Universität zu Köln

Kottmann, Hannah Elisa, Derman, Sonja Henny Maria, Noack, Michael Johannes and Barbe, Anna Greta (2019). The underestimated problem of oral Candida colonization-An observational pilot study in one nursing home. CLIN. EXP. DENT. RES., 5 (6). S. 683 - 692. HOBOKEN: WILEY. ISSN 2057-4347

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Abstract

Objectives Older people are at increased risk of intraoral yeast colonization. In this observational case series, we assessed Candida colonization among nine nursing home residents to investigate possible correlations with their individual characteristics, general health parameters, and oral care. We also described the effect of professional dental cleaning (PDC) including prosthesis cleaning on colonization cases. Materials and methods General clinical and oral health was assessed in nine residents, and samples were taken from six oral mucosa sites or prosthetic surfaces. PDC was performed to achieve macroscopically clean results, and residents were re-examined 2 weeks later. Results We found that six residents were intraorally colonized with Candida albicans; four also had Candida glabrata. Prostheses were particularly infected. Dementia, multimorbidity, and presence of prostheses reduced oral hygiene ability; requiring assistance for oral hygiene care was a risk indicator for Candida colonization. PDC reduced C. albicans (at the expense of increased C. glabrata) but was not optimal for maintaining Candida reduction. Conclusion In this pilot study, Candida colonization is prevalent among nursing home residents, especially those with cognitive impairment, multimorbidity, or reduced oral hygiene capacity. Potential negative effects on general health necessitate diagnostic and therapeutic guidelines. PDC alone did not maintain the reduction in Candida colonization; additional methods for daily oral care are necessary.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Kottmann, Hannah Elisa UNSPECIFIED UNSPECIFIED UNSPECIFIED Derman, Sonja Henny Maria UNSPECIFIED UNSPECIFIED UNSPECIFIED Noack, Michael Johannes UNSPECIFIED UNSPECIFIED UNSPECIFIED Barbe, Anna Greta UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-141562
DOI:	10.1002/cre2.238
Journal or Publication Title:	CLIN. EXP. DENT. RES.
Volume:	5
Number:	6
Page Range:	S. 683 - 692
Date:	2019
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	2057-4347
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language DENTURE STOMATITIS; HEALTH; PNEUMONIA; YEASTS; CARE; SUSCEPTIBILITY; EPIDEMIOLOGY; PREVALENCE; ALBICANS; HYGIENE Multiple languages Dentistry, Oral Surgery & Medicine Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/14156