Candida Species Isolation in Peristomal Skin in Patients with Abdominal Stomas and Correlation to Clinical Signs

Morales-Mendoza, Yamilett; Fernández‐Martínez, Ramón; Fabián-Victoriano, Ma. Rosy; Contreras‐Ruiz, José; Vásquez-del-Mercado, Elsa; Suárez‐Roa, María de Lourdes; Arenas‐Guzmán, Roberto

doi:10.1097/01.asw.0000455691.96993.ab

Cited by 6 publications

(2 citation statements)

References 20 publications

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“…Third, we have not been able to verify a direct causal relationship between the disruption of the intestinal microbiota and the development of PSC. According to previous reports, factors associated with PSC incidence include the moist environment of the peristomal skin, diabetes mellitus and chemotherapy [26, 27]. In the present analysis, the presence of diabetes and preoperative chemotherapy were not associated with PSC occurrence, but the presence of a moist environment around the stoma could not be evaluated due to missing data.…”

Section: Discussionmentioning

confidence: 67%

Preoperative oral antibiotic administration in patients undergoing curative resection with stoma creation for colorectal cancer: effectiveness in preventing surgical site infection and the possibility of peristomal candidiasis induced by enterobacterial alteration

Kiuchi,

Kuriu,

Arita

et al. 2023

Colorectal Disease

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AimThere are many reports that preoperative oral antibiotics (OAs) are effective in preventing surgical site infections (SSIs) in colorectal surgery. However, there is no consensus on the optimal dose of OAs. In this study, we investigated the efficacy of OAs in preventing SSIs and the possibility that OAs induce enterobacterial alteration in the intestinal tract.MethodWe performed a retrospective cross‐sectional analysis of 389 patients who underwent R0 resection and stoma creation for colorectal cancer in our department between 2009 and 2020. We focused on the incidence of peristomal candidiasis (PSC) as an indicator of enterobacterial alteration and used kanamycin (KM) and metronidazole (MNZ) as the OAs. A low‐dose group received 1000 mg/day of both KM and MNZ, and a high‐dose group received 2000 mg/day of both KM and MNZ.ResultsSSI occurred in 60 of the 389 cases (15.4%). Regardless of stoma type, SSI was significantly more common in the non‐OA group, while PSC was significantly less common. When examined by OA dose, the incidence of SSI was not significantly different between the low‐dose and high‐dose groups. However, PSC was significantly more common in the high‐dose group than in the non‐OA and low‐dose groups. Analysis of bacterial and fungal levels in stool samples showed that bacterial levels after OAs were significantly lower than before OAs, while fungal levels increased.ConclusionOAs significantly reduce SSI in colorectal cancer surgery. However, excess OAs were significantly associated with the occurrence of PSC without contributing to further reduction in SSI.

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Section: Discussionmentioning

confidence: 67%

Preoperative oral antibiotic administration in patients undergoing curative resection with stoma creation for colorectal cancer: effectiveness in preventing surgical site infection and the possibility of peristomal candidiasis induced by enterobacterial alteration

Kiuchi,

Kuriu,

Arita

et al. 2023

Colorectal Disease

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“…Satellite lesions are often seen in fungal infections, which help to distinguish candidiasis from dermatitis. 37 Patients will report severe itching and burning. Diagnosis is generally based on appearance, but, if needed, potassium hydroxide testing of rash scrapings can be performed.…”

Section: Bacterial and Fungal Infectionmentioning

confidence: 99%

Intestinal Stomas—Postoperative Stoma Care and Peristomal Skin Complications

Steinhagen

Colwell

Cannon

2017

Clinics in Colon and Rectal Surgery

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Intestinal stomas are necessary for several colon and rectal conditions and represent a major change in the new ostomate's daily life. Though dehydration is the most frequent etiology requiring readmission, irritant contact dermatitis and a host of other peristomal skin conditions are more common complications for ostomates. Wound, ostomy, and continence nurses are invaluable resources to both ostomy patients and providers. A few simple interventions can prevent or resolve most common peristomal complications. Good stoma care is possible in a resource-poor environment.

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Preventive stoma care and peristomal skin conditions

Schuetz¹,

Sanchez²

2023

Seminars in Colon and Rectal Surgery

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Candida Species Isolation in Peristomal Skin in Patients with Abdominal Stomas and Correlation to Clinical Signs

Abstract: The reported prevalence of candidiasis in peristomal skin varies greatly. Very few studies exist that correlate the clinical findings around the peristomal skin to the mycology. In this study, the authors report on Candida species prevalence, clinical correlation, and mycology.

Cited by 6 publications

References 20 publications

Preoperative oral antibiotic administration in patients undergoing curative resection with stoma creation for colorectal cancer: effectiveness in preventing surgical site infection and the possibility of peristomal candidiasis induced by enterobacterial alteration

Preoperative oral antibiotic administration in patients undergoing curative resection with stoma creation for colorectal cancer: effectiveness in preventing surgical site infection and the possibility of peristomal candidiasis induced by enterobacterial alteration

Intestinal Stomas—Postoperative Stoma Care and Peristomal Skin Complications

Preventive stoma care and peristomal skin conditions

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