Prevalence of Candida albicans and non-albicans on the tongue dorsa of elderly people living in a post-disaster area: a cross-sectional survey
Identifieur interne : 000110 ( Main/Exploration ); précédent : 000109; suivant : 000111Prevalence of Candida albicans and non-albicans on the tongue dorsa of elderly people living in a post-disaster area: a cross-sectional survey
Auteurs : Toshiro Sato ; Mitsuo Kishi ; Miki Suda ; Kiyomi Sakata ; Haruki Shimoda ; Hiroyuki Miura ; Akira Ogawa ; Seiichiro KobayashiSource :
- BMC Oral Health [ 1472-6831 ] ; 2017.
Abstract
This study was performed in 2014. Participants of this study were 266 community dwellers aged 60 years or older in Otsuchi town, which was severely damaged by the Great East Japan Earthquake and Tsunami in 2011. Oral specimens were collected from tongue dorsa by swabbing. After 48 h incubation on CHROMagar
Prevalence-related factors differed between
The online version of this article (doi:10.1186/s12903-017-0342-0) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s12903-017-0342-0
PubMed: 28148273
PubMed Central: 5288978
Affiliations:
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Iwate Medical University,</institution></institution-wrap>1-3-27 Chuo-dori, Morioka, Iwate 020-8505 Japan</nlm:aff><wicri:noCountry code="subfield">Iwate 020-8505 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Sakata, Kiyomi" sort="Sakata, Kiyomi" uniqKey="Sakata K" first="Kiyomi" last="Sakata">Kiyomi Sakata</name><affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9613 6383</institution-id><institution-id institution-id-type="GRID">grid.411790.a</institution-id><institution>Department of Hygiene and Preventive Medicine,</institution><institution>Iwate Medical University, School of Medicine,</institution></institution-wrap>2-1-1 Nishitokuta, Yahaba, Iwate 028-3694 Japan</nlm:aff><wicri:noCountry code="subfield">Iwate 028-3694 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Shimoda, Haruki" sort="Shimoda, Haruki" uniqKey="Shimoda H" first="Haruki" last="Shimoda">Haruki 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University,</institution></institution-wrap>1-3-27 Chuo-dori, Morioka, Iwate 020-8505 Japan</nlm:aff><wicri:noCountry code="subfield">Iwate 020-8505 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Ogawa, Akira" sort="Ogawa, Akira" uniqKey="Ogawa A" first="Akira" last="Ogawa">Akira Ogawa</name><affiliation><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9613 6383</institution-id><institution-id institution-id-type="GRID">grid.411790.a</institution-id><institution></institution><institution>Iwate Medical University,</institution></institution-wrap>19-1 Uchimaru, Morioka, Iwate 020-8505 Japan</nlm:aff><wicri:noCountry code="subfield">Iwate 020-8505 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Kobayashi, Seiichiro" sort="Kobayashi, Seiichiro" uniqKey="Kobayashi S" first="Seiichiro" last="Kobayashi">Seiichiro Kobayashi</name><affiliation><nlm:aff id="Aff4"><institution-wrap><institution-id 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institution-id-type="GRID">grid.411790.a</institution-id><institution>Division of Preventive Dentistry, Department of Oral Medicine,</institution><institution>School of Dentistry Iwate Medical University,</institution></institution-wrap>1-3-27 Chuo-dori, Morioka, Iwate 020-8505 Japan</nlm:aff><wicri:noCountry code="subfield">Iwate 020-8505 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Kishi, Mitsuo" sort="Kishi, Mitsuo" uniqKey="Kishi M" first="Mitsuo" last="Kishi">Mitsuo Kishi</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9613 6383</institution-id><institution-id institution-id-type="GRID">grid.411790.a</institution-id><institution>Division of Preventive Dentistry, Department of Oral Medicine,</institution><institution>School of Dentistry Iwate Medical University,</institution></institution-wrap>1-3-27 Chuo-dori, Morioka, Iwate 020-8505 Japan</nlm:aff><wicri:noCountry code="subfield">Iwate 020-8505 