Incidence and prevalence of oral candidal colonization in patients with cleft lip and palate.

National Journal of Maxillofacial Surgery Pub Date : 2023-01-01 Epub Date: 2023-04-14 DOI:10.4103/njms.njms_127_22
Imran Khan, Saiema Ahmedi, Tanveer Ahmad, M Moshaid Alam Rizvi, Nikhat Manzoor
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Abstract

Aims and objectives: This study aims to assess and compare the incidence and rate of oral candidal colonization in patients with cleft lip and palate and collate it with healthy individuals. The objectives of this study were to evaluate the factors that may affect the incidence, rate, and polycolonity of colonization of oral Candida species in patients with cleft lip and palate (CLP) as compared to healthy individuals.

Materials and methods: The current prospective study involved the collection and assessment of oral samples from 50 CLP patients and compared it with oral samples from 50 healthy individuals. Colonies of Candida albicans and other Candida species were identified by using germ tube test and differential chromogenic media. Assessment of the distribution trend of various Candida species and their variation based on age, gender, type of cleft, number of surgeries, and oral hygiene status were recorded.

Results: A highly significant (P value < 0.001) statistical difference was seen in the oral carriage rate of Candida species between the two groups with values more in the study group (60.75 ± 71.43) than in controls (1.62 ± 2.22). Individually comparing the different Candida species, significant difference in presence of C albicans (P value = 0.004), C parapsilosis (P value = 0.015), and C dubliensis (P value = 0.027) was seen as compared to other species. In the context of the type of cleft and the presence of Candida species Candida albicans was the most prevalent in patients with the cleft alveolus (60.0% n = 15), unilateral CLP (66.7% n = 8), and bilateral CLP (100.0% n = 3) respectively. Nonsignificant variation in prevalence was seen in the various fungal species based on an individual's gender and oral hygiene and the number of surgeries status was observed.

Conclusion: The anatomical alteration in the oral cavity of patients with CLP contributes to the high incidence and prevalence of Candida species.

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唇腭裂患者口腔念珠菌定植的发生率和患病率。
目的和目的:本研究旨在评估和比较唇腭裂患者口腔念珠菌定植的发生率和比率,并与健康人进行比较。本研究的目的是评估与健康人相比,可能影响唇腭裂患者口腔念珠菌定植的发生率、比率和多克隆性的因素。材料和方法:目前的前瞻性研究涉及收集和评估50名CLP患者的口腔样本,并将其与50名健康人的口腔样本进行比较。用菌管试验和差异显色培养基对白色念珠菌和其他念珠菌进行了菌落鉴定。记录了各种念珠菌的分布趋势及其基于年龄、性别、腭裂类型、手术次数和口腔卫生状况的变化。结果:两组念珠菌的口腔携带率有非常显著的统计学差异(P值<0.001),研究组(60.75±71.43)高于对照组(1.62±2.22),与其他物种相比,观察到C Dublinsis(P值=0.027)。在腭裂类型和念珠菌存在的情况下,白色念珠菌分别在肺泡裂患者(60.0%n=15)、单侧CLP患者(66.7%n=8)和双侧CLP患者(100.0%n=3)中最为常见。根据个体的性别和口腔卫生状况,在不同的真菌种类中,患病率存在无显著差异,并观察到手术次数。结论:CLP患者口腔解剖结构的改变导致念珠菌的高发病率和高患病率。
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