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新描述的近平滑念珠菌和季也蒙念珠菌与密切相关的副平滑念珠菌相比的地理分布及抗真菌药敏性

Geographic distribution and antifungal susceptibility of the newly described species Candida orthopsilosis and Candida metapsilosis in comparison to the closely related species Candida parapsilosis.

作者信息

Lockhart Shawn R, Messer Shawn A, Pfaller Michael A, Diekema Daniel J

机构信息

Department of Pathology, University of Iowa Carver College of Medicine, University of Iowa Hospitals and Clinics, 6008 BT GH, 200 Hawkins Drive, Iowa City, IA 52242-1009, USA.

出版信息

J Clin Microbiol. 2008 Aug;46(8):2659-64. doi: 10.1128/JCM.00803-08. Epub 2008 Jun 18.

Abstract

Candida orthopsilosis and Candida metapsilosis are recently described species, having previously been grouped with the more prevalent species Candida parapsilosis. Current literature contains very little data pertaining to the distributions and antifungal susceptibilities of these Candida species. We determined the species and antifungal susceptibilities of 1,929 invasive clinical isolates from the ARTEMIS antifungal surveillance program collected between 2001 and 2006 and identified as C. parapsilosis using Vitek and conventional methods. Of the 1,929 isolates of presumed C. parapsilosis tested, 117 (6.1%) were identified as C. orthopsilosis and 34 (1.8%) as C. metapsilosis. The percentage of presumed C. parapsilosis isolates found to be C. orthopsilosis varied greatly by region, with the highest percentage (10.9%) from South America and the lowest (0.7%) from Africa. The MIC distributions of the C. orthopsilosis and C. metapsilosis isolates were statistically significantly lower than those of C. parapsilosis for all drugs except fluconazole, for which they were significantly higher (P < 0.001 for all). No C. orthopsilosis or C. metapsilosis isolates were fluconazole resistant, and all were susceptible to caspofungin, anidulafungin, and micafungin.

摘要

正拟光滑念珠菌和副拟光滑念珠菌是最近才被描述的菌种,此前它们被归为更常见的近平滑念珠菌。目前的文献中关于这些念珠菌种的分布和抗真菌药敏性的数据非常少。我们测定了2001年至2006年间从ARTEMIS抗真菌监测项目收集的1929株侵袭性临床分离株的菌种和抗真菌药敏性,这些分离株最初使用Vitek和传统方法鉴定为近平滑念珠菌。在1929株假定为近平滑念珠菌的分离株中,117株(6.1%)被鉴定为正拟光滑念珠菌,34株(1.8%)为副拟光滑念珠菌。被鉴定为正拟光滑念珠菌的假定近平滑念珠菌分离株的比例因地区而异,其中南美洲的比例最高(10.9%),非洲的比例最低(0.7%)。除氟康唑外,正拟光滑念珠菌和副拟光滑念珠菌分离株的最低抑菌浓度(MIC)分布在统计学上显著低于近平滑念珠菌,而氟康唑的MIC分布则显著高于近平滑念珠菌(所有比较P均<0.001)。没有正拟光滑念珠菌或副拟光滑念珠菌分离株对氟康唑耐药,所有菌株对卡泊芬净、阿尼芬净和米卡芬净均敏感。

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