Browsing by Author "Piedra Bravo, Yadira Lucia"

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Oral Candidiasis and Nutritional Status in Hospitalized Aged Patients: A Cross-sectional Study in Cuenca-Ecuador
(2021) Bravo Calderón, Diego Mauricio; Piedra Bravo, Yadira Lucia; Encalada Torres, Lorena Esperanza; Piedra Bravo, Johanna Alexandra
Background: Oral candidiasis (OC) is an opportunistic fungal disease related to various local and systemic factors. Hospitalized aged patients are considered susceptible hosts with several adverse clinical outcomes, including OC and undernutrition. Aims: The aim of this study was to determine the prevalence of oral candidiasis among hospitalized aged patients who attended on the inpatient units of Vicente Corral Moscoso Hospital and Jose Carrasco Arteaga Hospital of Cuenca-Ecuador. And also, to evaluate the association between OC and nutritional status in hospitalized aged patients. Methods and materials: This study was performed with two hundred and twenty subjects; convenience sampling was applied for seven months. Demographic data were collected by a questionnaire. OC diagnosis was accomplished by oral examination; clinical lesions suggestive were analyzed with swabbed culture tests. OC was diagnosed when patients exhibited oral suggestive lesions synchronously with positive culture results. Nutritional assessment was performed with Controlling Nutritional Status (CONUT) system. Statistical analysis was performed with IBM_SPSS-20 software; associations were analyzed using Chi-square test, or Fisher’s exact test, and multiple logistic regression. For all tests, 𝑝 ≤ 0.05 was considered as a statistically significant result. Results: Out of 220 hospitalized aged patients, 62 (28.1%) were diagnosed with oral candidiasis. The mean age was 78.3±7.8 years The Demographic/clinical variables (sex, age, residence area, education, use of dental prostheses) indicated no correlation with oral candidiasis. Nutritional variables (hypoalbuminemia and severe undernutrition were significantly correlated with oral candidiasis (p=0.009; p=0.007). Conclusions: 28.1 % of the hospitalized aged patients had oral candidiasis. Hypoalbuminemia and severe undernutrition are risk factors associated with oral candidiasis.
Oral findings in patients with chronic kidney disease: A cross-sectional descriptive study in Cuenca-Ecuador
(2021) Piedra Bravo, Yadira Lucia
Objective: To determine the different oral findings in patients with renal insufficiency, chronic. Methods: A descriptive cross-sectional study was carried out that included 123 individuals who were diagnosed with renal insufficiency, chronic and underwent dialysis treatment at the Renal Services Unit of the Austro of the city of Cuenca-Ecuador. Once the study was approved by the Research Directorate of the Faculty of Dentistry (DIFO) of the University of Cuenca (code UC-DIFO-PROY-17-010), the oral cavity of the patients was examined to detect gingival enlargement non-inflammatory, hemorrhagic lesions (purpura and ecchymosis), uremic stomatitis and oral candidiasis. Data analysis was performed using the IBM-SPSS Statistics 20.0 program for Windows software (IBM Corporation, Armonk, NY, USA); the results were presented in simple distribution tables by calculating their percentage frequency. Results: Of the 123 subjects who participated in this study, 52% (n=64) were women, while 48% (n=59) were men.The mean age of the study population was 60.2 (SD: 14.6) years. Oral findings were described in 74% (n= 91) of patient’swith renal insufficiency, chronic. Among them were: non-inflammatory gingival enlargement (64.7%) (n=57), hemorrhagic lesions such as purpura and ecchymosis (57.7%) (n=71), uremic stomatitis (10.6%) (n=13) and oral candidiasis (8.1%) (n=10). Conclusion: Patients with renal insufficiency, chronic present important oral findings that should be identified and treated during dental practice.