Kovac J, Kovac D, Slobodnikova L, Kotulova D
Bratisl Lek Listy. 2013;114(12):716-20.
The aim of the present study was to examine the prevalence of Enterococcus faecalis and Candida albicans in endodontic infections.
Samples for microbiological examination were collected from 32 patients with deep dental caries, infected dental root canal, or periapical infection.
Cultivation of the dental samples yielded four strains of Enterococcus faecalis (12.5 %), and three strains of Candida albicans (9.4 %). All Enterococcus faecalis isolates were susceptible to ampicillin, one isolate was resistant to tetracycline, two to erythromycin and azithromycin (additional 2 had intermediate susceptibility), and one strain had intermediate susceptibility to ciprofloxacin and moxifloxacin.
We conclude that Enterococcus faecalis and Candida albicans can participate in the dental root canal and periapical infections, and the use of effective irrigant solutions and intracanal medicaments active against these microbes is important in order to prevent endodontic therapy failures. Unexpected was the isolation of C. albicans from a nine-year-old child with periodontitis apicalis. This finding must draw attention to the possibility that even at such a young age, this microorganism could be a potential etiological agent in endodontic infections (Tab. 2, Ref. 34). Text in PDF www.elis.sk.
本研究旨在检测粪肠球菌和白色念珠菌在牙髓感染中的患病率。
从32例患有深龋、感染根管或根尖周感染的患者中采集微生物学检查样本。
对牙齿样本进行培养，得到4株粪肠球菌（12.5%）和3株白色念珠菌（9.4%）。所有粪肠球菌分离株对氨苄西林敏感，1株对四环素耐药，2株对红霉素和阿奇霉素耐药（另有2株为中度敏感），1株对环丙沙星和莫西沙星为中度敏感。
我们得出结论，粪肠球菌和白色念珠菌可参与根管和根尖周感染，使用对这些微生物有效的冲洗液和根管内药物对于预防牙髓治疗失败很重要。从一名患有根尖周炎的9岁儿童中分离出白色念珠菌，这出乎意料。这一发现必须引起人们对以下可能性的关注，即即使在如此年幼的年龄，这种微生物也可能是牙髓感染的潜在病原体（表2，参考文献34）。PDF文本www.elis.sk 。
