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Candida Isolated From Vaginal Mucosa of Mothers and Oral Mucosa of Neonates: Occurrence and Biotypes Concordance

Caramalac, Dayse Alcará PhD*; da Silva Ruiz, Luciana MSc*; de Batista, Georgea Carla Matuura MSc*; Birman, Esther Goldenberg PhD*; Duarte, Miriam PhD; Hahn, Rosane§; Paula, Claudete Rodrigues PhD*

The Pediatric Infectious Disease Journal: July 2007 - Volume 26 - Issue 7 - p 553-557
doi: 10.1097/INF.0b013e31806166d7
Original Studies

Background: The common occurrence of Candida spp. on the vaginal mucosa of pregnant women suggests this as the source of neonatal candidiasis.

Methods: This study investigated the occurrence of yeasts on the vaginal mucosa of 100 mothers at the time of birth, and on the oral mucosa of their respective neonates, all full-term, on the 1st, 3rd, and 9th days after birth by vaginal (72 cases) and cesarean (28 cases) routes. In each case where concordance at the level of species was found between the isolate from the mother and that from the neonate, tests were made to check for concordance between the genotypic and phenotypic profiles (susceptibility to killer toxins, serotyping, proteinase and phospholipase production, and susceptibility to antifungal agents).

Results: For the vaginal-route group, yeasts were recovered from the vaginal mucosa of 47.2% of the mothers and from 25% of the neonates. For the cesarean-route group, these rates were 46.4% and 3.6%, respectively. Species found most frequently in the samples from the mothers and the neonates were, respectively C. albicans and C. guilliermondii. For the vaginal-route group, the rate of mother/neonate concordance at the level of species was 23.5% and no cases of concordance for the cesarean births. Of these cases with species concordance, there was concordance between the genotypic and phenotypic profiles in 6% (2 cases).

Conclusion: The vaginal mucosa was not the main route of transmission of the Candida species to the neonate, because there was concordance between the genotypic and phenotypic profiles in only 6% (2 cases).

Supplemental Digital Content is Available in the Text.

From the *Department of Microbiology, Biomedical Sciences II Institute; §Mato Grosso University, Cuiabo, Brazil; and †University Hospital, São Paulo University, São Paulo, Brazil.

Accepted for publication March 22, 2007.

Address for correspondence: Claudete Rodrigues Paula, PhD, Departamento de Microbiologia, Instituto de Ciências Biomédicas II, Universidade de São Paulo, Av. Prof. Lineu Prestes, 1374 CEP 05508-900, São Paulo, Brazil. E-mail:

© 2007 Lippincott Williams & Wilkins, Inc.