Fricker-Hidalgo H, Lebeau B, Kervroedan P, Faure O, Ambroise-Thomas P, Grillot R
Département de parasitologie-mycologie médicale et moléculaire (DP3M), centre hospitalier universitaire, Grenoble, France.
Ann Biol Clin (Paris). 1995;53(4):221-5.
The incidence of deep candidiasis, particularly in immunocompromised patients, and the emergence of less sensitive yeast species to new antifungal agents explain the interest of their rapid identification. A new identification system, Auxacolor (Sanofi Diagnostics Pasteur), has been evaluated, comparatively to ID 32C strip taken in reference (bioMérieux SA). These systems include respectively 13 and 29 carbohydrate assimilation tests. One hundred and sixty-nine strains belonging to 17 common yeast species isolated from biological specimens were identified. Moreover, 13 strains belonging to seven species rarely isolated and not included in the Auxacolor data base were tested. Correct biochemical profiles were obtained with 95.2% of the strains from the first panel. These profiles alone permit correct identification of 62.7% of them (n = 106). The remainders (Candida glabrata, Candida krusei, Candida guilliermondii, Candida inconspicua and Candida lipolytica) require time consuming additional morphological observations for a definitive identification. However, the time needed to obtain the biochemical profiles of these 106 strains was shorter when using Auxacolor: 77.4% of the strains were identified at 24 h with Auxacolor and 47.1% were identified at 24 h with ID 32C. Species from the second panel were not identified (seven strains) or incorrectly identified (six strains). The Auxacolor system was found to be reliable when performed in conjunction with morphological tests and easy to use for the identification of most medically important yeasts.
深部念珠菌病的发病率,尤其是在免疫功能低下患者中的发病率,以及对新型抗真菌药物敏感性较低的酵母菌种的出现,说明了快速鉴定它们的重要性。一种新的鉴定系统Auxacolor(赛诺菲诊断巴斯德公司)已与作为参考的ID 32C试条(生物梅里埃公司)进行了比较评估。这些系统分别包括13项和29项碳水化合物同化试验。对从生物标本中分离出的属于17种常见酵母菌种的169株菌株进行了鉴定。此外,还对属于7种罕见菌种且未包含在Auxacolor数据库中的13株菌株进行了测试。第一组菌株中有95.2%获得了正确的生化图谱。仅这些图谱就能正确鉴定其中62.7%的菌株(n = 106)。其余的菌株(光滑念珠菌、克柔念珠菌、季也蒙念珠菌、 inconspicua念珠菌和解脂念珠菌)需要进行耗时的额外形态学观察才能进行最终鉴定。然而,使用Auxacolor时获得这106株菌株生化图谱所需的时间更短:使用Auxacolor时,77.4%的菌株在24小时内得到鉴定,而使用ID 32C时,24小时内鉴定出的菌株为47.1%。第二组的菌种未得到鉴定(7株)或鉴定错误(6株)。发现Auxacolor系统与形态学测试结合使用时可靠,且易于用于鉴定大多数医学上重要的酵母菌种。