Trends in Species Distribution and Susceptibility of Bloodstream Isolates of Candida Collected in Monterrey, Mexico, to Seven Antifungal Agents: Results of a 3-Year (2004 to 2007) Surveillance Study
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| Published in | Journal of Clinical Microbiology Vol. 46; no. 9; pp. 2902 - 2905 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | English |
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Washington, DC
American Society for Microbiology
01.09.2008
American Society for Microbiology (ASM) |
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Online ISSN:
1098-660X
Copyright © 2014
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| AbstractList | ABSTRACT
During a 3-year surveillance program (2004 to 2007) in Monterrey, Mexico, 398 isolates of
Candida
spp. were collected from five hospitals. We established the species distribution and in vitro susceptibilities of these isolates. The species included 127
Candida albicans
strains, 151
C
.
parapsilosis
strains, 59
C
.
tropicalis
strains, 32
C
.
glabrata
strains, 11
C
.
krusei
strains, 5
C
.
guilliermondii
strains, 4
C
.
famata
strains, 2
C
.
utilis
strains, 2
C
.
zeylanoides
strains, 2
C
.
rugosa
strains, 2
C
.
lusitaniae
strains, and 1
C
.
boidinii
strain. The species distribution differed with the age of the patients. The proportion of candidemias caused by
C
.
parapsilosis
was higher among infants ≤1 year old, and the proportion of candidemias caused by
C
.
glabrata
increased with patient age (>45 years old). MICs were calculated following the criteria of the Clinical Laboratory Standards Institute reference broth macrodilution method. Overall,
C
.
albicans
,
C
.
parapsilosis
, and
C
.
tropicalis
isolates were susceptible to fluconazole and amphotericin B. However, 31.3% of
C
.
glabrata
isolates were resistant to fluconazole (MIC ≥ 64 μg/ml), 43.3% were resistant to itraconazole (MIC ≥ 1 μg/ml), and 12.5% displayed resistance to amphotericin B (MIC ≥ 2 μg/ml). Newer triazoles, namely, voriconazole, posaconazole, and ravuconazole, had a notable in vitro activity against all
Candida
species tested. Also, caspofungin was active against
Candida
sp. isolates (MIC
90
≤ 0.5 μg/ml) except
C
.
parapsilosis
(MIC
90
= 2 μg/ml). It is imperative to promote a national-level surveillance program to monitor this important microorganism. During a 3-year surveillance program (2004 to 2007) in Monterrey, Mexico, 398 isolates of Candida spp. were collected from five hospitals. We established the species distribution and in vitro susceptibilities of these isolates. The species included 127 Candida albicans strains, 151 C . parapsilosis strains, 59 C . tropicalis strains, 32 C . glabrata strains, 11 C . krusei strains, 5 C . guilliermondii strains, 4 C . famata strains, 2 C . utilis strains, 2 C . zeylanoides strains, 2 C . rugosa strains, 2 C . lusitaniae strains, and 1 C . boidinii strain. The species distribution differed with the age of the patients. The proportion of candidemias caused by C . parapsilosis was higher among infants ≤1 year old, and the proportion of candidemias caused by C . glabrata increased with patient age (>45 years old). MICs were calculated following the criteria of the Clinical Laboratory Standards Institute reference broth macrodilution method. Overall, C . albicans , C . parapsilosis , and C . tropicalis isolates were susceptible to fluconazole and amphotericin B. However, 31.3% of C . glabrata isolates were resistant to fluconazole (MIC ≥ 64 μg/ml), 43.3% were resistant to itraconazole (MIC ≥ 1 μg/ml), and 12.5% displayed resistance to amphotericin B (MIC ≥ 2 μg/ml). Newer triazoles, namely, voriconazole, posaconazole, and ravuconazole, had a notable in vitro activity against all Candida species tested. Also, caspofungin was active against Candida sp. isolates (MIC 90 ≤ 0.5 μg/ml) except C . parapsilosis (MIC 90 = 2 μg/ml). It is imperative to promote a national-level surveillance program to monitor this important microorganism. Article Usage Stats Services JCM Citing Articles Google Scholar PubMed Related Content Social Bookmarking CiteULike Delicious Digg Facebook Google+ Mendeley Reddit StumbleUpon Twitter current issue JCM About JCM Subscribers Authors Reviewers Advertisers Inquiries from the Press Permissions & Commercial Reprints ASM Journals Public Access Policy JCM RSS Feeds 1752 N Street N.W. • Washington DC 20036 202.737.3600 • 202.942.9355 fax • journals@asmusa.org Print ISSN: 0095-1137 Online ISSN: 1098-660X Copyright © 2014 by the American Society for Microbiology. For an alternate route to JCM .asm.org, visit: JCM During a 3-year surveillance program (2004 to 2007) in Monterrey, Mexico, 398 isolates of Candida spp. were collected from five hospitals. We established the species distribution and in vitro susceptibilities of these isolates. The species included 127 Candida albicans strains, 151 C. parapsilosis strains, 59 C. tropicalis strains, 32 C. glabrata strains, 11 C. krusei strains, 5 C. guilliermondii strains, 4 C. famata strains, 2 C. utilis strains, 2 C. zeylanoides