Pinto-Almazán Rodolfo, Frías-De-León María Guadalupe, Fuentes-Venado Claudia Erika, Arenas Roberto, González-Gutiérrez Leopoldo, Chávez-Gutiérrez Edwin, Torres-Paez Oscar Uriel, Martínez-Herrera Erick
Sección de Estudios de Posgrado e Investigación, Escuela Superior de Medicina, Instituto Politécnico Nacional, Plan de San Luis y Díaz Mirón, Ciudad de México 11340, Mexico.
Unidad de Investigación, Hospital Regional de Alta Especialidad de Ixtapaluca, Ixtapaluca 56530, Mexico.
Children (Basel). 2022 Oct 3;9(10):1510. doi: 10.3390/children9101510.
Malnutrition is a public health problem in developing countries, affecting the child population, which favors the appearance of infections such as oral candidiasis. In Mexico, information on the presence of oral colonization by Candida spp. in asymptomatic children is scarce. The present study aimed to determine the presence of Candida spp. in the oral cavity of asymptomatic preschool Mexican children and its association with their nutritional status. A sample of oral mucosa was obtained using a sterile swab and then inoculated in Sabouraud dextrose agar with antibiotics, and the yeast growth was phenotypically identified. The anthropometric profile of children was performed based on the guidelines of the International Society for the Advancement of Kinanthropometry. In addition, eating habits were investigated. The possible associations between the variables were determined through the chi-square test (IC95%, p < 0.05) (GraphPad Prism 8.0). Among the 743 assessed children (403 boys and 340 girls), the average age was 4.6 years, and the average nutritional status was normal (53.7%), followed by undernutrition (28.4%), overweight (12.4%) and obesity (5.5%). In 52 children, Candida was isolated, and the identified species were C. albicans (87.8%), C. glabrata (11.5%), C. krusei (5.8%) and C. parapsilosis (1.9%). The frequency of colonization was greater in males of six years (69.23%). There was no significant association between the colonization by Candida spp. and the nutritional status; however, a relation was observed with a high intake of simple carbohydrates.
营养不良是发展中国家的一个公共卫生问题,影响儿童群体,这有利于诸如口腔念珠菌病等感染的出现。在墨西哥,关于无症状儿童口腔念珠菌属定植情况的信息匮乏。本研究旨在确定墨西哥无症状学龄前儿童口腔中念珠菌属的存在情况及其与营养状况的关联。使用无菌拭子获取口腔黏膜样本,然后接种于含抗生素的沙氏葡萄糖琼脂培养基上,并对酵母生长进行表型鉴定。根据国际人体测量学促进协会的指南对儿童进行人体测量。此外,还调查了饮食习惯。通过卡方检验(95%置信区间,p<0.05)(GraphPad Prism 8.0)确定变量之间的可能关联。在743名接受评估的儿童(403名男孩和340名女孩)中,平均年龄为4.6岁,平均营养状况为正常(53.7%),其次是营养不良(28.4%)、超重(12.4%)和肥胖(5.5%)。在52名儿童中分离出念珠菌,鉴定出的菌种为白色念珠菌(87.8%)、光滑念珠菌(11.5%)、克柔念珠菌(5.8%)和近平滑念珠菌(1.9%)。6岁男性的定植频率更高(69.23%)。念珠菌属定植与营养状况之间无显著关联;然而,观察到与高糖摄入量有关。