Carletto Körber Fabiana P M, Cornejo Lila S, Giménez María G
Faculty of Dentistry, National University of Córdoba, Argentina.
Acta Odontol Latinoam. 2005;18(2):69-74.
Existing evidence reveals that in Early Oral Infection the main route of transmission of Streptococcus mutans is mother-child saliva contacts and that initial acquisition takes place during a specific period of time denominated "Window of Infectivity" that lapses between 6 and 30 months of the child's life, with a higher risk between 18 and 30 months of age. The aim of the present study was to analyze Early Oral Infection. The levels of Streptococcus mutans in saliva and bacterial plaque in the binomial mother-child 6 to 18 months after childbirth were evaluated. Twenty-four mother-child binomials that attended the University Hospital of Maternity and Neonatology of Córdoba participated in the study. Samples of saliva and dental plaque were taken from mother and child and seeded in selective Agar Mitis Salivarius Bacitracin medium (0.28 mg/ml) and cultured for 48 hours at 37 degrees C and in 5% CO2 to allow for the growth of Streptococcus mutans. The colonies were identified morphologically and biochemically. At 6 months after childbirth: 58.33% of the samples of the mother's saliva were positive, while the presence of the microorganism was not detected in 100% of the samples of the infants' saliva. At 18 months of after childbirth: 79.16% of the samples of saliva and 100% of the samples of the mothers' dental plaque were positive, whereas the samples of saliva and dental plaque of the infants were positive for Streptococcus mutans in 20.83% and 70.83% of the cases respectively. The initial acquisition of Streptococcus mutans would have occurred in 20.8% of the children at the age of 18 months. Eruption of primary molars occurs at this age.
现有证据表明,在早期口腔感染中,变形链球菌的主要传播途径是母婴唾液接触,并且初始感染发生在特定时间段内,即所谓的“感染窗口期”,该窗口期在儿童6至30个月的生命期间,在18至30个月龄时风险更高。本研究的目的是分析早期口腔感染。评估了产后6至18个月母婴二元组中唾液和牙菌斑中变形链球菌的水平。24个母婴二元组参与了该研究,这些母婴来自科尔多瓦大学妇产和新生儿医院。从母亲和孩子身上采集唾液和牙菌斑样本,接种于选择性米氏唾液杆菌杆菌肽培养基(0.28毫克/毫升)中,并在37摄氏度和5%二氧化碳条件下培养48小时,以促进变形链球菌生长。通过形态学和生化方法鉴定菌落。产后6个月时:母亲唾液样本中58.33%呈阳性,而婴儿唾液样本中100%未检测到该微生物。产后18个月时:唾液样本中79.16%呈阳性,母亲牙菌斑样本中100%呈阳性,而婴儿唾液和牙菌斑样本中变形链球菌阳性率分别为20.83%和70.83%。18个月大的儿童中,20.8%可能已初次感染变形链球菌。这个年龄段乳牙开始萌出。