Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2001-2-22
pubmed:abstractText
This study aimed at investigating the oral colonization of aerobic and facultatively anaerobic gram-negative rods and cocci in head- and neck-irradiated, dentate, xerostomic individuals. Subjects were recruited from a nasopharyngeal carcinoma clinic and were segregated into group A: <60 years (n=25, 48+/-6 years, 5+/-5 years post-irradiation) and group B: >or=60 years (n=8, 67+/-4 years, 2+/-2 years post-irradiation) and were compared with age- and sex-matched normal individuals, group C: <60 years (n=20, 44+/-12 years) and group D: >or=60 years (n=10, 70+/-3 years). Selective culture of the oral rinse samples was carried out to isolate, quantify and speciate (using API 20E kit) aerobic and facultatively anaerobic gram-negative rods and cocci recovery. All test subjects were put under comprehensive oral and preventive care for 3 months, and 12 group A and 5 group B subjects were recalled for reassessment of aerobic and facultatively anaerobic gram-negative rods and cocci colonization. All identical isolates, pre- and post-hygienic care, were phenotypically (Vitek, Hazelwood, MA and antibiogram profile) and genotypically (pulsed-field gel electrophoresis) evaluated. The aerobic and facultatively anaerobic gram-negative rods and cocci isolated from the first round oral rinse samples included: Acinetobacter, Neisseria, Chryseomonas, Flavimonas, Pseudomonas, Citrobacter, Enterobacter, Escherichia, Klebsiella, Flavobacterium and Weeksella species. The aerobic and facultatively anaerobic gram-negative rods and cocci isolation rate was high for irradiated individuals, and they were 64/25% and 100/80% for groups A/C and B/D, respectively. Recovery of aerobic and facultatively anaerobic gram-negative rods and cocci and Klebsiella pneumoniae subsp. pneumoniae in oral rinse samples were found to be significantly more prevalent in the irradiated subjects (groups A and B). Enterobacteriaceae were more frequently isolated from oral rinse samples of aged irradiated subjects (group B vs D, P<0.05), where the quantity of Citrobacter freundii (colony-forming units/ml oral rinse) was also significantly elevated. The isolation rate of aerobic and facultatively anaerobic gram-negative rods and cocci after hygienic care remained unchanged; 3 of 12 and 3 of 5 of the recalled subjects from groups A and B, respectively, harbored same aerobic and facultatively anaerobic gram-negative rods and cocci species. However, only two pairs of K. pneumoniae subsp. pneumoniae, sequentially isolated from same patients in group B, were found to be identical by pulsed-field gel electrophoresis. This may be due to reinfection of the microbes from the same source or permanent colonization. In conclusion, irradiation-induced xerostomia seems to favor frequent, repeated, transient intraoral colonization of aerobic and facultatively anaerobic gram-negative rods and cocci.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
D
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0902-0055
pubmed:author
pubmed:issnType
Print
pubmed:volume
16
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1-9
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:11169132-Acinetobacter, pubmed-meshheading:11169132-Adult, pubmed-meshheading:11169132-Age Factors, pubmed-meshheading:11169132-Aged, pubmed-meshheading:11169132-Bacterial Typing Techniques, pubmed-meshheading:11169132-Carcinoma, pubmed-meshheading:11169132-Case-Control Studies, pubmed-meshheading:11169132-Citrobacter, pubmed-meshheading:11169132-Cohort Studies, pubmed-meshheading:11169132-DNA, Bacterial, pubmed-meshheading:11169132-Drug Resistance, Bacterial, pubmed-meshheading:11169132-Electrophoresis, Gel, Pulsed-Field, pubmed-meshheading:11169132-Enterobacter, pubmed-meshheading:11169132-Escherichia, pubmed-meshheading:11169132-Flavobacterium, pubmed-meshheading:11169132-Follow-Up Studies, pubmed-meshheading:11169132-Genotype, pubmed-meshheading:11169132-Gram-Negative Aerobic Rods and Cocci, pubmed-meshheading:11169132-Gram-Negative Facultatively Anaerobic Rods, pubmed-meshheading:11169132-Humans, pubmed-meshheading:11169132-Klebsiella, pubmed-meshheading:11169132-Klebsiella pneumoniae, pubmed-meshheading:11169132-Middle Aged, pubmed-meshheading:11169132-Mouth, pubmed-meshheading:11169132-Nasopharyngeal Neoplasms, pubmed-meshheading:11169132-Neisseria, pubmed-meshheading:11169132-Oral Hygiene, pubmed-meshheading:11169132-Phenotype, pubmed-meshheading:11169132-Pseudomonas, pubmed-meshheading:11169132-Statistics, Nonparametric, pubmed-meshheading:11169132-Statistics as Topic, pubmed-meshheading:11169132-Xerostomia
pubmed:year
2001
pubmed:articleTitle
Oral colonization of aerobic and facultatively anaerobic gram-negative rods and cocci in irradiated, dentate, xerostomic individuals.
pubmed:affiliation
Faculty of Dentistry, Faculty of Medicine, University of Hong Kong, Hong Kong SAR, China.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't