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

Reichart, P. A., Schmidtberg, W., Samaranayake, L. P. and Scheifele, C. (2002) Betel quid-associated oral lesions and oral Candida species in a female Cambodian cohort. Journal of Oral Pathology and Medicine, 31 8: 468-472. doi:10.1034/j.1600-0714.2002.00009.x


Author Reichart, P. A.
Schmidtberg, W.
Samaranayake, L. P.
Scheifele, C.
Title Betel quid-associated oral lesions and oral Candida species in a female Cambodian cohort
Formatted title
Betel quid-associated oral lesions and oral Candida species in a female Cambodian cohort
Journal name Journal of Oral Pathology and Medicine   Check publisher's open access policy
ISSN 0904-2512
1600-0714
Publication date 2002-09-01
Year available 2002
Sub-type Article (original research)
DOI 10.1034/j.1600-0714.2002.00009.x
Open Access Status Not yet assessed
Volume 31
Issue 8
Start page 468
End page 472
Total pages 5
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing
Language eng
Formatted 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 10years (range 10 months-3Oyears). 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.
Keyword Betel quid chewing
Cambodia
Candida
Oral carriage
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Dentistry Publications
 
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