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Published on: November 6, 2019
Effect of circumcision on genital colonization of Malassezia spp. in a pediatric population
Serdar Iskit1, Macit Ilkit, Aygül Turç-Biçer
1Department of Pediatric Surgery, Faculty of Medicine, University of Cukurova, Adana, Turkey.
Abstract:
This study aimed to determine the prevalence of yeast fungi in samples from the glans penis and prepuce of circumcised and uncircumcised children. Impression preparations were made on modified Dixon and Leeming-Notman agar without cycloheximide. The isolates were identified by morphological and physiological characteristics. The yeasts were detected in 32 (28.6%) of 112 children, 12 (18.2%) being among 66 circumcised and 20 (43.5%) among 46 uncircumcised children. The most common species was Malassezia globosa (40.6%) followed by, Malassezia furfur (31.3%), Malassezia slooffiae (15.6%), Candida albicans (6.3%), Candida tropicalis (3.1%) and Candida parapsilosis (3.1%). The colonization with yeasts, and especially lipophilic species was more frequently observed among uncircumcised versus circumcised children. While age was not found to be a factor (P > 0.05), circumcision was responsible for increasing the colonization rate by 4.8 times (95% CI: 1.6-14.5) (P < 0.01). The circumcision status was not found to effect the distribution of Malassezia spp.
Insights
Circumcision significantly impacts yeast colonization on the glans penis and prepuce in children. Uncircumcised children showed higher yeast prevalence, particularly Malassezia species, suggesting a protective effect of circumcision.
Area of Science:
- Medical Mycology
- Pediatric Dermatology
- Microbiology
Background:
- Yeast fungi are common commensals on human skin.
- The glans penis and prepuce harbor a unique microbial environment.
- Circumcision status may influence the penile mycobiome.
Purpose of the Study:
- To determine the prevalence of yeast fungi on the glans penis and prepuce in circumcised and uncircumcised children.
- To identify the yeast species colonizing these areas.
- To assess the association between circumcision and yeast colonization.
Main Methods:
- Impression preparations from the glans penis and prepuce.
- Culturing on modified Dixon and Leeming-Notman agar without cycloheximide.
- Identification of yeast isolates by morphological and physiological characteristics.
Main Results:
- Yeasts were detected in 28.6% of 112 children.
- Colonization was significantly higher in uncircumcised (43.5%) versus circumcised (18.2%) children.
- Malassezia globosa was the most prevalent species (40.6%), followed by Malassezia furfur (31.3%).
- Circumcision increased yeast colonization rates by 4.8 times (P < 0.01).
Conclusions:
- Circumcision status is a significant factor influencing yeast colonization on the glans penis and prepuce in children.
- Uncircumcised children exhibit a higher prevalence of yeast colonization, especially by lipophilic species like Malassezia.
- Further research may explore the specific mechanisms by which circumcision affects the penile mycobiome.
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