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 Printable version |
Oropharyngeal candidiasis in elderly patients |
Gériatrie et Psychologie Neuropsychiatrie du Vieillissement. Volume 9, Number 1, 21-8, Mars 2011, Synthèses
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 Résumé
Article gratuit
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Author(s) : Marie Laurent, Bruno Gogly, Farzad Tahmasebi, Elena Paillaud |
Summary : Oropharyngeal candidiasis is a common opportunistic infection of the oral cavity caused by an overgrowth of candida species, the commonest being
Candida albicans. The prevalence in the hospital or institution varies from 13 to 47% of elderly persons. The main clinical types are denture stomatitis, acute atrophic glossitis, thrush and angular cheilitis. Diagnosis is usually made on clinical ground. Culture and sensitivity testing should be undertaken if initial therapy is unsuccessful. Predisposing factors of oral candidiasis could be local and/or systemic. Local factors include wearing dentures, impaired salivary gland function and poor oral health. Systemic factors include antibiotics and some other drugs, malnutrition, diabetes, immunosuppression and malignancies. Management involves an appropriate antifungal treatment and oral hygiene. Predisposing factors should be treated or eliminated where feasible. Oral hygiene involves cleaning the teeth and dentures. Dentures should be disinfected daily and left out overnight. |
Keywords : oral candidiasis, elderly,
Candida albicans |
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