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孕期生理过程中鼻咽微生物群中可培养细菌和酵母菌的患病率。

Prevalence of Culturable Bacteria and Yeasts in the Nasopharynx Microbiota during the Physiological Course of Pregnancy.

作者信息

Kosikowska Urszula, Dłuski Dominik Franciszek, Pietras-Ożga Dorota, Leszczyńska-Gorzelak Bożena, Andrzejczuk Sylwia

机构信息

Department of Pharmaceutical Microbiology, Medical University of Lublin, 20-093 Lublin, Poland.

Department of Obstetrics and Perinatology, Medical University of Lublin, 20-954 Lublin, Poland.

出版信息

J Clin Med. 2023 Jul 2;12(13):4447. doi: 10.3390/jcm12134447.

Abstract

The aim of the study was to compare the prevalence of the nasopharyngeal carriage of culturable microorganisms in the microbiota of asymptomatic women with a physiological pregnancy (PW) and nonpregnant women (NPW). Nasopharyngeal swabs were collected from 53 PW and 30 NPW to detect bacterial and fungal colonization. Isolates were identified using the culture method and the MALDI-TOF MS technique. The nasopharyngeal microbiota (NPM) partially differed between PW and NPW. These differences in the frequency of nasopharyngeal colonization between the PW and NPW groups were not statistically significant ( > 0.05); all cases were colonized by bacteria and only two cases in the PW group were colonized by yeasts, namely, spp. High levels of staphylococcal colonization, including predominantly coagulase-negative staphylococci and in the nasopharyngeal sample, were present in both groups. The reduced number of Gram-negative rods colonized in the cases studied was seen in samples from the NPW group, particularly with , and anaerobic spp. were isolated only in the PW group ( < 0.05). Moreover, a higher carriage rate of colonization was statistically significant ( < 0.05) and correlated with the NPW group. Pregnancy may disturb the composition of the NPM represented by commensals and opportunistic bacteria and promote yeast colonization as compared to nonpregnant women.

摘要

本研究的目的是比较生理妊娠女性(PW)和非妊娠女性(NPW)无症状微生物群中可培养微生物的鼻咽部携带率。从53名PW和30名NPW中采集鼻咽拭子,以检测细菌和真菌定植。使用培养方法和基质辅助激光解吸电离飞行时间质谱(MALDI-TOF MS)技术鉴定分离株。PW和NPW的鼻咽微生物群(NPM)存在部分差异。PW组和NPW组之间鼻咽定植频率的这些差异无统计学意义(>0.05);所有病例均有细菌定植,PW组仅有2例有酵母定植,即 属。两组鼻咽样本中均存在高水平的葡萄球菌定植,主要包括凝固酶阴性葡萄球菌和 。在NPW组的样本中,所研究病例中革兰氏阴性杆菌定植数量减少,尤其是 ,并且厌氧 属仅在PW组中分离出来(<0.05)。此外, 定植的携带率较高具有统计学意义(<0.05),且与NPW组相关。与非妊娠女性相比,妊娠可能会扰乱以共生菌和机会性细菌为代表的NPM组成,并促进酵母定植。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd67/10342925/7f08ddba9dd1/jcm-12-04447-g001.jpg

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