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

Zhu, H. W., McMillan, A. S., McGrath, C., Li, L. S. W. and Samaranayake, L. P. (2008) Oral carriage of yeasts and coliforms in stroke sufferers: a prospective longitudinal study. Oral Diseases, 14 1: 60-66. doi:10.1111/j.1601-0825.2006.01347.x

Author Zhu, H. W.
McMillan, A. S.
McGrath, C.
Li, L. S. W.
Samaranayake, L. P.
Title Oral carriage of yeasts and coliforms in stroke sufferers: a prospective longitudinal study
Journal name Oral Diseases   Check publisher's open access policy
ISSN 1354-523X
Publication date 2008-01-01
Year available 2008
Sub-type Article (original research)
DOI 10.1111/j.1601-0825.2006.01347.x
Open Access Status
Volume 14
Issue 1
Start page 60
End page 66
Total pages 7
Place of publication Malden, MA, United States
Publisher Wiley-Blackwell
Language eng
Subject 3500 Dentistry
Formatted abstract
Aim: 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. 
Keyword Coliforms
Oral hygiene
Oral microbial carriage
Physical disability
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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Citation counts: TR Web of Science Citation Count  Cited 19 times in Thomson Reuters Web of Science Article | Citations
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