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婴儿口腔早期变形链球菌和乳酸菌的定植:从出生到第六个月,研究其与母体及环境因素的关系

Early oral colonization of streptococcus mutans and lactobacilli species in infants: Investigating the relationship with maternal and environmental factors, from birth through the sixth month.

作者信息

Ay Cansu, Karayılmaz Huseyin, Cengiz Ayse

机构信息

Cansu Ay, DDS, PhD, Pediatric Dentist, Private Practice, Yalova, Turkiye.

Huseyin Karayılmaz, DDS, PhD, Professor, Akdeniz University, Faculty of Dentistry, Department of Pediatric Dentistry, Antalya, Turkiye.

出版信息

Pak J Med Sci. 2024 Oct;40(9):2028-2035. doi: 10.12669/pjms.40.9.9602.

Abstract

OBJECTIVE

To assess the presence of () and species () of newborn-mother pairs using the real time polymerase chain reaction (qRT-PCR).

METHOD

Subjects were selected from the patients followed in the Neonatology Clinic of Akdeniz University's Faculty of Medicine between the years 2017-2018. First samples collected within 48 hours after birth, and second samples were at six months. The samples were analyzed for the presence of and using qRT-PCR. Mothers' smoking habits, education level, occupation, oral hygiene habits, DMFT scores and dietary history; Babies' delivery type, birth weight, feeding type, oral hygiene practices, feeding habits, bottle usage, pacifier usage, consumption of sugary foods, were also recorded. The effect of factors related to both mothers and infants was examined comparatively.

RESULTS

DNA was detectable in 87% and DNA was detected in 37% mothers, while it was undetected in 63% mothers at the first sampling. was detected in 37% and, while was detected in 5% of the newborns in the first 48 hours of their life. At the second sampling, the and levels in infants have increased, while there has been no significant change in mothers. A significant relationship was found only between the increase in in infants and the presence of erupted teeth.

CONCLUSION

and were able to colonize on the oral mucosal surfaces of edentulous newborns, with the counts of both bacteria increasing significantly with tooth eruption.

摘要

目的

采用实时聚合酶链反应(qRT-PCR)评估母婴对中()和种()的存在情况。

方法

研究对象选自2017年至2018年间在阿克德尼兹大学医学院新生儿科随访的患者。出生后48小时内采集第一份样本,第二份样本在六个月时采集。使用qRT-PCR分析样本中是否存在和。还记录了母亲的吸烟习惯、教育程度、职业、口腔卫生习惯、DMFT评分和饮食史;婴儿的分娩类型、出生体重、喂养类型、口腔卫生习惯、饮食习惯、奶瓶使用情况、安抚奶嘴使用情况、含糖食物的摄入量。对母婴相关因素的影响进行了比较研究。

结果

在87%的母亲中可检测到DNA,在37%的母亲中检测到DNA,而在首次采样时,63%的母亲未检测到。在出生后48小时内,37%的新生儿检测到,5%的新生儿检测到。在第二次采样时,婴儿中的和水平有所增加,而母亲中的水平没有显著变化。仅在婴儿中增加与乳牙萌出之间发现了显著关系。

结论

和能够在无牙新生儿的口腔黏膜表面定植,随着牙齿萌出,两种细菌的数量均显著增加。

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