2016, Number 1
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Rev Cuba Endoc 2016; 27 (1)
Colonization by Candida spp. in diabetic and non-diabetic individuals in the north of Colombia
Suárez ÁP, Llanos GI, Montoya OR, Puello HM, Young CG, Reyes RN
Language: Spanish
References: 46
Page: 59-68
PDF size: 94.69 Kb.
ABSTRACT
Introduction: Candida genus may colonize the human body but also may cause
opportunistic infections. Diabetes is frequently considered a risk factor for
Candida
infections, given its characteristics associated to immunosuppresion,
hyperglycemia, microvascularization problems and others. Generally, colonization is
necessary for the starting of an infectious process; therefore, it is important to
know its frequency of carriage in groups with associated risk factors.
Objective: to determine the percentages of
Candida spp. colonization in the oral cavity and the inter-toe area in diabetic and nondiabetic patients.
Methods: the descriptive study was carried out in a group of 85 patients from the
north of Colombia, that is, 46 diabetics and 39 non diabetics. The isolates were
identified through phenotypical tests including CHROMagar, microscopy, germ tube
test, Chlamydospore test and zymogram.
Results: it was found in diabetic patients that the frequency of colonization by
Candida spp. in the oral cavity was 23.9 % and in the foot was 56.52 % whereas in
non-diabetic patients, the frequency of colonization in the oral cavity was 33.3 %
and in the foot was 43.58 %. Additionally, it was found in the group of diabetic
subjects that the frequency of colonization by
Candida albicans was 45.5 % in the
oral cavity whereas that of the foot was 11.5 %.
Conclusions: the achieved results indicate that the local environmental conditions
where the
Candida spp. is isolated may have an impact on the levels of carriage
and the variety of species, which could be more determining than the underlying
condition.
REFERENCES
Nobile CJ, Johnson AD. Candida albicans Biofilms and Human Disease. Annu Rev Microbiol. 2015;69:71-9.
Lopez-Martinez R. Candidosis, a new challenge. Clin Dermatol. 2010;28(2):178-84.
Merenstein D, Hu H, Wang C, Hamilton P, Blackmon M, Chen H, et al. Colonization by Candida species of the oral and vaginal mucosa in HIV-infected and noninfected women. AIDS Res Hum Retroviruses. 2013;29(1):30-4.
Pfaller MA, Andes DR, Diekema DJ, Horn DL, Reboli AC, Rotstein C, et al. Epidemiology and outcomes of invasive candidiasis due to non-albicans species of Candida in 2,496 patients: data from the Prospective Antifungal Therapy (PATH) registry 2004-2008. PLoS One. 2014;9(7):e101510.
Almirante B, Rodriguez D, Park B, Ayats J, Gimenez M, Saballs P, et al. Epidemiology and predictors of mortality in cases of Candida bloodstream infection: Results from population-based surveillance, Barcelona, Spain, from 2002 to 2003. J Clin Microbiol. 2005;43(4):1829-35.
Sendid B, Cotteau A, Francois N, D'Haveloose A, Standaert A, Camus D. Candiaemia and antifungal therapy in a French University Hospital: rough trends over a decade and possible links. BMC Infect Dis. 2006;6(80):1-9.
Bedini A, Venturelli C, Mussini C, Guaraldi G, Codeluppi M, Borghi V, et al. Epidemiology of candidaemia and antifungal susceptibility patterns in an Italian tertiary-care hospital. Clin Microbiol Infect. 2006;12(1):75-80.
Leon C, Ostrosky-Zeichner L, Schuster M. What's new in the clinical and diagnostic management of invasive candidiasis in critically ill patients. Intensive Care Med. 2014;40(6):808-19.
Caggiano G, Coretti C, Bartolomeo N, Lovero G, De Giglio O, Montagna MT. Candida Bloodstream Infections in Italy: Changing Epidemiology during 16 Years of Surveillance. Biomed Res Int. 2015;2015:256580.
Taj-Aldeen SJ, Kolecka A, Boesten R, Alolaqi A, Almaslamani M, Chandra P, et al. Epidemiology of candidemia in Qatar, the Middle East: performance of MALDITOF MS for the identification of Candida species, species distribution, outcome, and susceptibility pattern. Infection. 2014;42(2):393-404.
