Muriel M A, Vizcaíno M J, Bilbao R, Herruzo R
Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad Autónoma de Madrid.
Enferm Infecc Microbiol Clin. 2000 Mar;18(3):120-4.
The increasing incidence of Candida yeasts infections and its hospital and community repercussion (vaginal thrush), as well as the will to acquire the knowledge of the new antifungal that were launched to the therapeutic store, have motivated us to identify that type of yeasts from different sources, as well as to study their behaviour against the antifungal, using commercial procedures with easy clinical application.
An amount of 317 Candida yeasts were identified through commercial procedures (CHROMagar Candida and Auxacolor): 108 vaginals, 138 from ICU newborn children and 71 from ICU adults, while the antifungal drug susceptibilities was done to 199 of the isolated ones using another commercial procedure (Fungitest).
Candida albicans is identified as the most frequent in both hospital and community samples (78.7 and 45.93%, respectively), followed by Candida glabrata (19.44 and 28.23%, respectively). The sensitivity to amphotericin B and to 5-flucytosine was very high in every studied group, while sensitivity to imidazole derivatives depends on the samples source (lower sensitivity in the ICU newborn isolated ones) and the species (C. glabrata is less sensitive than C. albicans).
念珠菌感染的发病率不断上升及其在医院和社区造成的影响(如阴道念珠菌病),以及人们想要了解新推出的抗真菌药物的意愿,促使我们通过易于临床应用的商业方法,从不同来源鉴定此类酵母,并研究它们对这些抗真菌药物的反应。
通过商业方法(科玛嘉念珠菌显色培养基和Auxacolor)鉴定了317株念珠菌酵母:108株来自阴道,138株来自新生儿重症监护病房(ICU)的儿童,71株来自ICU的成人,同时使用另一种商业方法(Fungitest)对199株分离菌株进行了抗真菌药敏试验。
白色念珠菌在医院和社区样本中均最为常见(分别为78.7%和45.93%),其次是光滑念珠菌(分别为19.44%和28.23%)。在每个研究组中,两性霉素B和5-氟胞嘧啶的敏感性都非常高,而对咪唑衍生物的敏感性则取决于样本来源(新生儿ICU分离株的敏感性较低)和菌种(光滑念珠菌比白色念珠菌敏感性低)。