Abstract
Purpose
In the present study, we aimed to investigate the positive rate of Demodex infection in patients with meibomian gland dysfunction (MGD) and to analyze its risk factors.
Methods
A total of 178 MGD patients admitted to the Jinan Second People’s Hospital from April 2020 to February 2021 were enrolled in the present study. All patients were examined for Demodex infection, and their medical history was collected. The positive rate of Demodex infection was calculated after the examination. The medical history, including age, eating habits, pet ownership, and so on, was collected. First, a univariate analysis was conducted to identify the factors associated with positive Demodex infection, and then, a multivariate comprehensive analysis was carried out to identify the main risk factors for positive Demodex infection.
Results
In the present study, the positive rate of Demodex infection in 178 MGD patients was 73.60%. The risk factors of Demodex infection in MGD patients were gender, pet ownership, toiletry sharing, and diabetes (all P ≤ 0.15). Age was one of the risk factors for infection [B = 0.105, OR 1.111 (95%CI 1.069–1.155), P = 0.000], and toiletry sharing was more likely to cause positive Demodex mite infection [B = 0.891, OR 2.439 (95%CI 1.066–5.577), P = 0.035]. The Demodex infection was not statistically associated with gender (P = 0.234), pet ownership (P = 1.141), and diabetes (P = 0.295).
Conclusions
The positive rate of Demodex infection was higher in MGD patients. The main risk factors affecting the positive rate of Demodex infection included age and toiletry sharing.
Similar content being viewed by others
References
Villani E, Marelli L, Dellavalle A, Serafino M, Nucci P (2020) Latest evidences on meibomian gland dysfunction diagnosis and management. Ocul Surf 18(4):871–892
Nichols KK, Foulks GN, Bron AJ, Glasgow BJ, Dogru M, Tsubota K, Lemp MA, Sullivan DA (2011) The International Workshop on Meibomian gland dysfunction: executive summary. Invest Ophthalmol Vis Sci 52(4):1922–1929
Chan TCY, Chow SSW, Wan KHN, Yuen HKL (2019) Update on the association between dry eye disease and meibomian gland dysfunction. Hong Kong Med J 25(1):38–47
Nicholls SG, Oakley CL, Tan A, Vote BJ (2017) Demodex species in human ocular disease: new clinicopathological aspects. Int Ophthalmol 37(1):303–312
Liang X, Li Y, Xiong K, Chen S, Li Z, Zhang Z, Xia Z, Yi G, Fu M (2021) Demodex infection changes ocular surface microbial communities, in which Meibomian gland dysfunction may play a role. Ophthalmol Ther 10(3):601–617
Zhang XB, Ding YH, He W (2018) The association between demodex infestation and ocular surface manifestations in meibomian gland dysfunction. Int J Ophthalmol 11(4):589–592
Cheng S, Zhang M, Chen H, Fan W, Huang Y (2019) The correlation between the microstructure of meibomian glands and ocular Demodex infestation: a retrospective case-control study in a Chinese population. Medicine (Baltimore) 98(19):e15595
Vargas-Arzola J, Reyes-Velasco L, Segura-Salvador A, Márquez-Navarro A, Díaz-Chiguer DL, Nogueda-Torres B (2012) Prevalence of Demodex mites in eyelashes among people of Oaxaca. Mexico Acta Microbiol Immunol Hung 59(2):257–262
Chinese branch of the asian dry eye society, Ocular surface and tear film diseases group of ophthalmology committee of cross-straits medicine exchange association. Expert consensus on diagnosis and treatment of Meibomian gland dysfunction in China (2017). Zhonghua Yan Ke Za Zhi 53(9):657–661.
Chinese branch of the asian dry eye society, Ocular surface and tear film diseases group of ophthalmology committee of cross-straits medicine exchange association. Expert consensus on diagnosis and treatment of Demodex blepharitis in China (2018). Zhonghua Yan Ke Za Zhi 54(7):491–495.
Gao YY, Di Pascuale MA, Li W, Liu DT, Baradaran-Rafii A, Elizondo A, Kawakita T, Raju VK, Tseng SC (2005) High prevalence of Demodex in eyelashes with cylindrical dandruff. Invest Ophthalmol Vis Sci 46(9):3089–3094
Nutting WB, Green AC (1976) Pathogenesis associated with hair follicle mites (Demodex spp.) in Australian Aborigines. Br J Dermatol 94(3):307–312.
