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具有抗真菌耐药模式的恶性及潜在恶性口腔病变中念珠菌属的鉴定

Candidal Species Identification in Malignant and Potentially Malignant Oral Lesions with Antifungal Resistance Patterns.

作者信息

Bansal Rahul, Pallagatti Shambulingappa, Sheikh Soheyl, Aggarwal Amit, Gupta Deepak, Singh Ravinder

机构信息

Department of Oral Medicine and Radiology, MM College of Dental Sciences and Research, Ambala, Haryana, India.

出版信息

Contemp Clin Dent. 2018 Sep;9(Suppl 2):S309-S313. doi: 10.4103/ccd.ccd_296_18.

Abstract

OBJECTIVE

Candidal species identification in malignant and potentially malignant oral lesions with antifungal susceptibility.

MATERIALS AND METHODS

Oral candidal carriage, strain diversity, and antifungal susceptibility of were checked for the patients having oral cancer or precancer reporting to the clinics for 1½ year. Statistically significant patients were selected and a control group was taken. A total of 105 individuals were selected and divided into three different groups. Salivary samples were taken from all the individuals. detection was done using Sabouraud's agar and candidal species detection on CHROMagar. antifungal sensitivity was done using antifungal disc diffusion method.

RESULTS

was isolated from 88.6% of patients with oral cancer and 45.7% in oral precancerous group. was the predominant species found in 100% of oral precancerous and 71% in oral cancerous patients. Other a species found were (9.7%) and (19.6%). Antifungal susceptibility showed 4.3% sensitivity to fluconazole and 100% sensitivity to amphotericin B and nystatin.

CONCLUSION

Oral carriage was higher in oral cancerous group and majority of them were sensitive to amphotericin B and nystatin.

摘要

目的

对恶性及潜在恶性口腔病变中的念珠菌进行菌种鉴定并检测其抗真菌药敏性。

材料与方法

对在诊所就诊1年半的口腔癌或癌前病变患者的口腔念珠菌携带情况、菌株多样性及抗真菌药敏性进行检查。选取具有统计学意义的患者并设立对照组。共选取105名个体,分为三个不同组。采集所有个体的唾液样本。使用沙保弱琼脂进行检测,在科玛嘉显色培养基上进行念珠菌菌种检测。采用抗真菌纸片扩散法检测抗真菌药敏性。

结果

在88.6%的口腔癌患者和45.7%的口腔癌前病变组患者中分离出念珠菌。白色念珠菌是在100%的口腔癌前病变患者和71%的口腔癌患者中发现的主要菌种。其他发现的菌种有热带念珠菌(9.7%)和光滑念珠菌(19.6%)。抗真菌药敏性显示对氟康唑的敏感性为4.3%,对两性霉素B和制霉菌素的敏感性为100%。

结论

口腔癌组的口腔念珠菌携带率更高,且大多数对两性霉素B和制霉菌素敏感。

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