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The Susceptibility Patterns of Candida Species Isolated From Urine Samples to Posaconazole and Caspofungin

BACKGROUND: Candiduria is a rising condition among hospitalized patients and Candida albicans is the most common recovered agent. However, non-albicans Candida species (NACs) such as C. glabrata, C. krusei, C. parapsilosis, and C. tropicalis are also important. Although most Candida species especial...

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Autores principales: Zarei Mahmoudabadi, Ali, Rezaei-Matehkolaei, Ali, Ghanavati, Fataemeh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kowsar 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4386077/
https://www.ncbi.nlm.nih.gov/pubmed/25861442
http://dx.doi.org/10.5812/jjm.24298
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author Zarei Mahmoudabadi, Ali
Rezaei-Matehkolaei, Ali
Ghanavati, Fataemeh
author_facet Zarei Mahmoudabadi, Ali
Rezaei-Matehkolaei, Ali
Ghanavati, Fataemeh
author_sort Zarei Mahmoudabadi, Ali
collection PubMed
description BACKGROUND: Candiduria is a rising condition among hospitalized patients and Candida albicans is the most common recovered agent. However, non-albicans Candida species (NACs) such as C. glabrata, C. krusei, C. parapsilosis, and C. tropicalis are also important. Although most Candida species especially C. albicans are sensitive to routinely used antifungals, an increasing trend in resistance has been observed among NACs. OBJECTIVES: The aim of the present study was to detect the susceptibility of Candida strains recovered from candiduria in hospitalized patients against posaconazole and caspofungin. MATERIALS AND METHODS: A total of 120 urine samples were taken from patients hospitalized in Intensive Care Units (ICUs) (65) and urology (55) wards. All recovered yeasts were differentiated by using CHROMagar Candida medium and routine tests for identification of Candida species. Minimal inhibitory concentrations (MICs) of all isolates towards posaconazole and caspofungin were determined using the microdilution method with serial dilutions from 8 to 0.0625 µg/mL (posaconazole) and 4 to 0.03125 µg/ mL (caspofungin). RESULTS: In total, 41.7% of urine samples were positive for Candida isolation, including C. albicans (46%), C. glabrata (24%), C. tropicalis (16%) and C. krusei (14%). The MIC of caspofungin for 90% of the tested isolates was lower than 2 µg/mL. Furthermore, 94% of the tested isolates were inhibited by posaconazole at lower than 2 µg/mL after 24 hours, whereas 6% of isolates had MICs of more than 4 µg/mL. CONCLUSIONS: This study demonstrates the importance of Candida species in urine samples from hospitalized patients in ICUs and urology wards. It showed that both tested antifungals had excellent effects on different species of Candida, however the strains from ICUs were found to be more sensitive to caspofungin than posaconazole.
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spelling pubmed-43860772015-04-08 The Susceptibility Patterns of Candida Species Isolated From Urine Samples to Posaconazole and Caspofungin Zarei Mahmoudabadi, Ali Rezaei-Matehkolaei, Ali Ghanavati, Fataemeh Jundishapur J Microbiol Research Article BACKGROUND: Candiduria is a rising condition among hospitalized patients and Candida albicans is the most common recovered agent. However, non-albicans Candida species (NACs) such as C. glabrata, C. krusei, C. parapsilosis, and C. tropicalis are also important. Although most Candida species especially C. albicans are sensitive to routinely used antifungals, an increasing trend in resistance has been observed among NACs. OBJECTIVES: The aim of the present study was to detect the susceptibility of Candida strains recovered from candiduria in hospitalized patients against posaconazole and caspofungin. MATERIALS AND METHODS: A total of 120 urine samples were taken from patients hospitalized in Intensive Care Units (ICUs) (65) and urology (55) wards. All recovered yeasts were differentiated by using CHROMagar Candida medium and routine tests for identification of Candida species. Minimal inhibitory concentrations (MICs) of all isolates towards posaconazole and caspofungin were determined using the microdilution method with serial dilutions from 8 to 0.0625 µg/mL (posaconazole) and 4 to 0.03125 µg/ mL (caspofungin). RESULTS: In total, 41.7% of urine samples were positive for Candida isolation, including C. albicans (46%), C. glabrata (24%), C. tropicalis (16%) and C. krusei (14%). The MIC of caspofungin for 90% of the tested isolates was lower than 2 µg/mL. Furthermore, 94% of the tested isolates were inhibited by posaconazole at lower than 2 µg/mL after 24 hours, whereas 6% of isolates had MICs of more than 4 µg/mL. CONCLUSIONS: This study demonstrates the importance of Candida species in urine samples from hospitalized patients in ICUs and urology wards. It showed that both tested antifungals had excellent effects on different species of Candida, however the strains from ICUs were found to be more sensitive to caspofungin than posaconazole. Kowsar 2015-03-21 /pmc/articles/PMC4386077/ /pubmed/25861442 http://dx.doi.org/10.5812/jjm.24298 Text en Copyright © 2015, Ahvaz Jundishapur University of Medical Sciences. http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
spellingShingle Research Article
Zarei Mahmoudabadi, Ali
Rezaei-Matehkolaei, Ali
Ghanavati, Fataemeh
The Susceptibility Patterns of Candida Species Isolated From Urine Samples to Posaconazole and Caspofungin
title The Susceptibility Patterns of Candida Species Isolated From Urine Samples to Posaconazole and Caspofungin
title_full The Susceptibility Patterns of Candida Species Isolated From Urine Samples to Posaconazole and Caspofungin
title_fullStr The Susceptibility Patterns of Candida Species Isolated From Urine Samples to Posaconazole and Caspofungin
title_full_unstemmed The Susceptibility Patterns of Candida Species Isolated From Urine Samples to Posaconazole and Caspofungin
title_short The Susceptibility Patterns of Candida Species Isolated From Urine Samples to Posaconazole and Caspofungin
title_sort susceptibility patterns of candida species isolated from urine samples to posaconazole and caspofungin
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4386077/
https://www.ncbi.nlm.nih.gov/pubmed/25861442
http://dx.doi.org/10.5812/jjm.24298
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