Detection of species diversity in oral candida colonization and anti-fungal susceptibility among non-oral habit adult diabetic patients
Identifieur interne : 004F63 ( Ncbi/Checkpoint ); précédent : 004F62; suivant : 004F64Detection of species diversity in oral candida colonization and anti-fungal susceptibility among non-oral habit adult diabetic patients
Auteurs : Jeyanthi Premkumar ; Pratibha Ramani ; Thiruvengadam Chandrasekar ; Anuja Natesan ; Priya PremkumarSource :
- Journal of Natural Science, Biology, and Medicine [ 0976-9668 ] ; 2014.
Abstract
Patients with diabetes mellitus are prone to secondary infections. In this study we aim to determine the prevalence of one such secondary infection (oral
Forty non-insulin-dependent diabetic patients and 40 healthy individuals were included in this study. Samples were collected by using the oral rinse method. The candidal species were isolated and identified through phenotypic methods. An
Patients with diabetes showed a significantly higher prevalence of candidal colonization. The rate of carriage and density (
Diabetic patients had a higher candidal carriage rate, with a variety of candidal strains, which significantly varied in their resistance to routinely used anti-fungal agents. Interestingly the higher oral candidal colonization in diabetic patients is related to local and systemic factors, independent of their oral habits.
Url:
DOI: 10.4103/0976-9668.127315
PubMed: 24678215
PubMed Central: 3961921
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Detection of species diversity in oral candida colonization and anti-fungal susceptibility among non-oral habit adult diabetic patients</title><author><name sortKey="Premkumar, Jeyanthi" sort="Premkumar, Jeyanthi" uniqKey="Premkumar J" first="Jeyanthi" last="Premkumar">Jeyanthi Premkumar</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Ramani, Pratibha" sort="Ramani, Pratibha" uniqKey="Ramani P" first="Pratibha" last="Ramani">Pratibha Ramani</name><affiliation><nlm:aff id="aff2"><italic>Department of Oral and Maxillofacial Pathology, Saveetha Dental College, Chennai, India</italic></nlm:aff></affiliation></author><author><name sortKey="Chandrasekar, Thiruvengadam" sort="Chandrasekar, Thiruvengadam" uniqKey="Chandrasekar T" first="Thiruvengadam" last="Chandrasekar">Thiruvengadam Chandrasekar</name><affiliation><nlm:aff id="aff3"><italic>Department of Oral and Maxillofacial Pathology, Sathyabama Dental College, Chennai, India</italic></nlm:aff></affiliation></author><author><name sortKey="Natesan, Anuja" sort="Natesan, Anuja" uniqKey="Natesan A" first="Anuja" last="Natesan">Anuja Natesan</name><affiliation><nlm:aff id="aff4"><italic>Department of Oral and Maxillofacial Pathology, Saveetha Dental College, Chennai, India</italic></nlm:aff></affiliation></author><author><name sortKey="Premkumar, Priya" sort="Premkumar, Priya" uniqKey="Premkumar P" first="Priya" last="Premkumar">Priya Premkumar</name><affiliation><nlm:aff id="aff4"><italic>Department of Oral and Maxillofacial Pathology, Saveetha Dental College, Chennai, India</italic></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24678215</idno><idno type="pmc">3961921</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3961921</idno><idno type="RBID">PMC:3961921</idno><idno type="doi">10.4103/0976-9668.127315</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">003244</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003244</idno><idno type="wicri:Area/Pmc/Curation">003244</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003244</idno><idno type="wicri:Area/Pmc/Checkpoint">001520</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001520</idno><idno type="wicri:Area/Ncbi/Merge">004F63</idno><idno type="wicri:Area/Ncbi/Curation">004F63</idno><idno type="wicri:Area/Ncbi/Checkpoint">004F63</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Detection of species diversity in oral candida colonization and anti-fungal susceptibility among non-oral habit adult diabetic patients</title><author><name sortKey="Premkumar, Jeyanthi" sort="Premkumar, Jeyanthi" uniqKey="Premkumar J" first="Jeyanthi" last="Premkumar">Jeyanthi Premkumar</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Ramani, Pratibha" sort="Ramani, Pratibha" uniqKey="Ramani