Gołab-Lipińska M, Kurnatowska A
Ośrodek Leczenia Chorób Pasozytniczych i Grzybic Katedry Biologii i Parazytologii Lekarskiej, Akademia Medyczna, 90-436 Lódź, al. Kościuszki 85.
Wiad Parazytol. 2001;47 Suppl 1:137-42.
The aim of presented study was analysis of fungal invasions of the genital organs, oral cavity and digestive tract in 799 women. Fungal strains were identified using API 20C and API 20C AUX (bioMérieux); they were as follows: Candida albicans, C. krusei, C. tropicalis, C. guilliermondii, C. kefyr, C. glabrata, C. famata, C. parapsilosis, Rhodotorula rubra, Geotrichum candidum. The number of fungal strains isolated from the oral cavity ontocenosis was the highest (41.8 +/- 2.4%). Fungal strains isolated from the vagina were less numerous (34.6 +/- 2.3%), and from the rectum the least numerous (23.6 +/- 2.1%). Multifocal invasions (limited to one ontocenosis) were present in about 50% of women; bifocal were less frequent, and this difference was statistically significant (p < 0.01): fungi in the vagina and oral cavity were detected in 28.6 +/- 3.0%, in the oral cavity and rectum in 19.0 +/- 2.6%, and in the vagina and rectum in 13.0 +/- 2.2%. Trifocal invasions were more frequent (39.4 +/- 3.2%). There was a visible trend of increasing prevalence of fungi in genital organs over 10 year period from 17.9 +/- 1.4% to 34.5 +/- 1.7%.
本研究的目的是分析799名女性生殖器官、口腔和消化道的真菌感染情况。使用API 20C和API 20C AUX（生物梅里埃公司）鉴定真菌菌株；它们分别是：白色念珠菌、克柔念珠菌、热带念珠菌、季也蒙念珠菌、凯菲念珠菌、光滑念珠菌、法塔念珠菌、近平滑念珠菌、深红酵母、白地霉。从口腔群落分离出的真菌菌株数量最多（41.8±2.4%）。从阴道分离出的真菌菌株数量较少（34.6±2.3%），从直肠分离出的真菌菌株数量最少（23.6±2.1%）。约50%的女性存在多灶性感染（限于一个群落）；双灶性感染较少见，且这种差异具有统计学意义（p<0.01）：阴道和口腔中检测到真菌的占28.6±3.0%，口腔和直肠中占19.0±2.
