James L. Ratcliff
Rowpar Pharmaceuticals, Inc.,
USA
Title: Prevention and treatment of oral candidiasis: Challenges and solutions
Biography
Biography: James L. Ratcliff
Abstract
Oral candidiasis (thrush) is among the most common opportunistic fungal infection in humans. It is caused by the imbalance of microorganisms in the oral cavity allowing various Candida species to grow out of control causing infection with development of white lesions and potentially spreading to other parts of the body, including the esophagus, lungs, liver, and skin. When allowed to progress, invasive candidemia can be life-threatening. While Candida albicans has been widely studies, oral candidiasis often involves several species of Candida resident in the oral ecology, each with its own charac¬teristics and susceptibility to treatments. Prevalent recommended therapies currently include nystatin, azole antifungal agents and amphotericin B preparations. Treatments aimed at controlling or reducing may be ineffective in treating other Candida species and therefore of limited value in halting the progression of oral candidiasis. Candida species are found in the oral cavity as nor¬mal commensal microorganisms and may overgrow when the host response is weakened, such as in immunocompromised individuals. Immunocompromised conditions include HIV/AIDS, nutritional deficiencies, and metabolic disorders such as diabetes, malignancies, xerostomia, medication side effects, aging, pregnancy, Sjogrens syndrome, dentures, and smok¬ers. This paper and presentation examine the research literature on the prevention and treatment of candidiasis, focusing on the efficacy of available clinical and home oral care treatments, and the susceptibility of the various oral candida species to these treatments.