Altogether 400 children in the age of 0–8 years, hospitalized because of various diseases, were examined. Yeasts were demonstrated in 58.3% children in the tongue, buccal mucosa, tonsils or rectal swabs. Lists of the species found at different localizations are given. Candida albicans (alone or in combination with other yeasts) was found in altogether 47.5% patients; on the tongue in 41.8%, on the buccal mucosa in 38.3%, on the tonsils in 50.8% and in the rectum in 20.3%. With respect to the findings of C. albicans in rectal swabs there exists a rule that C. albicans is nearly always present in the mouth as well. Mouth findings need not be accompanied by findings in the rectum. Clinical picture of soor in the mouth cavity was observed in 1.5% children only. Possible connections between the incidence of yeasts and various clinical changes were followed. Especially important are the findings of yeasts in connection with the general health condition of the children: in the group with abundant and massive C. albicans findings most children are in poor health condition, on the other hand least of them are in good health state; in the group of children with negative mycological findings the situation is reversed. Likewise, a connection is observed between yeast presence and repeated or long-term hospitalization: children with positive mycological findings are more frequently repeatedly or long-term hospitalized than those with negative findings. In the group of children with negative or incidental findings, the highest number had not been ill so far. A possible correlation is also seen between the yeast occurrence and the administration of broad-spectrum antibiotics; however, one must not forget that such antibiotics are usually given to patients in poor health.
Fragner P., Šimková M. (1980): Yeasts in children. – Česká Mykologie 34(2): 82–91.
