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斯洛伐克一家医院口腔 分离株的流行状况和抗真菌药敏谱。

Prevalence and Antifungal Susceptibility Profile of Oral spp. Isolates from a Hospital in Slovakia.

机构信息

Department of Microbiology and Virology, Faculty of Natural Sciences, Comenius University in Bratislava, 842 15 Bratislava, Slovakia.

Department of Clinical Microbiology, Nitra Faculty Hospital, 950 01 Nitra, Slovakia.

出版信息

Medicina (Kaunas). 2022 Apr 22;58(5):576. doi: 10.3390/medicina58050576.

Abstract

Oral fungal infections are a worldwide healthcare problem. Although Candida albicans is still the most common yeast involved in the infections of oral cavity, non-Candida albicans Candida species (NCACs) have been highly related to these infections, particularly in older, immunosuppressed or patients with long exposure to antimicrobial drugs. The goal of this work was to perform a quick epidemiological and mycological study on the oral samples collected from a laboratory of a hospital in Slovakia, for 60 days. The samples’ identification was performed by Germ-tube formation test, CHROMID® Candida, Auxacolor 2, ID 32C automated method, and the antifungal susceptibility testing determined by E-test®. Results confirm that comparing with bacteria, yeasts still occur in the lower number, but there is a high rate of antifungal resistance (81.6%)—to, at least one drug—among the collected samples, particularly to azoles and 5′-FC, which is clinically noteworthy.

摘要

口腔真菌感染是一个全球性的医疗保健问题。虽然白色念珠菌仍然是最常见的引起口腔感染的酵母,但非白念珠菌属念珠菌(NCAC)也与这些感染密切相关,尤其是在老年人、免疫功能低下或长期暴露于抗菌药物的患者中。本工作的目的是在斯洛伐克一家医院的实验室中采集的口腔样本进行快速的流行病学和真菌学研究,为期 60 天。通过芽管形成试验、CHROMID® Candida、Auxacolor 2、ID 32C 自动化方法对样本进行鉴定,并通过 E 试验®进行抗真菌药敏试验。结果证实,与细菌相比,酵母的数量仍然较少,但在所采集的样本中,抗真菌药物的耐药率(81.6%)很高,至少对一种药物耐药,尤其是对唑类和 5′-FC,这在临床上值得关注。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b116/9144549/a93961dfa6dc/medicina-58-00576-g001.jpg

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