Peuckert W, Deuringer B
Monatsschr Kinderheilkd. 1985 Jul;133(7):466-70.
Because of the omnipresence of yeasts belonging to the species Candida it is not easy to distinguish between contamination and infection in patients (e.g. swabs from skin or mucous membranes). Antibody detection may be helpful for the diagnosis of severe Candida infection. However, during early infancy most children produce Candida antibodies without the signs of infection. Those basic antibody titers have to be considered when antibody determination becomes necessary to prove acute systemic Candida infection. Lowest titers against Candida were detected in the first year of life based on the decrease of the maternally transmitted antibodies. However, Candida colonization rates are most frequently detectable in this period. At the age of 10 years the antibody titers of adults are reached. The determination of one single titer does not justify any conclusion of Candida infection because the antibody basic titers are widely scattered. Systemic Candida infections still remain a more or less clinical diagnosis which can only be confirmed by the antibody titer dynamics.
由于属于念珠菌属的酵母菌无处不在,因此区分患者身上的污染和感染并不容易(例如皮肤或黏膜拭子)。抗体检测可能有助于诊断严重的念珠菌感染。然而,在婴儿早期,大多数儿童在没有感染迹象的情况下就会产生念珠菌抗体。当有必要通过抗体测定来证明急性全身性念珠菌感染时,必须考虑这些基础抗体滴度。基于母体传播抗体的减少,在生命的第一年检测到针对念珠菌的最低滴度。然而,在此期间念珠菌定植率最常被检测到。到10岁时,抗体滴度达到成人水平。仅测定单一滴度并不能确定念珠菌感染,因为基础抗体滴度差异很大。全身性念珠菌感染仍然或多或少是一种临床诊断,只能通过抗体滴度动态变化来确诊。