Microorganism and Antimicrobial Sensitivity Patterns of Angular Cheilitis in Children
Lubis, Wilda H
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Angular cheilitis lesions can be seen in one or both corners of the mouth especially a complication of Candida associated with denture stomatitis, this condition usually occurs in adult patients. In children, the lesions can be found due several factors that can have implications, one of which is the role of germs that cause infection. The purpose of this study aims to determine the germ patterns and anti-microbial sensitivity patterns in angular cheilitis which act as causes of angular cheilitis in children. By knowing the primary and secondary causes of external cheilitis, appropriate therapy can be determined. Forty-two children suffering from angular cheilitis were examined clinically and microbiological examinations were carried out. 87.5% of children were underweight based on the body mass index, and the 29.5 children (72.5%) had bad habits. Swab was taken on the wound to test sensitivity for microscopic examination of germs. The results of microorganism examination showed that Staphylococcus aureus 21 (57%) as the main pathogen had the most positive cases, while Enterobacter cloacae 5 (14%) was as the second most pathogenic bacteria followed by Staphylococcus warneri 2 (5%) as third pathogen. Polymicrobial growth was found from 2 patients with Staphylococcus aureus + Candida tropicalis and Dermacoccus nishinomiyaensis + Candida tropicalis. In addition, other bacterial growths which were suspected as causes of angular cheilitis, namely Klebsiella pneumonia, Staphylococcus gordonii, Streptococcus oralis, Bordetella bronchiseptica, Streptococcus pseudoporcinus, Streptococcus agalactiae, Streptococcus salivarus, and Gamella morbilorium. In this study, the patterns of antibiotic sensitivity to Staphylococcus aureus, Enterobacter cloacae and Staphylococcus warneri were obtained. These proofs showed the infectious organisms causing angular chelitis are not only bacteria, but also the groups of fungi were found in them. High prevalence of bacterial isolates was found, and S. aureus became dominant. From these results, most of the bacteria are resistant to various classes of antibiotics, while the appropriate antibiotics must be given based on bacterial isolates, sensitivity and clinical course of the disease.