P" first="Pratibha" last="Ramani">Pratibha Ramani</name><affiliation><nlm:aff id="aff2"><italic>Department of Oral and Maxillofacial Pathology, Saveetha Dental College, Chennai, India</italic></nlm:aff></affiliation></author><author><name sortKey="Chandrasekar, Thiruvengadam" sort="Chandrasekar, Thiruvengadam" uniqKey="Chandrasekar T" first="Thiruvengadam" last="Chandrasekar">Thiruvengadam Chandrasekar</name><affiliation><nlm:aff id="aff3"><italic>Department of Oral and Maxillofacial Pathology, Sathyabama Dental College, Chennai, India</italic></nlm:aff></affiliation></author><author><name sortKey="Natesan, Anuja" sort="Natesan, Anuja" uniqKey="Natesan A" first="Anuja" last="Natesan">Anuja Natesan</name><affiliation><nlm:aff id="aff4"><italic>Department of Oral and Maxillofacial Pathology, Saveetha Dental College, Chennai, India</italic></nlm:aff></affiliation></author><author><name sortKey="Premkumar, Priya" sort="Premkumar, Priya" uniqKey="Premkumar P" first="Priya" last="Premkumar">Priya Premkumar</name><affiliation><nlm:aff id="aff4"><italic>Department of Oral and Maxillofacial Pathology, Saveetha Dental College, Chennai, India</italic></nlm:aff></affiliation></author></analytic><series><title level="j">Journal of Natural Science, Biology, and Medicine</title><idno type="ISSN">0976-9668</idno><idno type="eISSN">2229-7707</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background and Objectives:</title><p>Patients with diabetes mellitus are prone to secondary infections. In this study we aim to determine the prevalence of one such secondary infection (oral <italic>Candida</italic> colonization) and evaluate the influence of local and systemic factors on the oral candidal colonization in patients with diabetes mellitus.</p></sec><sec id="st2"><title>Materials and Methods:</title><p>Forty non-insulin-dependent diabetic patients and 40 healthy individuals were included in this study. Samples were collected by using the oral rinse method. The candidal species were isolated and identified through phenotypic methods. An <italic>in vitro</italic> antifungal susceptibility profile was evaluated. Glycemic control, as determined by the glycosylated hemoglobin concentrations (HbA<sub>1c</sub>) of the study subjects, was correlated with the candidal colonization.</p></sec><sec id="st3"><title>Results:</title><p>Patients with diabetes showed a significantly higher prevalence of candidal colonization. The rate of carriage and density (<italic>P</italic> = 0.001) was higher. <italic>Candida albicans</italic> was the most predominantly isolated species, however, <italic>C. dubliniensis</italic>, <italic>C. tropicalis</italic>, and <italic>C. parapsilosis</italic> were also observed. Variable resistance toward the antifungal drugs (amphotericin B and fluconazole) was observed in the <italic>Candida</italic> isolated from diabetics, but not from healthy patients. Interestingly, a positive correlation was observed between glycemic control and candidal colonization.</p></sec><sec id="st4"><title>Conclusion:</title><p>Diabetic patients had a higher candidal carriage rate, with a variety of candidal strains, which significantly varied in their resistance to routinely used anti-fungal agents. Interestingly the higher oral candidal colonization in diabetic patients is related to local and systemic factors, independent of their oral habits.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Reichart, Pa" uniqKey="Reichart P">PA Reichart</name></author><author><name sortKey="Samaranayake, Lp" uniqKey="Samaranayake L">LP Samaranayake</name></author><author><name sortKey="Philipsen, Hp" uniqKey="Philipsen H">HP Philipsen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kumar, Bv" uniqKey="Kumar B">BV Kumar</name></author><author><name sortKey="Padshetty, Ns" uniqKey="Padshetty N">NS Padshetty</name></author><author><name sortKey="Bai, Ky" uniqKey="Bai K">KY Bai</name></author><author><name sortKey="Rao, Ms" uniqKey="Rao M">MS Rao</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Belazi, M" uniqKey="Belazi M">M Belazi</name></author><author><name 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