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Pol. Merkur. Lek (Pol. Med. J.), 2020, XLVIII/284: 077-081 Maximize

Pol. Merkur. Lek (Pol. Med. J.), 2020, XLVIII/284: 077-081

Title: The role of Candida spp. contamination and efficacy of camphorated oil in skin care of incontinent associated dermatitis patients 

Authors: Kohut I, Galnykina S, Kushynska M, Krynytska I, Marushchak M, Kamyshnyi A. 

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The role of Candida spp. contamination and efficacy of camphorated oil in skin care of incontinent associated dermatitis patients


Kohut I1, Galnykina S1, Kushynska M2, Krynytska I3, Marushchak M3, Kamyshnyi A4.

1Department of Infectious Diseases with Epidemiology, Dermatology and Venereology, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine; 2Department of Medical Biology, Parasitology and Genetics, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine; 3Department of Functional and Laboratory Diagnostics I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine; 4Department of Microbiology, Virology and Immunology, Zaporozhye State Medical University, Zaporizhzhia, Ukraine

Candida albicans is the most prevalent human fungal commensal organism and is reported to be the most frequent aetiological factor responsible for infection associated with incontinence-associated dermatitis (IAD).
The aim of the study
was to investigate the Candida spp. colonisation and efficacy of camphorated oil in the skin care of the patients with incontinence-associated dermatitis.
Materials and methods
. In patients of the study group (n=104), a local application of camphorated oil was used to clean and protect their skin from urine and/or faeces. In 30 patients of the control group routine wet wipes 3 in 1 or a combination of cleansing foam with protective cream were used. Pre-treatment (day 1) and post-treatment (day 30±1) study evaluations included detailed description of eruption, assessment by evaluation tools, and mycological culture for Candida spp. from sites with fungal-appearing rash.
Results
. Fungal-appearing rash was found in almost a half (51.0%) of patients at pre-treatment examination and in less than one-third (31.7%) of the patients after the course of application of camphorated oil. Candida spp. was cultivated in 39 (37.5%) patients. Fungal-appearing rash was approved by mycological culture in 56.6%. In patients with urine incontinence, Candida spp. negative cases (43.3%) were significantly prevalent over Candida spp. positive (22.1%). At post-treatment, this prevalence become more noticeable, accordingly obtaining 62.5% of negative and 2.9% of positive results. In patients with double incontinence, Candida spp. negative cases (19.2%) were almost equal to the number of Candida spp. positive (15.4%). After a course of study treatment, Candida spp. negative cases (26.0%) significantly overpassed Candida spp. positive level (8.7%). At an early and moderate grade of IAD Candida spp. negative cases were prevalent, but at severe grade did not differ from the number of positive mycology cultures.
Conclusions
. The topical use of camphorated oil in skin care of the incontinence-associated dermatitis significantly decreases the severity of disease, reduces fungal appearing rash and Candida spp. colonisation. Camphorated oil was superior to routine products in the controlling of yeast colonisation of the skin in incontinence-associated dermatitis, especially in cases with double incontinence.

Key words: incontinent associated dermatitis, candida, camphor, skin care

Pol Med J, 2020; XLVIII (284); 77–81