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18356

Prevalence of oral Candidiasis and Risk Factors in Diabetic Pateints

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Last updated: 22 Jan 2023

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Abstract

Oral candidiasis has a strong association with diabetes. This study investigated the prevalence of candidiasis, effects of age and denture wearing on the isolation rate of Candida, virulence factors such as (germ tube (GT), gelatinase assay, phospholipase (PL) activities, biofilm (BF) formation) of different Candida species isolated from 40 confirmed diabetic patients with oral candidiasis and susceptibility of Candida isolates to antifungal agents.  The prevalence of candidiasis was (67%) which is more prevalent in middle age (40-60) years (65%) and among females (65%). Sixty Candida isolates were identified among which Candida albicans represented (53.3%), followed by C. glabrata (31.7%), C. tropicalis (10%) and C. krusei (5%). In denture wearers, the isolation rate of all Candida species was 94.7% while in non denture wearers was 53.7%. The minimun inhibitory concentrations (MICs) of ketoconazle as the lowest concentration of antifungal that inhibited 100% of C. krusei while MIC for flucytosine that inhibited 90.6% and 84.2% of C. albicans and C. glabrata respectively, also the MIC for itraconazole and voriconazole that inhibited 93.5% and 81.2% of C. albicans. The MIC of amphotericin B was defined as the lowest drug concentration causing 100% inhibition of all Candida species. Candida albicans and C. tropicalis isolates were positive for all the virulence factors while C. glabrata and C. krusei were negative for GT, gelatinase and PL activities. C. krusei were positive only for BF formation. InConclusion, Candida spp. in the oral cavity of diabetic patients are potentially pathogenic and can participate in infectious and inflammatory processes since they exhibit most of the virulence factors and resistance to most antifungals. Denture wearing, female sex and middle age are among the risk factors. Controlling serum glucose level and oral hygiene are essential in diabetics.
 

DOI

10.21608/jsrs.2015.18356

Keywords

Diabetes mellitus, Denture wearer, Candida spp, Antifungal susceptibility, Virulence factors

Authors

First Name

Elham

Last Name

Moustafa

MiddleName

E.

Affiliation

1Botany Department Faculty of Women for Arts, Science and Education, Ain Shams University, Cairo, Egypt

Email

elhamelasal@yahoo.com

City

-

Orcid

-

First Name

Zeinab

Last Name

Kheiralla

MiddleName

M.

Affiliation

1Botany Department Faculty of Women for Arts, Science and Education, Ain Shams University, Cairo, Egypt

Email

zeinab.kheiralla@women.asu.edu.eg

City

-

Orcid

24704121400861

First Name

Soheir

Last Name

Maklad

MiddleName

S.

Affiliation

Microbiology and Internal medicine Departments, Faculty of Medicine for Girls Al-Azhar University, Cairo, Egypt

Email

-

City

-

Orcid

-

First Name

Sanaa

Last Name

Ashour

MiddleName

M.

Affiliation

Botany Department Faculty of Women for Arts, Science and Education, Ain Shams University, Cairo, Egypt

Email

-

City

-

Orcid

-

First Name

Mona

Last Name

Raoof

MiddleName

A.

Affiliation

Microbiology and Internal medicine Departments, Faculty of Medicine for Girls Al-Azhar University, Cairo, Egypt

Email

-

City

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Orcid

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Volume

32

Article Issue

part 1

Related Issue

3825

Issue Date

2015-12-01

Receive Date

2018-11-05

Publish Date

2015-12-01

Page Start

58

Page End

77

Print ISSN

2356-8364

Online ISSN

2356-8372

Link

https://jsrs.journals.ekb.eg/article_18356.html

Detail API

https://jsrs.journals.ekb.eg/service?article_code=18356

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5

Type

Original Article

Type Code

656

Publication Type

Journal

Publication Title

Journal of Scientific Research in Science

Publication Link

https://jsrs.journals.ekb.eg/

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Article

Created At

22 Jan 2023