Betel quid-associated oral lesions and oral Candida species in a female Cambodian cohort

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Betel quid-associated oral lesions and oral Candida species in a female Cambodian cohort. / Reichart, P A; Schmidtberg, W; Samaranayake, L P; Scheifele, C.

In: J ORAL PATHOL MED, Vol. 31, No. 8, 01.09.2002, p. 468-72.

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@article{54eb7aec7818407eac3c17069a442cdf,
title = "Betel quid-associated oral lesions and oral Candida species in a female Cambodian cohort",
abstract = "BACKGROUND: Betel quid chewing (BQC) is still prevalent among elderly Cambodian women and is associated with a wide variety of oral mucosal lesions. BQC has also been associated with a reduced rate of dental caries and changes in the oral microbiological flora.METHODS: Since no studies were available on the impact of BQC on the oral carriage of Candida species, in this study oral swabs (Fungiquick, Hain Diagnostika, Germany) were taken from the tongue and palate of 48 Cambodian women with BQC habit (study group) and 13 control subjects without BQC habit (control group) to determine the spectrum of Candida species in these two groups. In addition, we investigated lesions of the oral mucosa likely to be associated with BQC habit in both study and control groups.RESULTS: The median duration of BQC was 10 years (range 10 months-30 years). The following oral lesions were found in the study group: betel chewer's mucosa (85.4%), oral leukoplakia (8.3%), leukoedema (37.5%) and oral lichen planus (4.2%). Oral candidiasis was seen neither in BQ-chewers nor in controls. Candida spp. were found in 70.8% of the cases (controls 69.2%). Whilst C. albicans was isolated from 27.1% of the study cohort, C. tropicalis was the second most common isolate. One control case was colonised by C. dubliniensis--the first report of this organism from a Cambodian population. There was no significant difference in the candidal carriage rate or the Candida species isolated between the study and the control group.CONCLUSIONS: Mycological findings from the present study do not indicate that BQC has a significant effect on oral colonisation by Candida species.",
keywords = "Adult, Aged, Aged, 80 and over, Areca/adverse effects, Cambodia, Candida/classification, Candida albicans/isolation & purification, Candida glabrata/isolation & purification, Candida tropicalis/isolation & purification, Chi-Square Distribution, Cohort Studies, Colony Count, Microbial, Female, Humans, Leukoedema, Oral/etiology, Leukoplakia, Oral/etiology, Lichen Planus, Oral/etiology, Middle Aged, Mouth Diseases/etiology, Mouth Mucosa/microbiology, Palate/microbiology, Reagent Strips, Smoking/adverse effects, Statistics, Nonparametric, Time Factors, Tongue/microbiology",
author = "Reichart, {P A} and W Schmidtberg and Samaranayake, {L P} and C Scheifele",
year = "2002",
month = sep,
day = "1",
doi = "10.1034/j.1600-0714.2002.00009.x",
language = "English",
volume = "31",
pages = "468--72",
journal = "J ORAL PATHOL MED",
issn = "0904-2512",
publisher = "Wiley-Blackwell",
number = "8",

}

RIS

TY - JOUR

T1 - Betel quid-associated oral lesions and oral Candida species in a female Cambodian cohort

AU - Reichart, P A

AU - Schmidtberg, W

AU - Samaranayake, L P

AU - Scheifele, C

PY - 2002/9/1

Y1 - 2002/9/1

N2 - BACKGROUND: Betel quid chewing (BQC) is still prevalent among elderly Cambodian women and is associated with a wide variety of oral mucosal lesions. BQC has also been associated with a reduced rate of dental caries and changes in the oral microbiological flora.METHODS: Since no studies were available on the impact of BQC on the oral carriage of Candida species, in this study oral swabs (Fungiquick, Hain Diagnostika, Germany) were taken from the tongue and palate of 48 Cambodian women with BQC habit (study group) and 13 control subjects without BQC habit (control group) to determine the spectrum of Candida species in these two groups. In addition, we investigated lesions of the oral mucosa likely to be associated with BQC habit in both study and control groups.RESULTS: The median duration of BQC was 10 years (range 10 months-30 years). The following oral lesions were found in the study group: betel chewer's mucosa (85.4%), oral leukoplakia (8.3%), leukoedema (37.5%) and oral lichen planus (4.2%). Oral candidiasis was seen neither in BQ-chewers nor in controls. Candida spp. were found in 70.8% of the cases (controls 69.2%). Whilst C. albicans was isolated from 27.1% of the study cohort, C. tropicalis was the second most common isolate. One control case was colonised by C. dubliniensis--the first report of this organism from a Cambodian population. There was no significant difference in the candidal carriage rate or the Candida species isolated between the study and the control group.CONCLUSIONS: Mycological findings from the present study do not indicate that BQC has a significant effect on oral colonisation by Candida species.

AB - BACKGROUND: Betel quid chewing (BQC) is still prevalent among elderly Cambodian women and is associated with a wide variety of oral mucosal lesions. BQC has also been associated with a reduced rate of dental caries and changes in the oral microbiological flora.METHODS: Since no studies were available on the impact of BQC on the oral carriage of Candida species, in this study oral swabs (Fungiquick, Hain Diagnostika, Germany) were taken from the tongue and palate of 48 Cambodian women with BQC habit (study group) and 13 control subjects without BQC habit (control group) to determine the spectrum of Candida species in these two groups. In addition, we investigated lesions of the oral mucosa likely to be associated with BQC habit in both study and control groups.RESULTS: The median duration of BQC was 10 years (range 10 months-30 years). The following oral lesions were found in the study group: betel chewer's mucosa (85.4%), oral leukoplakia (8.3%), leukoedema (37.5%) and oral lichen planus (4.2%). Oral candidiasis was seen neither in BQ-chewers nor in controls. Candida spp. were found in 70.8% of the cases (controls 69.2%). Whilst C. albicans was isolated from 27.1% of the study cohort, C. tropicalis was the second most common isolate. One control case was colonised by C. dubliniensis--the first report of this organism from a Cambodian population. There was no significant difference in the candidal carriage rate or the Candida species isolated between the study and the control group.CONCLUSIONS: Mycological findings from the present study do not indicate that BQC has a significant effect on oral colonisation by Candida species.

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Areca/adverse effects

KW - Cambodia

KW - Candida/classification

KW - Candida albicans/isolation & purification

KW - Candida glabrata/isolation & purification

KW - Candida tropicalis/isolation & purification

KW - Chi-Square Distribution

KW - Cohort Studies

KW - Colony Count, Microbial

KW - Female

KW - Humans

KW - Leukoedema, Oral/etiology

KW - Leukoplakia, Oral/etiology

KW - Lichen Planus, Oral/etiology

KW - Middle Aged

KW - Mouth Diseases/etiology

KW - Mouth Mucosa/microbiology

KW - Palate/microbiology

KW - Reagent Strips

KW - Smoking/adverse effects

KW - Statistics, Nonparametric

KW - Time Factors

KW - Tongue/microbiology

U2 - 10.1034/j.1600-0714.2002.00009.x

DO - 10.1034/j.1600-0714.2002.00009.x

M3 - SCORING: Journal article

C2 - 12220354

VL - 31

SP - 468

EP - 472

JO - J ORAL PATHOL MED

JF - J ORAL PATHOL MED

SN - 0904-2512

IS - 8

ER -