STUDY OF PREVALENCE OF ORAL CANDIDA INFECTION IN PATIENTS UNDERGOING THERAPY AT THE ONCOLOGY DEPARTMENT OF HUE UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL

Nu Phuong Anh Ton, Thi Minh Chau Ngo, Thi Le Quyen Nguyen

Main Article Content

Abstract

Introduction: Candida spp. species are the most common fungal pathogens in the world. Oral Candida infection is common in cancer patients undergoing chemotherapy. This study aimed to investigate the prevalence of oral Candida infection in patients being treated in the oncology department and investigate the morphological characteristics of the fungus, to assess the diagnostic techniques for oral Candida infection.


Materials and methods: A descriptive cross-sectional study, using laboratory wet mount examination to investigate the morphology of fungi, cultured in Sabouraud's medium with chloramphenicol to isolate the fungus, determination of Candida albicans and non-albicans Candida by Chromogenic agar medium.


Results: The study carried out on 120 patients being treated at the Oncolgy Department. In which, there were 45.8% with oral Candida infetions including: Candida albicans 70.9% and non albicans Candida 29.1%. The prevalence of Candida infection in chemotherapeutic patients were higher than non-chemotherapeutic ones. Direct technique for oral Candida infection diagnostic had 72.72% of sensitivity and 78.46% of specificity.


Conclusions: The prevalence of oral Candida infection was 45.8% including: Candida albicans 70.9% and non albicans Candida 29.1%. The incidence of oral Candida infection was higher in patients with risk factors and clinical symptoms of oral thrush. Yeast cells and pseudohyphaes were the character of Candida spp.. Direct technique for oral Candida diagnostic had 72.72% of sensitivity and 78.46% of specificity.

Article Details

References

1. Xu, L., et al., Investigation of the oral infections and manifestations seen in patients with advanced
cancer. Pak J Med Sci, 2013. 29(5): p. 1112-5.
2. Bagg, J., et al., High prevalence of non-albicans yeasts and detection of anti-fungal resistance in the oral flora of patients with advanced cancer. Palliat Med, 2003. 17(6): p. 477-81.
3. Wilberg, P., et al., Oral health is an important issue in end-of-life cancer care. Support Care Cancer, 2012. 20(12): p. 3115-22.
4. Jayachandran, A.L., et al., Oral Candidiasis among Cancer Patients Attending a Tertiary Care Hospital
in Chennai, South India: An Evaluation of Clinicomycological Association and Antifungal Susceptibility
Pattern. Can J Infect Dis Med Microbiol, 2016. 2016: p. 8758461.
5. Jain, M., et al., The Oral Carriage of Candida in Oral Cancer Patients of Indian Origin Undergoing
Radiotherapy and/or Chemotherapy. J Clin Diagn Res, 2016. 10(2): p. Zc17-20.
6. Jham, B.C., et al., Candida oral colonization and infection in Brazilian patients undergoing head and neck radiotherapy: a pilot study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2007. 103(3): p. 355-8.
7. Epstein, J.B., M.M. Freilich, and N.D. Le, Risk factors for oropharyngeal candidiasis in patients who
receive radiation therapy for malignant conditions of the head and neck. Oral Surg Oral Med Oral Pathol, 1993. 76(2): p. 169-74.
8. Akpan, A. and R. Morgan, Oral candidiasis. Postgrad Med J, 2002. 78(922): p. 455-9.
9. Patil, S., et al., Clinical Appearance of Oral Candida Infection and Therapeutic Strategies. Front Microbiol, 2015. 6: p. 1391.
10. Krishnan, P.A., Fungal infections of the oral mucosa. Indian J Dent Res, 2012. 23(5): p. 650-9.
11. John W. Hellstein , Cindy L. Marek, Candidiasis: Red and White Manifestations in the Oral Cavity , Head and Neck Pathology (2019) 13:25–32