Identification of Capnocytophaga facilitates appropriate, and in most cases effective, antimicrobial therapy.

The objective of the present study was to establish the occurrence of Chlamydia pneumoniae by direct detection in gargled-water specimens obtained from 193 children suffering from acute or chronic respiratory infections. Specimens were analyzed by an indirect immunofluorescence test (IIF), a genus-specific antigen enzyme immunosorbent assay (EIA) and the polymerase chain reaction (PCR). The pathogen was detected in three children by PCR only. As underlying disease, chronic obstructive bronchitis resistant to therapy was reported. In two of the children, the presence of pneumonia could be verified by X-ray. With a detection threshold of target DNA obtained from two inclusion forming units (IFU), the PCR proved clearly more sensitive than EIA becoming positive at levels of 100 IFU and above. No interpretable results could be obtained for the IIF.

The purpose of this study was to determine whether yeast isolates from mothers and their new-borns are of the same genotype. In this investigation, 103 parturient mothers and their children were examined for colonization by yeasts by sampling the vaginal secretions at delivery and by taking swabs from the oral mucosa and the anus of the children on the third day after parturition. The samples were cultured on Sabouraud glucoseagar and incubated for 48 h at 37 degrees C. Differentiation of the isolates was achieved biochemically by means of the Vitek AMS system and morphologically on rice extract agar. Subsequently DNA fingerprinting analysis was carried out by means of pulsed-field gel electrophoresis (PFGE). In six cases we could prove the presence of Candida spp. in the mothers as well as in their children. In all cases the strains isolated from mother and child showed the same banding pattern. Likewise, the strains isolated from the vaginal secretion and the vaginal epithelium of individual women were identical. The differences observed between strains isolated from different women were small to middling. This shows PFGE to be an efficient procedure to demonstrate the relation between strains derived from mothers and their newborns.