Oral microbial colonization in patients with systemic lupus erythematous: correlation with treatment and disease activity

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dc.contributor.authorde Araujo Navas, E. A. F. [UNESP]
dc.contributor.authorSato, E. I.
dc.contributor.authorPereira, D. F. A. [UNESP]
dc.contributor.authorBack Brito, Graziella Nuernberg [UNESP]
dc.contributor.authorIshikawa, J. A. [UNESP]
dc.contributor.authorJorge, A. O. C. [UNESP]
dc.contributor.authorBrighenti, Fernanda Lourenção [UNESP]
dc.contributor.authorKoga-Ito, C. Y. [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionHosp São Paulo
dc.date.accessioned2014-05-20T14:04:31Z
dc.date.available2014-05-20T14:04:31Z
dc.date.issued2012-08-01
dc.description.abstractTreating patients with systemic lupus erythematosus (SLE) with steroids and immunosuppressive drugs may interfere in the presence of potentially opportunistic microorganisms in the oral cavity. The aim of this study was to evaluate the presence of Candida spp., Staphylococcus spp., Enterobacteria and Pseudomonas spp. in the oral cavity of SLE patients, compared with healthy controls. A group of 40 patients who had received therapy for at least 60 days was selected (19-53 years). For the control group, 40 healthy individuals matched for age, gender and use of partial prosthesis were selected. Oral rinse samples were collected and plated on specific culture media. After incubation, the number of colony forming units (CFU) was obtained and the isolates were identified at species level. Microbial counts were compared between SLE and control by analysis of variance (ANOVA) and Mann-Whitney (p < 0.05 significant). Microorganism counts in patients with and without immunosuppressive drugs, as well with active and inactive disease (according to SLEDAI score) were also compared. No significant differences in CFU/mL between SLE and control patients were observed (yeasts, p = 0.55; Staphylococci, p = 0.24; Enterobacteria/Pseudomonas spp., p = 0.26). No differences in microbial counts were observed regarding clinical parameters tested. The most frequent species isolated in the SLE group were Candida albicans, Staphylococcus epidermidis and Klebsiella oxytoca. In conclusion, no differences in frequency and microorganism levels were found between SLE patients and healthy individuals. Lupus (2012) 21, 969-977.en
dc.description.affiliationUniv Estadual Paulista UNESP, Sao Jose dos Campos Dent Sch, Dept Oral Biosci & Diag, Microbiol Lab, São Paulo, Brazil
dc.description.affiliationUniv Fed São Paulo, Dept Med, Div Rheumatol, São Paulo, Brazil
dc.description.affiliationHosp São Paulo, São Paulo, Brazil
dc.description.affiliationUnespUniv Estadual Paulista UNESP, Sao Jose dos Campos Dent Sch, Dept Oral Biosci & Diag, Microbiol Lab, São Paulo, Brazil
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.description.sponsorshipIdFAPESP: 07/59980-3
dc.description.sponsorshipIdFAPESP: 08/09806
dc.format.extent969-977
dc.identifierhttp://dx.doi.org/10.1177/0961203312443420
dc.identifier.citationLupus. London: Sage Publications Ltd, v. 21, n. 9, p. 969-977, 2012.
dc.identifier.doi10.1177/0961203312443420
dc.identifier.issn0961-2033
dc.identifier.lattes0053567153623569
dc.identifier.lattes6065636367717382
dc.identifier.lattes6543563161403421
dc.identifier.orcid0000-0002-4470-5171
dc.identifier.orcid0000-0002-2416-2173
dc.identifier.urihttp://hdl.handle.net/11449/22635
dc.identifier.wosWOS:000306423500006
dc.language.isoeng
dc.publisherSage Publications Ltd
dc.relation.ispartofLupus
dc.relation.ispartofjcr2.969
dc.relation.ispartofsjr1,410
dc.rights.accessRightsAcesso restrito
dc.sourceWeb of Science
dc.subjectSystemic lupus erythematosusen
dc.subjectsuperinfectionen
dc.subjectimmunosuppressive drugsen
dc.titleOral microbial colonization in patients with systemic lupus erythematous: correlation with treatment and disease activityen
dc.typeArtigo
dcterms.licensehttp://www.uk.sagepub.com/aboutus/openaccess.htm
dcterms.rightsHolderSage Publications Ltd
unesp.author.lattes0053567153623569[6]
unesp.author.lattes6065636367717382[7]
unesp.author.lattes6543563161403421[8]
unesp.author.orcid0000-0002-1747-6158[6]
unesp.author.orcid0000-0002-4470-5171[7]
unesp.author.orcid0000-0002-2416-2173[8]
unesp.campusUniversidade Estadual Paulista (Unesp), Instituto de Ciência e Tecnologia, São José dos Campospt

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