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Suda, Miki" sort="Suda, Miki" uniqKey="Suda M" first="Miki" last="Suda">Miki Suda</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9613 6383</institution-id><institution-id institution-id-type="GRID">grid.411790.a</institution-id><institution>Division of Preventive Dentistry, Department of Oral Medicine,</institution><institution>School of Dentistry Iwate Medical University,</institution></institution-wrap>1-3-27 Chuo-dori, Morioka, Iwate 020-8505 Japan</nlm:aff><wicri:noCountry code="subfield">Iwate 020-8505 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Sakata, Kiyomi" sort="Sakata, Kiyomi" uniqKey="Sakata K" first="Kiyomi" last="Sakata">Kiyomi Sakata</name><affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9613 6383</institution-id><institution-id institution-id-type="GRID">grid.411790.a</institution-id><institution>Department of Hygiene and Preventive Medicine,</institution><institution>Iwate Medical University, School of Medicine,</institution></institution-wrap>2-1-1 Nishitokuta, Yahaba, Iwate 028-3694 Japan</nlm:aff><wicri:noCountry code="subfield">Iwate 028-3694 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Shimoda, Haruki" sort="Shimoda, Haruki" uniqKey="Shimoda H" first="Haruki" last="Shimoda">Haruki Shimoda</name><affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9613 6383</institution-id><institution-id institution-id-type="GRID">grid.411790.a</institution-id><institution>Department of Hygiene and Preventive Medicine,</institution><institution>Iwate Medical University, School of Medicine,</institution></institution-wrap>2-1-1 Nishitokuta, Yahaba, Iwate 028-3694 Japan</nlm:aff><wicri:noCountry code="subfield">Iwate 028-3694 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Miura, Hiroyuki" sort="Miura, Hiroyuki" uniqKey="Miura H" first="Hiroyuki" last="Miura">Hiroyuki Miura</name><affiliation><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9613 6383</institution-id><institution-id institution-id-type="GRID">grid.411790.a</institution-id><institution>Division of Dental Education, Department of Oral Medicine,</institution><institution>School of Dentistry Iwate Medical University,</institution></institution-wrap>1-3-27 Chuo-dori, Morioka, Iwate 020-8505 Japan</nlm:aff><wicri:noCountry code="subfield">Iwate 020-8505 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Ogawa, Akira" sort="Ogawa, Akira" uniqKey="Ogawa A" first="Akira" last="Ogawa">Akira Ogawa</name><affiliation><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9613 6383</institution-id><institution-id institution-id-type="GRID">grid.411790.a</institution-id><institution></institution><institution>Iwate Medical University,</institution></institution-wrap>19-1 Uchimaru, Morioka, Iwate 020-8505 Japan</nlm:aff><wicri:noCountry code="subfield">Iwate 020-8505 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Kobayashi, Seiichiro" sort="Kobayashi, Seiichiro" uniqKey="Kobayashi S" first="Seiichiro" last="Kobayashi">Seiichiro Kobayashi</name><affiliation><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9613 6383</institution-id><institution-id institution-id-type="GRID">grid.411790.a</institution-id><institution></institution><institution>Iwate Medical University,</institution></institution-wrap>19-1 Uchimaru, Morioka, Iwate 020-8505 Japan</nlm:aff><wicri:noCountry code="subfield">Iwate 020-8505 Japan</wicri:noCountry></affiliation></author></analytic><series><title level="j">BMC Oral Health</title><idno type="eISSN">1472-6831</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p><italic>Candida</italic> species are normal commensal organisms of the mouth. However, they can cause oral mucosal and severe systemic infections in persons with reduced immune function, which is common in the very elderly. In post-disaster areas, the number of elderly residents rapidly increases due to the outflow of younger generations. Hence, we examined the prevalence of <italic>Candida albicans</italic> and non-<italic>albicans</italic> in association with oral and systemic conditions, life style, medications, and living conditions.