strains, 2 C. rugosa strains, 2 C. lusitaniae strains, and 1 C. boidinii strain. The species distribution differed with the age of the patients. The proportion of candidemias caused by C. parapsilosis was higher among infants <or=1 year old, and the proportion of candidemias caused by C. glabrata increased with patient age (>45 years old). MICs were calculated following the criteria of the Clinical Laboratory Standards Institute reference broth macrodilution method. Overall, C. albicans, C. parapsilosis, and C. tropicalis isolates were susceptible to fluconazole and amphotericin B. However, 31.3% of C. glabrata isolates were resistant to fluconazole (MIC >or= 64 microg/ml), 43.3% were resistant to itraconazole (MIC >or= 1 microg/ml), and 12.5% displayed resistance to amphotericin B (MIC >or= 2 microg/ml). Newer triazoles, namely, voriconazole, posaconazole, and ravuconazole, had a notable in vitro activity against all Candida species tested. Also, caspofungin was active against Candida sp. isolates (MIC(90) <or= 0.5 microg/ml) except C. parapsilosis (MIC(90) = 2 microg/ml). It is imperative to promote a national-level surveillance program to monitor this important microorganism. |
| Author | Jacobo Ayala Gloria M. González Mariana Elizondo |
| AuthorAffiliation | Departamento de Microbiología, Facultad de Medicina, Universidad Autónoma de Nuevo León, 1 Unidad de Vigilancia Epidemiológica, Hospital San José-Tec. de Monterrey, Instituto Tecnológico y de Estudios Superiores de Monterrey, Monterrey, Mexico 2 |
| AuthorAffiliation_xml | – name: Departamento de Microbiología, Facultad de Medicina, Universidad Autónoma de Nuevo León, 1 Unidad de Vigilancia Epidemiológica, Hospital San José-Tec. de Monterrey, Instituto Tecnológico y de Estudios Superiores de Monterrey, Monterrey, Mexico 2 |
| Author_xml | – sequence: 1 givenname: Gloria M surname: GONZALEZ fullname: GONZALEZ, Gloria M organization: Departamento de Microbiología, Facultad de Medicina, Universidad Autónoma de Nuevo León, Mexico – sequence: 2 givenname: Mariana surname: ELIZONDO fullname: ELIZONDO, Mariana organization: Departamento de Microbiología, Facultad de Medicina, Universidad Autónoma de Nuevo León, Mexico – sequence: 3 givenname: Jacobo surname: AYALA fullname: AYALA, Jacobo organization: Unidad de Vigilancia Epidemiológica, Hospital San José-Tec. de Monterrey, Instituto Tecnológico y de Estudios Superiores de Monterrey, Monterrey, Mexico |
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| Keywords | Fungi Infection Antifungal agent Candidiasis Sensitivity Yeast Mycosis Microbiology Candida Isolate Fungi Imperfecti |
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| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Corresponding author. Mailing address: Facultad de Medicina, Universidad Autónoma de Nuevo León, Departamento de Microbiología, Madero y Dr. Eduardo A. Pequeño s/n, Colonia Mitras Centro, Monterrey, NL, México 64460. Phone: (5281) 8329 4166. Fax: (5281) 8348 5477. E-mail: gmglez@yahoo.com.mx |
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Mendeley... During a 3-year surveillance program (2004 to 2007) in Monterrey, Mexico, 398 isolates of Candida spp. were collected from five hospitals. We established the... ABSTRACT During a 3-year surveillance program (2004 to 2007) in Monterrey, Mexico, 398 isolates of Candida spp. were collected from five hospitals. We... During a 3-year surveillance program (2004 to 2007) in Monterrey, Mexico, 398 isolates of Candida spp. were collected from five hospitals. We established the... |
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| SubjectTerms | Adolescent Adult Age Factors Aged Aged, 80 and over Amphotericin B - pharmacology Amphotericin B - therapeutic use Antifungal Agents - pharmacology Antifungal Agents - therapeutic use Biological and medical sciences Candida - drug effects Candida albicans - drug effects Candida glabrata - drug effects Candida tropicalis - drug effects Candidiasis - drug therapy Candidiasis - microbiology Caspofungin Child Child, Preschool Echinocandins - pharmacology Echinocandins - therapeutic use Female Fluconazole - pharmacology Fluconazole - therapeutic use Fundamental and applied biological sciences. Psychology Humans Infant Infant, Newborn Itraconazole - pharmacology Itraconazole - therapeutic use Lipopeptides Male Mexico Microbial Sensitivity Tests Microbiology Middle Aged Miscellaneous Mycology Pyrimidines - pharmacology Pyrimidines - therapeutic use Thiazoles - pharmacology Thiazoles - therapeutic use Triazoles - pharmacology Triazoles - therapeutic use Voriconazole Young Adult |
| Title | Trends in Species Distribution and Susceptibility of Bloodstream Isolates of Candida Collected in Monterrey, Mexico, to Seven Antifungal Agents: Results of a 3-Year (2004 to 2007) Surveillance Study |
| URI | http://jcm.asm.org/content/46/9/2902.abstract https://www.ncbi.nlm.nih.gov/pubmed/18632907 https://search.proquest.com/docview/69515726 https://pubmed.ncbi.nlm.nih.gov/PMC2546732 |
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