妊娠期间口腔酵母菌定植

Rute Rio, L. Simões-Silva, Sofia Garro, M. Silva, Á. Azevedo, B. Sampaio-Maia
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引用次数: 11

摘要

最近的研究表明,胎盘可能含有一种独特的微生物群,这种微生物群可能起源于母体口腔微生物群。虽然在怀孕期间观察到的主要生理和激素调节导致口腔环境的生化和微生物改变,但很少有研究评估整个怀孕期间口腔微生物群所遭受的变化。因此,我们研究的目的是评估妊娠期间口腔酵母菌的定植情况并将其与非妊娠妇女进行比较。材料与方法对30例孕妇和非孕妇唾液中的口腔酵母菌定植进行了为期6个月的纵向评估。收集人口统计信息,进行无创口腔内检查,测定唾液流量和pH值。结果妊娠组与非妊娠组年龄、文化程度相近。唾液流速没有差异,但孕妇的唾液pH值低于非孕妇。孕妇的口腔酵母菌患病率高于非孕妇,无论是在妊娠早期还是妊娠晚期,但没有达到统计学意义。在有酵母菌定植的个体中,孕妇的总酵母菌定量(Log10CFU/mL)在妊娠第1至第3个月增加,而非孕妇则没有增加。结论妊娠有利于口腔酵母生长,这可能与口腔酸性环境有关。关键词:口腔酵母菌,真菌,妊娠,唾液pH
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Oral yeast colonization throughout pregnancy
Background Recent studies suggest that placenta may harbour a unique microbiome that may have origin in maternal oral microbiome. Although the major physiological and hormonal adjustments observed in pregnant women lead to biochemical and microbiological modifications of the oral environment, very few studies evaluated the changes suffered by the oral microbiota throughout pregnancy. So, the aim of our study was to evaluate oral yeast colonization throughout pregnancy and to compare it with non-pregnant women. Material and Methods The oral yeast colonization was assessed in saliva of 30 pregnant and non-pregnant women longitudinally over a 6-months period. Demographic information was collected, a non-invasive intra-oral examination was performed and saliva flow and pH were determined. Results Pregnant and non-pregnant groups were similar regarding age and level of education. Saliva flow rate did not differ, but saliva pH was lower in pregnant than in non-pregnant women. Oral yeast prevalence was higher in pregnant than in non-pregnant women, either in the first or in the third trimester, but did not attain statistical significance. In individuals colonized with yeast, the total yeast quantification (Log10CFU/mL) increase from the 1st to the 3rd trimester in pregnant women, but not in non-pregnant women. Conclusions Pregnancy may favour oral yeast growth that may be associated with an acidic oral environment. Key words:Oral yeast, fungi, pregnancy, saliva pH.
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