Campbell JL, Coyer FM, Mudge AM, Robertson IM, Osborne SR, et al.
International wound journal. Date of publication 2017 Jun 1;volume 14(3):488-495.
1. Int Wound J. 2017 Jun;14(3):488-495. doi: 10.1111/iwj.12630. Epub 2016 Aug 1.
Candida albicans colonisation, continence status and incontinence-associated
dermatitis in the acute care setting: a pilot study.
Campbell JL(1)(2), Coyer FM(2)(3)(4), Mudge AM(5), Robertson IM(6), Osborne
SR(2)(7)(8).
Author information:
(1)Skin Integrity Service, Royal Brisbane and Women's Hospital, Metro North
Hospital Health Service, Herston, Queensland,, Australia.
(2)School of Nursing, Queensland University of Technology, Kelvin Grove,
Queensland,, Australia.
(3)Joint Appointment Intensive Care Services, Royal Brisbane and Women's
Hospital, Metro North Hospital and Health Service, Herston, Queensland,,
Australia.
(4)University of Huddersfield, UK.
(5)Internal Medicine and Aged Care, Royal Brisbane and Women's Hospital, Metro
North Hospital Health Service, Herston, Queensland,, Australia.
(6)Department of Dermatology, Royal Brisbane and Women's Hospital, Metro North
Hospital and Health Services, Herston, Queensland,, Australia.
(7)Australian Centre for Health Services Innovation (AusHSI), School of Public
Health and Social Work, Queensland University of Technology, Brisbane,
Queensland,, Australia.
(8)Visiting Research Fellow, Royal Brisbane and Women's Hospital, Metro North
Hospital and Health Service, Herston, Queensland,, Australia.
Candida albicans is the most prevalent human fungal commensal organism and is
reported to be the most frequent aetiological organism responsible for infection
associated with incontinence-associated dermatitis. However, it remains unclear
whether incontinence predisposes a patient to increased Candida colonisation or
whether incontinence acts as a trigger for Candida infection in those already
colonised. The purpose of this observational cross-sectional study was to
estimate colonisation rates of C. albicans in continent, compared to incontinent
patients, and patients with incontinence-associated dermatitis. Data were
collected on 81 inpatients of a major Australian hospital and included a pelvic
skin inspection and microbiological specimens to detect C. Albicans at hospital
admission. The mean age of the sample was 76 years (SD = 12.22) with 53% being
male. Incontinent participants (n = 53) had a non-significant trend towards
greater Candida colonisation rates at the perianal site (43% versus 28%) χ2 (1,
N = 81) = 4·453, p = ·638 and the inguinal site (24% versus 14%) χ2 (1,
N = 81) = 6·868, p = ·258 compared to continent patients (n = 28). The
incontinent subgroup with incontinence-associated dermatitis (n = 22) showed no
difference in colonisation rates compared to those without
incontinence-associated dermatitis. Understanding the epidemiology of
colonisation may have implications for the prevention of Candida infection in
these patients.
© 2016 Medicalhelplines.com Inc and John Wiley & Sons Ltd.
DOI: 10.1111/iwj.12630
PMCID: PMC7949526
PMID: 27478106 [Indexed for MEDLINE]
