eISSN: 2081-2833
ISSN: 2081-0016
Medycyna Paliatywna/Palliative Medicine
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2/2013
vol. 5
 
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abstract:
Original paper

Diagnostics of candidiasis and intestinal permeability in patients of the Warsaw Hospice for Children

Tomasz Dangel
,
Artur Januszaniec
,
Teresa Joanna Stradomska
,
Małgorzata Murawska
,
Magdalena Karkowska
,
Katarzyna Kozera

Medycyna Paliatywna 2013; 5(2): 58–69
Online publish date: 2013/07/08
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Microbiological tests to diagnose Candida infections in patients of hospice home care program – in the light of new research on intestinal permeability – were considered insufficient. Two new tests were evaluated: urinary D-/L-arabinitol ratio and sugar absorption test. Invasive candidiasis was diagnosed in 43% and intestinal hyperpermeability in 46% of cases. Relationships among intestinal hyperpermeability versus age, antibiotics and the cleansing mixture were proved statistically significant. Positive relationship was found between candidiasis and hypercarbohydrate diet. Both tests are useful and may be performed at home environment by hospice nurses.
keywords:

palliative care, children, Candida, intestinal permeability, leaky gut syndrome, arabinitol, lactulose, mannitol
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