Literature DB >> 14756222

Susceptibilities of Candida species to amphotericin B and fluconazole: the emergence of fluconazole resistance in Candida tropicalis.

Yun-Liang Yang1, Yong-An Ho, Hsiao-Hsu Cheng, Monto Ho, Hsiu-Jung Lo.   

Abstract

OBJECTIVE: To determine the susceptibilities of Candida species isolated from Taiwan to amphotericin B and fluconazole.
DESIGN: Prospective surveillance study.
METHODS: Each hospital was asked to submit up to 10 C. albicans and 40 non-albicans Candida species during the collection period, from April 15 to June 15, 1999. One isolate was accepted from each episode of infection. The broth microdilution method was used to determine susceptibilities to amphotericin B and fluconazole.
RESULTS: Only 3 of 632 isolates, one each of C. famata, C. krusei, and C. tropicalis, were resistant to amphotericin B. A total of 53 (8.4%) of 632 clinical yeast isolates, consisting of 4% C. albicans, 8% C. glabrata, 15% C. tropicalis, and 70% C. krusei, were resistant to fluconazole. In contrast, no C. parapsilosis isolate was resistant to fluconazole. Isolates from tertiary-care medical centers had higher rates of resistance to fluconazole than did those from regional and local hospitals (11.4% vs 6.6%). Isolates from different sources showed different levels of susceptibility to fluconazole. All of the isolates with the exception of C. tropicalis and C. krusei isolated from blood were susceptible to fluconazole. A pattern of co-resistance to both amphotericin B and fluconazole was observed.
CONCLUSIONS: Non-albicans Candida species had higher rates of resistance to fluconazole than did C. albicans (44 of 395 [11.2%] vs 9 of 237 [3.8%]; P = .002). The increasing rate of fluconazole resistance in C. tropicalis (15%) is important because C. tropicalis is one of the most commonly isolated non-albicans Candida species.

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Year:  2004        PMID: 14756222     DOI: 10.1086/502294

Source DB:  PubMed          Journal:  Infect Control Hosp Epidemiol        ISSN: 0899-823X            Impact factor:   3.254


  36 in total

1.  Susceptibilities to amphotericin B, fluconazole and voriconazole of Trichosporon clinical isolates.

Authors:  Moan Shane Tsai; Yun Liang Yang; An Huei Wang; Lih Shinn Wang; Daniel C T Lu; Ci Hong Liou; Li Yun Hsieh; Chi Jung Wu; Ming Fang Cheng; Zhi Yuan Shi; Hsiu Jung Lo
Journal:  Mycopathologia       Date:  2012-02-09       Impact factor: 2.574

2.  R432 is a key residue for the multiple functions of Ndt80p in Candida albicans.

Authors:  Yun Liang Yang; Chih Wei Wang; Shiang Ning Leaw; Te Pin Chang; I Chin Wang; Chia Geun Chen; Jen Chung Fan; Kuo Yun Tseng; Szu Hsuan Huang; Chih Yu Chen; Ting Yin Hsiao; Chao Agnes Hsiung; Chiung Tong Chen; Chwan Deng Hsiao; Hsiu Jung Lo
Journal:  Cell Mol Life Sci       Date:  2011-10-16       Impact factor: 9.261

3.  Oropharyngeal colonization of HIV-infected outpatients in Taiwan by yeast pathogens.

Authors:  Yun-Liang Yang; Chien-Ching Hung; An-Huei Wang; Fan-Chen Tseng; Shiang Ning Leaw; Yu-Tzu Tseng; Chia-Li Su; Hui-Ting Chen; Tsai-Ling Lauderdale; Hsiu-Jung Lo
Journal:  J Clin Microbiol       Date:  2010-05-05       Impact factor: 5.948

4.  Identification of Azole Resistance Markers in Clinical Isolates of Candida tropicalis Using cDNA-AFLP Method.

Authors:  Ali Kanani; Farideh Zaini; Parivash Kordbacheh; Mehraban Falahati; Sassan Rezaie; Roshanak Daie; Shirin Farahyar; Mahin Safara; Roohollah Fateh; Ebrahim Faghihloo; Azam Fattahi; Mansour Heidari
Journal:  J Clin Lab Anal       Date:  2015-04-14       Impact factor: 2.352

5.  Multilocus sequence typing for analyses of clonality of Candida albicans strains in Taiwan.

Authors:  Kuo-Wei Chen; Yee-Chun Chen; Hsiu-Jung Lo; Frank C Odds; Tzu-Hui Wang; Chi-Yang Lin; Shu-Ying Li
Journal:  J Clin Microbiol       Date:  2006-06       Impact factor: 5.948

Review 6.  The Emerging Threat of Antifungal Resistance in Transplant Infectious Diseases.

Authors:  Ilan S Schwartz; Thomas F Patterson
Journal:  Curr Infect Dis Rep       Date:  2018-02-05       Impact factor: 3.725

7.  Mechanisms of azole resistance in a clinical isolate of Candida tropicalis.

Authors:  Patrick Vandeputte; Gérald Larcher; Thierry Bergès; Gilles Renier; Dominique Chabasse; Jean-Philippe Bouchara
Journal:  Antimicrob Agents Chemother       Date:  2005-11       Impact factor: 5.191

8.  Calcineurin controls hyphal growth, virulence, and drug tolerance of Candida tropicalis.

Authors:  Ying-Lien Chen; Shang-Jie Yu; Hsin-Yu Huang; Ya-Lin Chang; Virginia N Lehman; Fitz Gerald S Silao; Ursela G Bigol; Alice Alma C Bungay; Anna Averette; Joseph Heitman
Journal:  Eukaryot Cell       Date:  2014-01-17

9.  Candida tropicalis as a Predominant Isolate from Clinical Specimens and its Antifungal Susceptibility Pattern in a Tertiary Care Hospital in Southern India.

Authors:  Binesh Lal Yesudhason; Kalyani Mohanram
Journal:  J Clin Diagn Res       Date:  2015-07-01

10.  Species distribution and susceptibility profile of Candida species in a Brazilian public tertiary hospital.

Authors:  Ariane Bruder-Nascimento; Carlos Henrique Camargo; Maria Fátima Sugizaki; Terue Sadatsune; Augusto Cezar Montelli; Alessandro Lia Mondelli; Eduardo Bagagli
Journal:  BMC Res Notes       Date:  2010-01-03
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