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2024, Number 3

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Enf Infec Microbiol 2024; 44 (3)

Risk factors for oral colonization of species of Candida in geriatric population

Morales ER, Hernández NM, Olivares LAM, Delgado SG, Valencia GC, Méndez SJ, Ponce RER, González PAA

Language: Spanish
References: 22
Page: 105-111
PDF size: 146.45 Kb.


ABSTRACT

Objective. To relate risk factors that favor oral colonization of different Candida species, on geriatric patients.
Material and methods. Observational, cross-sectional and analytical study in older adults with different underlying pathologies in a first-level clinic. An oral cavity sample was taken. Chi square of independence was used, in addition to a multivariate discriminant analysis and multiple logistic regression. SPSS v 26 statistical program.
Results. 172 older adults were included. In 36.6%, positive cultures were obtained for the different species of Candida. In the relationship between the presence of Candida and studied factors; for patients with diabetes, statistical significance was obtained with sex, use of mouthwash, stomatitis, smoking, polypharmacy, and use of ara II. In patients with high blood pressure, with use of prostheses, edentulism and oral trauma. In the relation between risk factors and Candida species; for patients with diabetes mellitus, a relation was obtained with the use of mouthwash, diuretics, inhalers, and with intolerance to prostheses. In high blood pressure with the use of prostheses, allergy to prostheses, and with oral trauma.
Conclusions. First study in Mexico in geriatric patients where the relation between risk factors and colonization with different species of Candida is established. Pre-existing comorbidities per se are not enough to favor colonization; rather, it is the synergy between these and the various risk factors specific to this age group that makes the difference.


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