scholarly journals Detection of Candida auris and its antifungal susceptibility: first report from Bangladesh

2020 ◽  
Vol 13 (2) ◽  
pp. 18-22
Author(s):  
Subarna Dutta ◽  
Md Hasibur Rahman ◽  
Kazi Shakhawath Hossain ◽  
Jalaluddin Ashraful Haq
Keyword(s):  
Antifungal Agents ◽  
Antifungal Susceptibility ◽  
Disk Diffusion ◽  
Diffusion Method ◽  
Clinical Samples ◽  
Dhaka City ◽  
Candida Auris ◽  
Large Hospital ◽  
Disk Diffusion Method ◽  
First Report

Background and objectives: Candida auris is an emerging multidrug-resistant fungal pathogen that has been associated with nosocomial infections with a high mortality. The organism has been reported from several countries of the world except Bangladesh. The present study describes the presence of C. auris in clinical samples obtained from a large hospital of Dhaka city, Bangladesh. Materials and methods: The A total of 100 Candida species isolated from different clinical samples were purposively included in the present study. Samples were obtained from patients attending a 750 bed hospital of Dhaka city. C. auris was identified by growth characteristics, biochemical and carbohydrate assimilation test and further confirmed by polymerase chain reaction and sequencing using ITS1 and ITS2 targeting the conserved regions of 5.8S rRNA. Antifungal susceptibility of identified C. auris was performed by disk diffusion and minimum inhibitory concentration (MIC) methods. Results: Out of 100 Candida sp. tested, 21 isolates were identified as C. auris. Of the 21 C. auris, 14 (66.7%) were isolated from blood samples and the remaining 7 (33.4%) were from urine. Most of the C. auris isolated were from patients admitted in intensive care units. Out of 21 C. auris, 17 (81.0%), 7 (33.3%) and 3 (14.3%) were sensitive to amphotericin B, fluconazole and voriconazole respectively by disk diffusion method. Out of 14 fluconazole resistant isolates, 5 were susceptible dose-dependent (SS-D) by MIC method. Conclusion: The present study is the first report demonstrating the presence of C. auris in clinical samples obtained from a large hospital of Bangladesh. Majority of isolates showed resistance to fluconazole and variable susceptibility to other antifungal agents. Further study is suggested to find its true magnitude and its susceptibility pattern to a range of antifungal agents. Ibrahim Med. Coll. J. 2019; 13(2): 18-22

scholarly journals Antifungal susceptibility of clinically significant candida species by disk diffusion method

2021 ◽  
Vol 7 (2) ◽  
pp. 77-80
Author(s):  
Ajitha Reddy Edula
Keyword(s):  
Antifungal Agents ◽  
Susceptibility Testing ◽  
Antifungal Susceptibility ◽  
Antifungal Susceptibility Testing ◽  
Susceptibility Test ◽  
Disk Diffusion ◽  
Diffusion Method ◽  
Candida Spp ◽  
Disk Diffusion Method ◽  
Antifungal Susceptibility Test

Antifungal susceptibility of candida. To perform antifungal susceptibility testing on candida isolates by disk diffusion method & study its susceptibility pattern. The present study was conducted in the department of Microbiology in a tertiary care hospital in Hyderabad from January 2013 to June 2014, with prior approval of the Institutional Ethics Committee. The present study was designed to perform antifungal susceptibility test on Candida isolates by Disk Diffusion Method and study its susceptibility pattern. 102 Candida isolates were subjected to Antifungal susceptibility testing by Disk diffusion method using Mueller-Hinton Agar + 2% Glucose and 0.5 μg/mL Methylene Blue Dye (GMB) Mediumas per CLSI guidelines. : Antifungal susceptibility test shows that C. albicans is more susceptible to all the antifungal agents tested. Resistance to azole group of drugs was more pronounced in non-albicans candida spp. Voriconazole seemed to be superior to Fluconazole with a better susceptibility in the Fluconazole resistant strains also.Findings of the antifungal susceptibility test suggest that Candida spp., differ in their susceptibility to antifungal agents. Antifungal susceptibility testing of Candida isolates will be helpful in guiding physicians to select the appropriate antifungal drug so that therapeutic failures can be avoided thus decreasing patient morbidity and mortality.