</p></sec><sec><title>Methods</title><p>This study was performed in 2014. Participants of this study were 266 community dwellers aged 60 years or older in Otsuchi town, which was severely damaged by the Great East Japan Earthquake and Tsunami in 2011. Oral specimens were collected from tongue dorsa by swabbing. After 48 h incubation on CHROMagar<italic>™</italic> medium, <italic>C. albicans</italic> and non-<italic>albicans</italic> were identified by the morphology and pigmentation of the colonies. Oral and systemic health check-ups were performed to assess the following: number of remaining teeth and periodontal status, oral hygiene, use of dentures, obesity, hypertension, hyperlipidemia, and hyperglycemia. A questionnaire addressed lifestyle, medications, and living conditions. Using the variables above, the relative factors involved in the colonization and the amounts of each type of <italic>Candida</italic> were determined.</p></sec><sec><title>Results</title><p><italic>C. albicans</italic> and non-<italic>albicans</italic> were detected in 142 (53.4%) and 63 (23.7%) participants, respectively. Multinomial logistic regression analyses revealed that the significant factors of colonization by <italic>C. albicans</italic> were “having decayed teeth” and “relocation from home”. Factors related to non-<italic>albicans</italic> colonization were “age over 80 years”, “number of remaining teeth”, “use of dentures”, and “obesity”. On the contrary, none of the parameters were related to the amount of non-a<italic>lbicans</italic> in the carrier, and the amount of <italic>C. albicans</italic> was significantly associated with “number of teeth” and “hypertension”.</p></sec><sec><title>Conclusions</title><p>Prevalence-related factors differed between <italic>C. albicans</italic> and non-<italic>albicans</italic> colonization. In addition, other than oral status, systemic and living conditions affected the prevalence of both <italic>C. albicans</italic> and non-<italic>albicans</italic> in elderly people living in a post-disaster area.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1186/s12903-017-0342-0) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Johnson, Em" uniqKey="Johnson E">EM Johnson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lucas, Vs" uniqKey="Lucas V">VS Lucas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Arendorg, Tm" uniqKey="Arendorg T">TM Arendorg</name></author><author><name sortKey="Walker, Dm" uniqKey="Walker D">DM Walker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pfaller, Ma" 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Vargas</name></author><author><name sortKey="Swails Wenger, J" uniqKey="Swails Wenger J">J Swails-Wenger</name></author><author><name sortKey="Enger, L" uniqKey="Enger L">L Enger</name></author><author><name sortKey="Soll, Dr" uniqKey="Soll D">DR Soll</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Kishi, Mitsuo" sort="Kishi, Mitsuo" uniqKey="Kishi M" first="Mitsuo" last="Kishi">Mitsuo Kishi</name><name sortKey="Kobayashi, Seiichiro" sort="Kobayashi, Seiichiro" uniqKey="Kobayashi S" first="Seiichiro" last="Kobayashi">Seiichiro Kobayashi</name><name sortKey="Miura, Hiroyuki" sort="Miura, Hiroyuki" uniqKey="Miura H" first="Hiroyuki" last="Miura">Hiroyuki Miura</name><name sortKey="Ogawa, Akira" sort="Ogawa, Akira" uniqKey="Ogawa A" first="Akira" last="Ogawa">Akira Ogawa</name><name sortKey="Sakata, Kiyomi" sort="Sakata, Kiyomi" uniqKey="Sakata K" first="Kiyomi" last="Sakata">Kiyomi Sakata</name><name sortKey="Sato, Toshiro" sort="Sato, Toshiro" uniqKey="Sato T" first="Toshiro" last="Sato">Toshiro Sato</name><name sortKey="Shimoda, Haruki" sort="Shimoda, Haruki" uniqKey="Shimoda H" first="Haruki" last="Shimoda">Haruki Shimoda</name><name sortKey="Suda, Miki" sort="Suda, Miki" uniqKey="Suda M" first="Miki" last="Suda">Miki Suda</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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