ความชุกและปัจจัยที่สัมพันธ์กับการมีเชื้อราแคนดิดาในช่องปากของผู้สูงอายุที่มีภาวะพึ่งพิง อำเภอหัวตะพาน จังหวัดอำนาจเจริญ

Abstract

This study was a cross-sectional survey examined the prevalence and the factors associated with oral candida species in dependent older adults in Huataphan district, Amnat Charoen province. The sample group consisted of 140 dependent older adults community dwellers in Huataphan district who met the inclusion and exclusion criteria. Data were collected in November 2019 to April 2020 through questionnaires, oral hygiene was assessed by Tongue Coating Index, dry mouth was measured by Moisture Checker Mucus®, oral and denture specimens were collected by imprint culture technique, toothbrush specimens were collected by soaked and shook into sterile phosphate buffered saline (PBS pH 7.4). Candida colonies were counted after incubation at 37 °C for 48 hours on CHROMagarTM Candida-yeast differential media. The results demonstrated that the prevalence of oral candida species in dependent older adults in Huataphan district was 62.9%. C. Albicans was the most frequently detected in participants (83.4%), followed by C. Glabrata (40.9%). Factors related to colonization of oral candida species at the level .05 were gender (p=.007) and dry mouth (p=.040). Factors related to C. Albicans were gender (p=.001), dry mouth (p=.003) and tongue brushing (p=.013)