Trubiano JA, Leung VK, Worth LJ, Teh BW, Thursky KA, Slavin MA. Candida glabrata fungaemia at an Australian cancer centre: epidemiology, risk factors and therapy. Leuk Lymphoma. 2015:56(1):3442-4.
Yang ZT, Wu L, Liu XY, Zhou M, Li J, Wu JY, et al. Epidemiology, species distribution and outcome of nosocomial Candida spp. bloodstream infection in Shanghai. BMC Infect Dis. 2014;14:241.
Yapar N. Epidemiology and risk factors for invasive candidiasis. Ther Clin Risk Manag. 2014;10:95-105.
Pu S, Niu S, Zhang C, Xu X, Qin M, Huang S, et al. Epidemiology, antifungal susceptibilities, and risk factors for invasive candidiasis from 2011 to 2013 in a teaching hospital in southwest China. J Microbiol Immunol Infect [serie en Internet]. 2015 [citado 5 de mayo de 2015]. Disponible en: http://dx.doi.org/10.1016/j.jmii.2015.01.005
Wang L, Tong Z, Wang Z, Xu L, Wu Y, Liu Y, et al. Single-center retrospective study of the incidence of, and risk factors for, non-C. albicans invasive candidiasis in hospitalized patients in China. Med Mycol. 2014;52(2):115-22.
Soysa NS, Samaranayake LP, Ellepola NB. Diabetes mellitus as a contributory factor in oral candidosis. Diabet Med. 2005;23:455-9.
Al Mubarak S, Robert AA, Baskaradoss JK, Al-Zoman K, Al Sohail A, Alsuwyed A, et al. The prevalence of oral Candida infections in periodontitis patients with type 2 diabetes mellitus. J Infect Public Health. 2013;6(4):296-301.
Bassyouni RH, Wegdan AA, Abdelmoneim A, Said W, Abo Elnaga F. Phospholipase and Aspartyl Proteinase Activities of Candida Species Causing Vulvovaginal Candidiasis in Patients with Type 2 Diabetes Mellitus. J Microbiol Biotechnol. 2015;25(10):1734-41.
Peleg AY, Weerarathna T, McCarthy JS, Davis TM. Common infections in diabetes: pathogenesis, management and relationship to glycaemic control. Diabetes Metab Res Rev. 2007;23(1):3-13.
Nikolic DM. Effects of Candida on insulin secretion of human adult pancreatic islets and possible onset of diabetes. Br J Biomed Sci. 2014;71(2):73-8.
Wilke T, Boettger B, Berg B, Groth A, Mueller S, Botteman M, et al. Epidemiology of urinary tract infections in type 2 diabetes mellitus patients: An analysis based on a large sample of 456,586 German T2DM patients. Journal of Diabetes and its Complications. 2015 Nov-Dec;29(8):1015-23.
Lipsky BA, Aragon-Sanchez J, Diggle M, Embil J, Kono S, Lavery L, et al. IWGDF guidance on the diagnosis and management of foot infections in persons with diabetes. Diabetes Metab Res Rev [serie en Internet]. 2015 [citado 10 de mayo de 2015]. Disponible en: http://onlinelibrary.wiley.com/doi/10.1002/dmrr.2699/pdf
Atreja A, Kalra S. Infections in diabetes. J Pak Med Assoc. 2015;65(9):1028-30.
Bomberg H, Kubulus C, List F, Albert N, Schmitt K, Graber S, et al. Diabetes: a risk factor for catheter-associated infections. Reg Anesth Pain Med. 2015;40(1):16-21.
Nitzan O, Elias M, Chazan B, Saliba W. Urinary tract infections in patients with type 2 diabetes mellitus: review of prevalence, diagnosis, and management. Diabetes Metab Syndr Obes. 2015;8:129-36.
O'Toole P, Maltenfort MG, Chen AF, Parvizi J. Projected Increase in Periprosthetic Joint Infections Secondary to Rise in Diabetes and Obesity. J Arthroplasty [serie en Internet]. 2015 [citado 2 de junio de 2015]. Disponible en: http://dx.doi.org/10.1016/j.arth.2015.07.034
Bader MS, Lai SM, Kumar V, Hinthorn D. Candidemia in patients with diabetes mellitus: epidemiology and predictors of mortality. Scand J Infect Dis. 2004;36(11- 12):860-4.
