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Published on: July 6, 2016
[Microflora of pharyngeal mucosa in children with solid tumors]
Abstract:
Microbiological study of pharyngeal mucosa in 43 children with solid tumors revealed that 77.2% of isolated microorganisms belonged to Gram-positive flora. It was shown that streptococci and Staphylococcus aureus were the main species. Species composition of streptococci included both pyogenic (S. pyogenes, S. agalactiae, S. dysgalactiae, S. equi) andviridans species (S. acidominimus, S. oralis and "S. milleri" group). Nocardioform actinomycetes, corynebacteria and other staphylococci were referred to additional microflora. Accidental microflora was represented by Neisseria spp., non-fermenting Gram-negative bacteria, enterobacteria and yeast-like fungi. Microbiologic study of pharyngeal mucosa biocenosis showed that monoculture was present only in 2.3% of cases; in other cases microorganisms formed both intra-genus and inter-species associations. 2-6-component associations were revealed with predominance of 3-4-component associations (37.2% and 32.6% respectively). Relationship of distribution of microorganisms belonging to main and additional microflora was revealed.
Insights
Gram-positive bacteria, particularly streptococci and Staphylococcus aureus, dominate the pharyngeal mucosa in children with solid tumors. These microbes often form complex multi-species associations rather than single cultures.
Area of Science:
- Microbiology
- Pediatric Oncology
Context:
- Children with solid tumors often experience changes in their oral and pharyngeal microbiome.
- Understanding the pharyngeal mucosa's microbial composition is crucial for managing potential infections and complications in immunocompromised pediatric patients.
Purpose:
- To characterize the microbiological profile of the pharyngeal mucosa in children diagnosed with solid tumors.
- To identify the predominant microbial species and their associations within the pharyngeal mucosa of this patient cohort.
Summary:
- A microbiological study of 43 children with solid tumors found that 77.2% of isolated microorganisms were Gram-positive flora.
- Streptococci (including pyogenic and viridans groups) and Staphylococcus aureus were the dominant species.
- Microorganisms predominantly formed 2-6-component associations, with 3-4-component associations being most common (37.2% and 32.6%).
Impact:
- This research highlights the specific microbial landscape of the pharyngeal mucosa in pediatric cancer patients.
- Findings can inform targeted prophylactic or therapeutic strategies to mitigate infection risks associated with altered microflora in this vulnerable population.
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Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
