Masato Nakajima1,2, Yojiro Umezaki1,3, Satoshi Takeda4,5, Masahiro Yamaguchi1,3, Nao Suzuki6, Masahiro Yoneda2, Takao Hirofuji2, Hiroko Sekitani4, Yuichi Yamashita4, Hiromitsu Morita1,2. 1. The Center for Visiting Dental Service, Fukuoka Dental College Medical and Dental General Hospital, Fukuoka, Japan. 2. Section of General Dentistry, Department of General Dentistry, Fukuoka Dental College, Fukuoka, Japan. 3. Section of Gerodontology, Department of General Dentistry, Fukuoka Dental College, Fukuoka, Japan. 4. Fukuseikai Hospital, Fukuoka, Japan. 5. Department of Respiratory Medicine, Fukuoka University Chikushi Hospital, Fukuoka, Japan. 6. Section of Oral Public Health, Department of Preventive and Public Health Dentistry, Fukuoka Dental College, Fukuoka, Japan.
Abstract
OBJECTIVE: To investigate associated risk factors for oral candidiasis in elderly patients hospitalized in a community-based acute-care hospital with no dental units. METHODS: Two hundred and twenty-eight elderly patients (male: 105, female: 123), who were hospitalized with several systemic diseases in a community-based acute-care hospital from May 2014 to October 2016, were retrospectively analysed by multiple logistic regression. RESULTS: Multiple logistic regression analysis shows that bacterial pneumonia has a statistically strong relationship with oral candidiasis (p = 0.000, OR: 5.173, 95% CI: 2.368-11.298). The order followed is poor oral hygiene (p = 0.001, OR: 6.095, 95% CI: 2.003-18.545) and severe dry mouth (p = 0.043, OR: 2.507, 95% CI: 1.031-6.098). Other correlated factors including diabetes mellitus, denture wearer, dysphagia, malnutrition, requiring care and use of inhalation steroids, were not statistically significant in this study. CONCLUSIONS: Bacterial pneumonia correlates with oral candidiasis.
OBJECTIVE: To investigate associated risk factors for oral candidiasis in elderly patients hospitalized in a community-based acute-care hospital with no dental units. METHODS: Two hundred and twenty-eight elderly patients (male: 105, female: 123), who were hospitalized with several systemic diseases in a community-based acute-care hospital from May 2014 to October 2016, were retrospectively analysed by multiple logistic regression. RESULTS: Multiple logistic regression analysis shows that bacterial pneumonia has a statistically strong relationship with oral candidiasis (p = 0.000, OR: 5.173, 95% CI: 2.368-11.298). The order followed is poor oral hygiene (p = 0.001, OR: 6.095, 95% CI: 2.003-18.545) and severe dry mouth (p = 0.043, OR: 2.507, 95% CI: 1.031-6.098). Other correlated factors including diabetes mellitus, denture wearer, dysphagia, malnutrition, requiring care and use of inhalation steroids, were not statistically significant in this study. CONCLUSIONS:Bacterial pneumonia correlates with oral candidiasis.
Authors: Laís Salomão Arias; Jason L Brown; Mark C Butcher; Christopher Delaney; Douglas Roberto Monteiro; Gordon Ramage Journal: J Oral Microbiol Date: 2020-06-07 Impact factor: 5.474