Ozdemir MH, Aksoy U, Sönmez E, Akisu C, Yorulmaz C, Hilal A (2005) Prevalence of Demodex in health personnel working in the autopsy room. Am J Forensic Med Pathol 26(1):18–23
Liu J, Sheha H, Tseng SC (2010) Pathogenic role of Demodex mites in Blepharitis. Curr Opin Allergy Clin Immunol 10(5):505–510
Zeytun E, Tilki E, Doğan S, Mumcuoğlu KY (2017) The effect of skin moisture, pH, and temperature on the density of Demodex folliculorum and Demodex brevis (Acari: Demodicidae) in students and staff of the Erzincan University. Turkey Int J Dermatol 56(7):762–766
Tovey ER, Willenborg CM, Crisafulli DA, Rimmer J, Marks GB (2013) Most personal exposure to house dust mite aeroallergen occurs during the day. PLoS ONE 8(7):e69900
Huang C, Chen S, Fu S, Li Y, Li Z, Li S, Liang X, Wang Z, Wang Z, Chen Y, Deng Q, Yi G, Fu M (2021) A Survey on how ocular surface Demodex infestation interactively associates with diabetes mellitus and dry eye disease. Acta Parasitol 66(3):1039–1047
Lee SH, Chun YS, Kim JH, Kim ES, Kim JC (2010) The relationship between Demodex and ocular discomfort. Invest Ophthalmol Visual Sci 51(6):2906–2911
American Diabetes Association (2019) 2. Classification and diagnosis of diabetes: standards of medical care in Diabetes-2019. Diabetes Care 2019, 42(Suppl 1):S13–S28.
Toka Özer T, Akyürek Ö, Durmaz S (2020) Association between Demodex folliculorum and Metabolic Syndrome. J Cosmet Dermatol 19(11):3145–3149
Keskin Kurt R, Aycan Kaya O, Karateke A, Silfeler DB, Soylu Karapınar O, Akkoca AN, Hakverdi AU (2014) Increased density of Demodex Folliculorum mites in pregnancies with gestational diabetes. Med Princ Pract 23(4):369–372
Altalhi A, Khayyat W, Khojah O, Alsalmi M, Almarzouki H (2020) Computer vision syndrome among health sciences students in Saudi Arabia: prevalence and risk factors. Cureus 12(2):e7060
Magno MS, Utheim TP, Snieder H, Hammond CJ, Vehof J (2021) The relationship between dry eye and sleep quality. Ocul Surf 20:13–19
Li J, O’Reilly N, Sheha H, Katz R, Raju VK, Kavanagh K, Tseng SC (2010) Correlation between ocular Demodex infestation and serum immunoreactivity to Bacillus proteins in patients with Facial rosacea. Ophthalmology 117(5):870–877
Wilkin JK (1981) Oral thermal-induced flushing in erythematotelangiectatic rosacea. J Invest Dermatol 76(1):15–18
Bernstein JE (1982) Rosacea flushing. Int J Dermatol 21(1):24
Fromstein SR, Harthan JS, Patel J, Opitz DL (2018) Demodex Blepharitis: clinical perspectives. Clin. Optom 10:57–63
Elston CA, Elston DM (2014) Demodex mites. Clin Dermatol 32(6):739–743
Vargas-Arzola J, Segura-Salvador A, Torres-Aguilar H, Urbina-Mata M, Aguilar-Ruiz S, Díaz-Chiguer DL, Márquez-Navarro A, Morales-Reyes L, Alvarado-Vásquez N, Nogueda-Torres B (2020) Prevalence and risk factors to Demodex Folliculorum infection in eyelash follicles from a University Population of Mexico. Acta Microbiol Immunol Hung 67(3):156–160
Acknowledgements
None.
Funding
This study has not any financial support.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
All authors declare that they have no conflict of interest.
Research involving human participants and/or animals
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.
Informed consent
Informed consent was obtained from all individual participants included in the study.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Ding, G., Tan, Y., Zhang, C. et al. Analysis of Demodex infection rate and risk factors in patients with meibomian gland dysfunction. Int Ophthalmol 43, 877–884 (2023). https://doi.org/10.1007/s10792-022-02490-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10792-022-02490-4