scholarly journals Antifungal Susceptibility and Biofilm Production of Candida spp. Isolated from Clinical Samples

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Munmun B. Marak ◽  
Biranthabail Dhanashree
Keyword(s):  
Antifungal Susceptibility ◽  
Clinical Information ◽  
Antibiotic Use ◽  
Microtiter Plate ◽  
Vaginal Swab ◽  
Diffusion Method ◽  
Clinical Samples ◽  
Candida Spp ◽  
Disk Diffusion Method ◽  
Biofilm Production

Objective. The study aims to speciate clinical Candida isolates and detect their biofilm-forming ability and antifungal resistance. Methods. All the Candida spp. isolated from different clinical samples like pus, urine, blood, and body fluid were included in the study. Biofilm production was tested by the microtiter plate method. Antifungal susceptibility was studied by the disk diffusion method. Patient’s demographic details such as age, sex, and clinical information were collected. Presence of other risk factors such as diabetes mellitus, history of antibiotic use, and any urinary tract instrumentations was also recorded. Results. Among 90 Candida species isolated, most predominant species was found to be C. albicans (45.5%) followed by C. tropicalis (28.88%), C. krusei (20%), C. glabrata (3.33%), and C. parapsilosis (2.22%). Candida spp. were isolated from urine (43%), BAL/sputum (18.88%), high vaginal swab (8.88%), suction tips (7.77%), blood and wound swabs (6.66%), pus (3.33%), bile aspirate (2.22%), and deep tissue (1.11%). A larger number of females were affected than males, and the age group of 51 to 60 years was more susceptible to candidiasis. A higher number of C. albicans isolates produced biofilm followed by C. parapsilosis, C. tropicalis, and C. krusei. However, C. glabrata showed no biofilm production in our study. All Candida isolates were 100% sensitive to amphotericin B. Voriconazole was the next effective drug with 81.11% susceptibility. 24.44% of strains were resistant to fluconazole. Conclusion. Speciation of Candida isolates, detection of ability to form the biofilm, and monitoring of antifungal susceptibility testing are necessary for appropriate treatment.

scholarly journals Categorizing susceptibility of clinical isolates of Candida auris to amphotericin B, caspofungin, and fluconazole utilizing the CLSI M44-A2 disk diffusion method

2021 ◽  
Author(s):  
Natalie S. Nunnally ◽  
Tajah Damm ◽  
Shawn R. Lockhart ◽  
Elizabeth L. Berkow
Keyword(s):  
Amphotericin B ◽  
Accurate Method ◽  
Clinical Isolates ◽  
Disk Diffusion ◽  
Diffusion Method ◽  
Broth Microdilution ◽  
Candida Auris ◽  
Disk Diffusion Method ◽  
Microdilution Method ◽  
Broth Microdilution Method

We evaluated the CLSI M44ed3E disk diffusion method in comparison with the CLSI M27ed4 broth microdilution method for caspofungin and fluconazole and the Etest method for amphotericin B to categorize susceptibility of 347 clinical isolates of Candida auris. Utilizing the zone diameter cutoffs established here we observed the overall categorial agreement between the two methods. For caspofungin, concordant results were observed for 98% of isolates with <1% very major and 1% major errors. For fluconazole, concordant results were observed for 91% of isolates with 1% very major and 8% major errors. For amphotericin B, concordant results were observed for 74% of isolates with <1% very major errors and 25% major errors. The disk diffusion approach provides an accurate method for determining the susceptibility of C. auris for caspofungin and fluconazole, and for identification of at least 75% of amphotericin B-susceptible isolates.

scholarly journals Antifungal Susceptibility of Malassezia pachydermatis Isolates from Dogs

