Distribution and antifungal susceptibility of Candida species isolated from clinical samples in southern Brazil

Abstract Invasive infections caused by Candida species have been strongly associated with poor prognosis and high resistance rates to some antifungals. This study aimed to identify Candida species isolated from different anatomical sites and to describe their susceptibility profile to antifungals. N...

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Main Authors: Tatiani Karini Rensi Botelho, Letícia Jacobi Danielli, Milena Seide, Pâmela Pacassa Borges, Alexandre Bella Cruz
Format: Article
Language:English
Published: Universidade de São Paulo 2022-12-01
Series:Brazilian Journal of Pharmaceutical Sciences
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1984-82502022000100787&tlng=en
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author Tatiani Karini Rensi Botelho
Letícia Jacobi Danielli
Milena Seide
Pâmela Pacassa Borges
Alexandre Bella Cruz
author_facet Tatiani Karini Rensi Botelho
Letícia Jacobi Danielli
Milena Seide
Pâmela Pacassa Borges
Alexandre Bella Cruz
author_sort Tatiani Karini Rensi Botelho
collection DOAJ
description Abstract Invasive infections caused by Candida species have been strongly associated with poor prognosis and high resistance rates to some antifungals. This study aimed to identify Candida species isolated from different anatomical sites and to describe their susceptibility profile to antifungals. Ninety-four clinical isolates of Candida were obtained from a Medical Laboratory of Santa Catarina/Brazil. Species identification was performed by MALDI-TOF MS. Susceptibility assays were performed as described by Clinical Laboratory Standard Institute (CLSI) microboth method. Among the analyzed samples, C. albicans was the pathogen most incident (59.9%) followed by C. parapsilosis complex (14.9%), C. glabrata complex (8.5%), and C. tropicalis (6.3%). 37 Candida strains were isolated from vaginal content (39.3%), 21 from the nail (22.4%), 8 from tracheal aspirates (8.5%), and 7 from urine (7.4%). Together, the Candida isolates presented decreased susceptibility to azole drugs, mainly to fluconazole and itraconazole. Amphotericin B showed sensibility in 95.7% of samples analyzed. Previous knowledge about etiology and antifungal susceptibility becomes indispensable to conduct an efficient treatment.
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spelling doaj.art-7ab86f7070c440a5b071f7d8e597940c2022-12-22T03:54:44ZengUniversidade de São PauloBrazilian Journal of Pharmaceutical Sciences2175-97902022-12-015810.1590/s2175-97902022e20727Distribution and antifungal susceptibility of Candida species isolated from clinical samples in southern BrazilTatiani Karini Rensi Botelhohttps://orcid.org/0000-0001-8647-9056Letícia Jacobi DanielliMilena SeidePâmela Pacassa BorgesAlexandre Bella Cruzhttps://orcid.org/0000-0002-3944-9265Abstract Invasive infections caused by Candida species have been strongly associated with poor prognosis and high resistance rates to some antifungals. This study aimed to identify Candida species isolated from different anatomical sites and to describe their susceptibility profile to antifungals. Ninety-four clinical isolates of Candida were obtained from a Medical Laboratory of Santa Catarina/Brazil. Species identification was performed by MALDI-TOF MS. Susceptibility assays were performed as described by Clinical Laboratory Standard Institute (CLSI) microboth method. Among the analyzed samples, C. albicans was the pathogen most incident (59.9%) followed by C. parapsilosis complex (14.9%), C. glabrata complex (8.5%), and C. tropicalis (6.3%). 37 Candida strains were isolated from vaginal content (39.3%), 21 from the nail (22.4%), 8 from tracheal aspirates (8.5%), and 7 from urine (7.4%). Together, the Candida isolates presented decreased susceptibility to azole drugs, mainly to fluconazole and itraconazole. Amphotericin B showed sensibility in 95.7% of samples analyzed. Previous knowledge about etiology and antifungal susceptibility becomes indispensable to conduct an efficient treatment.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1984-82502022000100787&tlng=enVulvovaginal candidiasisCandida albicansAntifungal agentsAntifungal Drug resistanceAzoles
spellingShingle Tatiani Karini Rensi Botelho
Letícia Jacobi Danielli
Milena Seide
Pâmela Pacassa Borges
Alexandre Bella Cruz
Distribution and antifungal susceptibility of Candida species isolated from clinical samples in southern Brazil
Brazilian Journal of Pharmaceutical Sciences
Vulvovaginal candidiasis
Candida albicans
Antifungal agents
Antifungal Drug resistance
Azoles
title Distribution and antifungal susceptibility of Candida species isolated from clinical samples in southern Brazil
title_full Distribution and antifungal susceptibility of Candida species isolated from clinical samples in southern Brazil
title_fullStr Distribution and antifungal susceptibility of Candida species isolated from clinical samples in southern Brazil
title_full_unstemmed Distribution and antifungal susceptibility of Candida species isolated from clinical samples in southern Brazil
title_short Distribution and antifungal susceptibility of Candida species isolated from clinical samples in southern Brazil
title_sort distribution and antifungal susceptibility of candida species isolated from clinical samples in southern brazil
topic Vulvovaginal candidiasis
Candida albicans
Antifungal agents
Antifungal Drug resistance
Azoles
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1984-82502022000100787&tlng=en
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