit">ODI1074</idno><idno type="toTypesetVersion">file:ODI.ODI1074.pdf</idno></analytic><monogr><title level="j" type="main">Oral Diseases</title><title level="j" type="alt">ORAL DISEASES</title><idno type="pISSN">1354-523X</idno><idno type="eISSN">1601-0825</idno><idno type="book-DOI">10.1111/(ISSN)1601-0825</idno><idno type="book-part-DOI">10.1111/odi.2005.11.issue-3</idno><idno type="product">ODI</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">11</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="163">163</biblScope><biblScope unit="page" to="169">169</biblScope><biblScope unit="page-count">7</biblScope><publisher>Munksgaard International Publishers</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2005-05"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><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></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">oral colonization</term><term xml:id="k2"><hi rend="italic">Candida</hi> spp.</term><term xml:id="k3">oral hygiene programme</term><term xml:id="k4">nurse training</term><term xml:id="k5">risk factor</term></keywords><keywords rend="tocHeading1"><term>ORIGINAL ARTICLES</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/BFDECC01B525143F43DBAA9F357C83F4DC788027/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Munksgaard International Publishers</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1601-0825</doi><issn type="print">1354-523X</issn><issn type="electronic">1601-0825</issn><idGroup><id type="product" value="ODI"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="ORAL DISEASES">Oral Diseases</title></titleGroup></publicationMeta><publicationMeta level="part" position="05003"><doi origin="wiley">10.1111/odi.2005.11.issue-3</doi><numberingGroup><numbering type="journalVolume" number="11">11</numbering><numbering type="journalIssue" number="3">3</numbering></numberingGroup><coverDate startDate="2005-05">May 2005</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="7" status="forIssue"><doi origin="wiley">10.1111/j.1601-0825.2005.01074.x</doi><idGroup><id type="unit" value="ODI1074"></id></idGroup><countGroup><count type="pageTotal" number="7"></count></countGroup><titleGroup><title type="tocHeading1">ORIGINAL ARTICLES</title></titleGroup><eventGroup><event type="firstOnline" date="2005-05-11"></event><event type="publishedOnlineFinalForm" date="2005-05-11"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.5 mode:FullText source:FullText result:FullText" date="2010-04-07"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-06"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-11-03"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="163">163</numbering><numbering type="pageLast" number="169">169</numbering></numberingGroup><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></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:ODI.ODI1074.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Received 26 February 2004; revised 23 September 2004; accepted 30 September 2004</unparsedEditorialHistory><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="3"></count></countGroup><titleGroup><title type="main">Improved oral hygiene and <i>Candida</i> species colonization level in geriatric patients</title><title type="shortAuthors">AM Grimoud <i>et al</i></title><title type="short"><b>Improved oral hygiene by care programme</b></title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>AM</givenNames><familyName>Grimoud</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1"><personName><givenNames>JP</givenNames><familyName>Lodter</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a2"><personName><givenNames>N</givenNames><familyName>Marty</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a3"><personName><givenNames>S</givenNames><familyName>Andrieu</familyName></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a3"><personName><givenNames>H</givenNames><familyName>Bocquet</familyName></personName></creator><creator creatorRole="author" xml:id="cr6" affiliationRef="#a4"><personName><givenNames>MD</givenNames><familyName>Linas</familyName></personName></creator><creator creatorRole="author" xml:id="cr7" affiliationRef="#a5"><personName><givenNames>M</givenNames><familyName>Rumeau</familyName></personName></creator><creator creatorRole="author" xml:id="cr8" affiliationRef="#a5"><personName><givenNames>JC</givenNames><familyName>Cazard</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1"><unparsedAffiliation>Odontology Department, Hôtel‐Dieu Saint‐Jacques University Hospital</unparsedAffiliation></affiliation><affiliation xml:id="a2"><unparsedAffiliation>Laboratory for Microbiology and Hygiene, Rangueil University Hospital, avenue Jean Pouilhés</unparsedAffiliation></affiliation><affiliation xml:id="a3"><unparsedAffiliation>Department of Epidemiology and Public Health, Faculty of Medicine, allées Jules Guesde</unparsedAffiliation></affiliation><affiliation xml:id="a4"><unparsedAffiliation>Laboratory for Mycology, Rangueil University Hospital, avenue Jean Pouilhés</unparsedAffiliation></affiliation><affiliation xml:id="a5" countryCode="FR"><unparsedAffiliation>Geriatrics Department, La Grave University Hospital, place Lange, Toulouse Cedex, France</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">oral colonization</keyword><keyword xml:id="k2"><i>Candida</i> spp.</keyword><keyword xml:id="k3">oral hygiene programme</keyword><keyword xml:id="k4">nurse training</keyword><keyword xml:id="k5">risk factor</keyword></keywordGroup><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></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Improved oral hygiene and Candida species colonization level in geriatric patients</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Improved oral hygiene by care programme</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Improved oral hygiene and Candida species colonization level in geriatric patients</title></titleInfo><name type="personal"><namePart type="given">AM</namePart><namePart type="family">Grimoud</namePart><affiliation>Odontology Department, Hôtel‐Dieu Saint‐Jacques University Hospital</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">JP</namePart><namePart type="family">Lodter</namePart><affiliation>Odontology Department, Hôtel‐Dieu Saint‐Jacques University Hospital</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">N</namePart><namePart type="family">Marty</namePart><affiliation>Laboratory for Microbiology and Hygiene, Rangueil University Hospital, avenue Jean Pouilhés</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">S</namePart><namePart type="family">Andrieu</namePart><affiliation>Department of Epidemiology and Public Health, Faculty of Medicine, allées Jules Guesde</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">H</namePart><namePart type="family">Bocquet</namePart><affiliation>Department of Epidemiology and Public Health, Faculty of Medicine, allées Jules Guesde</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">MD</namePart><namePart type="family">Linas</namePart><affiliation>Laboratory for Mycology, Rangueil University Hospital, avenue Jean Pouilhés</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">M</namePart><namePart type="family">Rumeau</namePart><affiliation>Geriatrics Department, La Grave University Hospital, place Lange, Toulouse Cedex, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">JC</namePart><namePart type="family">Cazard</namePart><affiliation>Geriatrics Department, La Grave University Hospital, place Lange, Toulouse Cedex, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Munksgaard International Publishers</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2005-05</dateIssued><edition>Received 26 February 2004; revised 23 September 2004; accepted 30 September 2004</edition><copyrightDate encoding="w3cdtf">2005</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">0</extent><extent unit="tables">3</extent></physicalDescription><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></subject><relatedItem type="host"><titleInfo><title>Oral Diseases</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">1354-523X</identifier><identifier type="eISSN">1601-0825</identifier><identifier type="DOI">10.1111/(ISSN)1601-0825</identifier><identifier type="PublisherID">ODI</identifier><part><date>2005</date><detail type="volume"><caption>vol.</caption><number>11</number></detail><detail type="issue"><caption>no.</caption><number>3</number></detail><extent unit="pages"><start>163</start><end>169</end><total>7</total></extent></part></relatedItem><identifier type="istex">BFDECC01B525143F43DBAA9F357C83F4DC788027</identifier><identifier type="ark">ark:/67375/WNG-671L1LKM-P</identifier><identifier type="DOI">10.1111/j.1601-0825.2005.01074.x</identifier><identifier type="ArticleID">ODI1074</identifier><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Munksgaard International Publishers</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/BFDECC01B525143F43DBAA9F357C83F4DC788027/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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