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Article: Oral carriage of yeasts and coliforms in stroke sufferers: A prospective longitudinal study

TitleOral carriage of yeasts and coliforms in stroke sufferers: A prospective longitudinal study
Authors
KeywordsColiforms
Oral hygiene
Oral microbial carriage
Physical disability
Stroke
Yeasts
Issue Date2008
PublisherWiley-Blackwell Publishing, Inc.. The Journal's web site is located at http://www.wiley.com/bw/journal.asp?ref=1354-523X&site=1
Citation
Oral Diseases, 2008, v. 14 n. 1, p. 60-66 How to Cite?
AbstractAim: To investigate prospectively the qualitative and quantitative changes in oral carriage of yeasts and coliforms in southern Chinese people suffering from stroke. Materials and methods: In 56 elderly people suffering from stroke in a rehabilitation unit of a general medical hospital in Hong Kong, oral microbiological sampling using a combined imprint culture, oral rinse approach and clinical assessment was made during the acute stroke phase, on hospital discharge and 6 months later. Results: The oral carriage of yeasts increased significantly during acute stroke (P < 0.05), whereas coliform carriage did not. A reduction in oral carriage of yeasts was found on hospital discharge and 6 months later and in coliforms at the 6-month assessment (P < 0.05). Candida albicans and Klebsiella pneumoniae were the predominant yeast and coliform respectively. Stroke-related difficulty in tooth brushing and denture wearing were associated with higher oral yeast carriage (P < 0.05). We also report here for the first time that the use of aspirin was associated with lower oral yeast carriage in people suffering from stroke. Conclusion: Oral yeast carriage was closely linked to the level of stroke-related functional disability that improved over time but had not totally resolved 6 months after hospital discharge. The oral reservoir of yeasts and coliforms in people suffering from stroke is noteworthy by care providers as K. pneumoniae may cause aspiration pneumonia. © 2007 The Authors.
Persistent Identifierhttp://hdl.handle.net/10722/67262
ISSN
2015 Impact Factor: 2.0
2015 SCImago Journal Rankings: 0.828
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorZhu, HWen_HK
dc.contributor.authorMcMillan, ASen_HK
dc.contributor.authorMcGrath, Cen_HK
dc.contributor.authorLi, LSWen_HK
dc.contributor.authorSamaranayake, LPen_HK
dc.date.accessioned2010-09-06T05:53:21Z-
dc.date.available2010-09-06T05:53:21Z-
dc.date.issued2008en_HK
dc.identifier.citationOral Diseases, 2008, v. 14 n. 1, p. 60-66en_HK
dc.identifier.issn1354-523Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/67262-
dc.description.abstractAim: To investigate prospectively the qualitative and quantitative changes in oral carriage of yeasts and coliforms in southern Chinese people suffering from stroke. Materials and methods: In 56 elderly people suffering from stroke in a rehabilitation unit of a general medical hospital in Hong Kong, oral microbiological sampling using a combined imprint culture, oral rinse approach and clinical assessment was made during the acute stroke phase, on hospital discharge and 6 months later. Results: The oral carriage of yeasts increased significantly during acute stroke (P < 0.05), whereas coliform carriage did not. A reduction in oral carriage of yeasts was found on hospital discharge and 6 months later and in coliforms at the 6-month assessment (P < 0.05). Candida albicans and Klebsiella pneumoniae were the predominant yeast and coliform respectively. Stroke-related difficulty in tooth brushing and denture wearing were associated with higher oral yeast carriage (P < 0.05). We also report here for the first time that the use of aspirin was associated with lower oral yeast carriage in people suffering from stroke. Conclusion: Oral yeast carriage was closely linked to the level of stroke-related functional disability that improved over time but had not totally resolved 6 months after hospital discharge. The oral reservoir of yeasts and coliforms in people suffering from stroke is noteworthy by care providers as K. pneumoniae may cause aspiration pneumonia. © 2007 The Authors.en_HK
dc.languageengen_HK
dc.publisherWiley-Blackwell Publishing, Inc.. The Journal's web site is located at http://www.wiley.com/bw/journal.asp?ref=1354-523X&site=1en_HK
dc.relation.ispartofOral Diseasesen_HK
dc.subjectColiformsen_HK
dc.subjectOral hygieneen_HK
dc.subjectOral microbial carriageen_HK
dc.subjectPhysical disabilityen_HK
dc.subjectStrokeen_HK
dc.subjectYeastsen_HK
dc.subject.meshAgeden_HK
dc.subject.meshAspirin - therapeutic useen_HK
dc.subject.meshCandida albicans - isolation & purificationen_HK
dc.subject.meshCandida glabrata - isolation & purificationen_HK
dc.subject.meshCandida tropicalis - isolation & purificationen_HK
dc.subject.meshDenturesen_HK
dc.subject.meshEnterobacteriaceae - isolation & purificationen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshFollow-Up Studiesen_HK
dc.subject.meshHospitalizationen_HK
dc.subject.meshHumansen_HK
dc.subject.meshKlebsiella pneumoniae - isolation & purificationen_HK
dc.subject.meshLongitudinal Studiesen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMouth - microbiologyen_HK
dc.subject.meshPatient Dischargeen_HK
dc.subject.meshPlatelet Aggregation Inhibitors - therapeutic useen_HK
dc.subject.meshProspective Studiesen_HK
dc.subject.meshSaccharomyces cerevisiae - isolation & purificationen_HK
dc.subject.meshStroke - microbiologyen_HK
dc.subject.meshToothbrushingen_HK
dc.subject.meshYeasts - isolation & purificationen_HK
dc.titleOral carriage of yeasts and coliforms in stroke sufferers: A prospective longitudinal studyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1354-523X&volume=14&issue=1&spage=60&epage=66&date=2008&atitle=Oral+carriage+of+yeasts+and+coliforms+in+stroke+sufferers:+a+prospective+longitudinal+studyen_HK
dc.identifier.emailMcMillan, AS: annemcmillan@hku.hken_HK
dc.identifier.emailMcGrath, C: mcgrathc@hkucc.hku.hken_HK
dc.identifier.emailSamaranayake, LP: lakshman@hku.hken_HK
dc.identifier.authorityMcMillan, AS=rp00014en_HK
dc.identifier.authorityMcGrath, C=rp00037en_HK
dc.identifier.authoritySamaranayake, LP=rp00023en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.1601-0825.2006.01347.xen_HK
dc.identifier.pmid18173450-
dc.identifier.scopuseid_2-s2.0-37349120369en_HK
dc.identifier.hkuros139793en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-37349120369&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume14en_HK
dc.identifier.issue1en_HK
dc.identifier.spage60en_HK
dc.identifier.epage66en_HK
dc.identifier.isiWOS:000251766400010-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridZhu, HW=36081414600en_HK
dc.identifier.scopusauthoridMcMillan, AS=7102843317en_HK
dc.identifier.scopusauthoridMcGrath, C=7102335507en_HK
dc.identifier.scopusauthoridLi, LSW=7501450364en_HK
dc.identifier.scopusauthoridSamaranayake, LP=7102761002en_HK
dc.identifier.citeulike2157262-

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