Martinez RF, Jaimes-Aveldanez A, Hernandez-Perez F, Arenas R, Miguel GF. Oral Candida spp. carriers: its prevalence in patients with type 2 diabetes mellitus. An Bras Dermatol. 2013;88(2):222-5.
Alayón A, Alvear C. Prevalencia de desórdenes del metabolismo de los glúcidos y perfil del diabético en Cartagena de Indias (Colombia), 2005. Salud Uninorte. 2006;22(1):20-8.
Al-Attas SA, Amro SO. Candidal colonization, strain diversity, and antifungal susceptibility among adult diabetic patients. Ann Saudi Med. 2010;30(2):101-8.
WHO. Definition and diagnosis of diabetes mellitus and intermediate hyperglycaemia [homepage en Internet]. Diabetes Programme. WHO; 2006 [citado 8 de noviembre 2012]. Disponible en: http://www.who.int/diabetes/publications/diagnosis_diabetes2006/en
Byadarahally Raju S, Rajappa S. Isolation and identification of Candida from the oral cavity. ISRN Dent. 2011;2011:487921.
Alvarez MI, Suarez BL, Caicedo LD. Isolation of Candida dubliniensis for the First Time in Cali, Colombia, and its Identification with Phenotyping Methods. Mycopathologia. 2009;167(1):19-24.
Foster KW, Ghannoum MA, Elewski BE. Epidemiologic surveillance of cutaneous fungal infection in the United States from 1999 to 2002. J Am Acad Dermatol. 2004;50(5):748-52.
Hospenthal DR, Beckius ML, Floyd KL, Horvath LL, Murray CK. Presumptive identification of Candida species other than C. albicans, C. krusei, and C. tropicalis with the chromogenic medium CHROMagar Candida. Ann Clin Microbiol Antimicrob. 2006;5:1.
Odds FC, Bernaerts R. CHROMagar Candida, a new differential isolation medium for presumptive identification of clinically important Candida species. J Clin Microbiol. 1994;32(8):1923-9.
Pineda G, Scollo K, Santiso G, Lehmann E, Arechavala A. Isolation of Candida dubliniensis in different clinical samples. Analysis of phenotypical methods to differentiate it from Candida albicans. Rev Argent Microbiol. 2008;40(4):211-7.
Duarte A, Márquez A, Araujo C, Pérez C. Modalidades del tubo germinal. Rev Soc Ven Microbiol. 2009;29(1):66-8.
Pincus DH, Orenga S, Chatellier S. Yeast identification-past, present, and future methods. Med Mycol. 2007;45(2):97-121.
Wadile RG, Bhate VM. Study of clinical spectrum and risk factors of neonatal candidemia. Indian J Pathol Microbiol. 2015;58(4):472-4.
Mullaoglu S, Turktas H, Kokturk N, Tuncer C, Kalkanci A, Kustimur S. Esophageal candidiasis and Candida colonization in asthma patients on inhaled steroids. Allergy Asthma Proc. 2007;28(5):544-9.
Thaweboon S, Thaweboon B, Srithavaj T, Choonharuangdej S. Oral colonization of Candida species in patients receiving radiotherapy in the head and neck area. Quintessence Int. 2008;39(2):e52-7.
Premkumar J, Ramani P, Chandrasekar T, Natesan A, Premkumar P. Detection of species diversity in oral candida colonization and anti-fungal susceptibility among non-oral habit adult diabetic patients. Journal of Natural Science, Biology, and Medicine. 2014;5(1):148-54.
Duque C, Correa E, Rendón J, Bedoya J, Hernández O. Frecuencia de portadores de Candida spp. en cavidad oral de pacientes diabéticos de Medellín. NOVA Publicación Científica en Ciencias Biomédicas. 2012;10(17):34-7.
Erkose G, Erturan Z. Oral Candida colonization of human immunodeficiency virus infected subjects in Turkey and its relation with viral load and CD4+ Tlymphocyte count. Mycoses. 2007;50(6):485-90.
Milnaric-Missoni E, Kalenic S, Vukelic M, De Syo D, Belicza M, Vazic-Babic V. Candida infections of diabetic foot ulcers. Diabetologia Croatica. 2005;34(1):29-35.