2019 ◽  
Vol 63 (2) ◽  
pp. 15-20
Author(s):  
Z. Sihelská ◽  
E. Čonková ◽  
P. Váczi ◽  
M. Harčárová
Keyword(s):  
Antifungal Agents ◽  
Antifungal Susceptibility ◽  
Diffusion Method ◽  
Opportunistic Pathogens ◽  
Ear Canal ◽  
Disk Diffusion Method ◽  
Malassezia Pachydermatis ◽  
Resistant Strains ◽  
Standard Disk

Abstract The genus Malassezia belongs to Basidiomycota and includes 16 species, from which M. pachydermatis is the most common in dogs. M. pachydermatis is a member of the normal mycobiota of the skin and mucosal sites of dogs. Under certain conditions, these yeasts can be opportunistic pathogens and involved skin and ear canal infections of these animals. Topical and oral antifungal agents are used for the therapy of Malassezia dermatitis and otitis. With the expanding use of antifungal agents, resistant strains of Malassezia are increasingly detected. In this study, the susceptibility of 40 M. pachydermatis isolates to fluconazole, itraconazole, ketoconazole, clotrimazole and nystatin were evaluated in vitro based on the modified standard disk diffusion method M44-2A.

scholarly journals Detection of Drug Susceptibility to Azoles among Trichophyton rubrum Isolates by Disk Diffusion Method

2019 ◽  
Vol 13 (1) ◽  
pp. 20-23
Author(s):  
GM Mohiuddin ◽  
Humayun Sattar ◽  
Ahmed Abu Saleh ◽  
Abu Naser Ibne Sattar ◽  
SM Ali Ahmed ◽  
...  
Keyword(s):  
Drug Resistance ◽  
Trichophyton Rubrum ◽  
Antifungal Susceptibility ◽  
Drug Susceptibility ◽  
Disk Diffusion ◽  
Diffusion Method ◽  
Biochemical Tests ◽  
Disk Diffusion Method ◽  
Hair Samples

Dermatophytes are filamentous fungi that cause tiniasis with high prevalence in tropical hot, humid and overcrowded countries like Bangladesh. Antifungal drug resistance among dermatophyte isolates are very common due to irrational and overuse of them. In vitro antifungal susceptibility test may help to select appropriate drug, optimize the therapy and monitor the emergence of drug resistance. This study was undertaken to isolate and identify different dermatophyte species from skin, nail and hair samples and to see the susceptibility pattern of azoles (fluconazole, miconazole and itraconazole) among one of the most common dermatophyte isolates (Trichophyton rubrum) by disk diffusion method. A total of two hundred and forty six patients clinically suspected of dermatophytosis attending in the outpatient department (OPD) of Dermatology and Venereology of BSMMU, Dhaka, were studied from September 2018 to August 2019. All the samples of skin, nail and hair were processed for direct microscopic examination and culture. The species of dermatophytes were identified by gross colony morphology, microscopic features and biochemical tests. Antifungal susceptibility was performed by disk diffusion (Neo-Sensitabs susceptibility testing modified for Dermatophytes) method in Sabouraud’s dextrose agar (SDA) media. Out of 246 specimens 27.2% were positive by microscopy, 28.9% were positive by culture and 26.0% were positive by both microscopy and culture. Tinea cruris (32.4%) was the most prevalent clinical type among all dermatophyte isolates. Among 71 culture positive isolates, T. rubrum (71.8%) was most prevalent followed by T. mentagrophytes (24.0%) and E. floccosum (4.2%). By disk diffusion method fluconazole was found as the most resistant drug (90.2%) against T. rubrum isolates and Itraconazole was the most sensitive (80.4%). Miconazole was found as most intermediate sensitive. Bangladesh J Med Microbiol 2019; 13 (1): 20-23

scholarly journals Characterization and Prevalence of Clindamycin Resistance Staphylococcus aureus from Clinical samples of National Medical College and Teaching Hospital, Nepal

