Effects of an oral health program on the occurrence of oral candidosis in a long-term care facility
Effects of an oral health program on the occurrence of oral candidosis in a long-term care facility
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DOI：
10.1034/j.1600-0528.2000.028002141.x
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发表时间：
2000-04-01
影响因子：
2.3
通讯作者：
Deslauriers, N
中科院分区：
文献类型：
--
作者：
Budtz-Jorgensen, E;Mojon, P;Deslauriers, N
目的：目的是评估预防性口腔健康计划对237名长期护理机构中体弱或依赖性居民口腔念珠菌病患病率的有效性。一半的居民被纳入实验组，受益于预防性口腔卫生计划，包括指导护理人员和实施召回计划的专业口腔卫生护理。研究方法：在基线和18个月后进行口内检查和口腔粘膜和义齿表面的酵母菌培养。在Oricult-N浸片上使用以下量表估计酵母的生长：无生长; 1-20个菌落; 21-100个菌落; >100个菌落。结果如下：在基线（n=237）和18个月（n=159）时，实验组和对照组在居民的年龄、性别、牙齿和修复状态以及义齿性口炎患病率分布方面相似。失去的78名居民与幸存者具有相同的基线特征，除了年龄更大。在实验组中，腭部炎症的严重程度降低（P=0.005）以及舌炎的患病率降低（P=0.005）。在基线时，在实验组和对照组中约50%的居民中观察到来自粘膜的高酵母评分（>20）。在18个月时，实验组的这一数字为23.4%，对照组为48.7%（P=0.001）。实验组18个月时细菌培养阳性的人数和义齿酵母菌评分也有所减少（P=0.05）。结论：这项研究表明，预防计划是有效的，在减少口腔粘膜和假牙的念珠菌定植，从而改善口腔粘膜的健康。
Objectives: The aim was to evaluate the effectiveness of a preventive oral health program on the prevalence of oral candidosis in 237 frail or dependent residents in a long-term care facility. Half of the residents were included in an experimental group which benefited from a preventive oral hygiene program including instruction of the carers and implementation of a recall program for professional oral hygiene care. Methods: Intraoral examinations and yeast cultures from the oral mucosa and the fitting denture surface were carried out at baseline and 18 months later. The outgrowth of yeast was estimated on Oricult-N dip slides using the scale: no growth; 1-20 colonies; 21-100 colonies; >100 colonies. Results: At baseline (n=237) and at 18 months (n=159) the experimental and the control groups were similar with regard to the residents' distribution by age, sex, dental and prosthetic status and prevalence of denture stomatitis. The 78 residents lost had the same baseline characteristics as the survivors, except for being older. In the experimental group the severity of the inflammation of the palate decreased (P=0.005) as well as the prevalence of glossitis (P=0.005). At baseline high yeast scores from the mucosa (>20) were observed in about 50% of the residents in the experimental as well as the control group. At 18 months this figure was 23.4% for the experimental and 48.7% for the control group (P=0.001). There was also a reduction of the number of residents with positive cultures and the denture yeast scores at 18 months in the experimental group (P=0.05). Conclusions: This study has shown that the preventive program was effective in reducing the colonization of the oral mucosa and dentures by Candida and thereby improving the health of the oral mucosa.