2019 ◽  
pp. 90-92
Author(s):  
AMRULLAH SHIDIKI ◽  
BIJAY RAJ PANDIT ◽  
ASHISH VYAS
Keyword(s):  
Staphylococcus Aureus ◽  
Severe Form ◽  
Disk Diffusion ◽  
Diffusion Method ◽  
Clinical Samples ◽  
Disk Diffusion Method ◽  
Medical College ◽  
Drug Of Choice ◽  
National Medical ◽  
Mutant Forms

Objective: Clindamycin is the drug of choice for the treatment of severe form of skin, soft tissue, and blood infections caused by resistant Staphylococcus aureus in the form of methicillin-resistant S. aureus (MRSA) and erythromycin-resistant S. aureus. In this research, we determine the susceptibility pattern of isolated S. aureus strains against antibiotics and the prevalence of resistant S. aureus in the form of MRSA, inducible clindamycin-resistant S. aureus (inducible macrolide-lincosamide-streptogramin B [iMLSB]) and constitutive clindamycin-resistant S. aureus (cMLSB). Methods: A total of 310 isolated S. aureus among 2000 different clinical samples were subjected to oxacillin (1 μg) as per the Kirby-Bauer disk diffusion method for MRSA. Clindamycin-resistant either in the form of iMLSB or cMLSB was determined through double disk diffusion method or D-test by use erythromycin (2 μg) and clindamycin (15 μg) as per the CLSI guidelines. Results: Out of total S. aureus, MRSA and methicillin-sensitive S. aureus (MSSA) were 78.06% and 20.64%, respectively. This study showed that iMLSB and cMLSB were 34.19% and 23.22%. Both iMLSB and cMLSB were found more among MRSA than MSSA (43.80%, 26.85% and 40.62%, 10.93%), respectively. Conclusion: This study helps for the characterization of different resistant strains of S. aureus along with the determination of the prevalence rate of these mutant forms causing nosocomial infections.

scholarly journals Antimicrobial Resistance of EntericSalmonellain Bangui, Central African Republic

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Christian Diamant Mossoro-Kpinde ◽  
Alexandre Manirakiza ◽  
Jean-Robert Mbecko ◽  
Pembé Misatou ◽  
Alain Le Faou ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
Resistance Genes ◽  
Salmonella Enterica ◽  
Central African Republic ◽  
Disk Diffusion ◽  
Diffusion Method ◽  
Clinical Samples ◽  
Disk Diffusion Method ◽  
Phenotypic Resistance ◽  
Multiple Antibiotics

Introduction. The number ofSalmonellaisolated from clinical samples that are resistant to multiple antibiotics has increased worldwide. The aim of this study was to determine the prevalence of resistantSalmonella entericaisolated in Bangui.Methods. All entericSalmonellastrains isolated from patients in 2008 were identified and serotyped, and the phenotypes of resistance were determined by using the disk diffusion method. Nine resistance-associated genes,blaTEM,blaOXA,blaSHV,tetA,aadA1,catA1,dhfrA1,sul I, andsul II, were sought by genic amplification in sevenS.e. Typhimurium strains.Results. The 94 strains isolated consisted of 47S.e.Typhimurium (50%), 21S.e.Stanleyville (22%), 18S.e.Enteritidis (19%), 4S.e.Dublin (4%), 4S.e.Hadar (4%), and 1S.e.Papuana (1%). Twenty-five (28%) were multiresistant, including 20 of the Typhimurium serovar (80%). Two main phenotypes of resistance were found: four antibiotics (56%) and to five antibiotics (40%). OneS.e.Typhimurium isolate produced an extended-spectrumβ-lactamase (ESBL). Only seven strains ofS.e.Typhimurium could be amplified genically. Only phenotypic resistance to tetracycline and aminosides was found.Conclusion.S.Typhimurium is the predominant serovar of entericS. entericaand is the most widely resistant. The search for resistance genes showed heterogeneity of the circulating strains.

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