In this study, we investigated the yeasts colonization of genus Candida, including C. dubliniensis, isolated of HIV-infected patients oral cavities and we accessed in vitro susceptibility pattern of the Candida isolates to four antifungal agents. Out of 99 patients investigated, 62 (62.6%) were colonized with yeasts. C. albicans was the prevailing species (50%). C. dubliniensis isolates were not recovered in our study. We verified that 8.1% of the yeasts isolated were resistant to fluconazole, 8.1% to itraconazole and 3.2% to voriconazole. The isolates demonstrated very low voriconazole MICs, in which 79% (49/62) presented values of 0.015 mug/ml. All Candida isolates were susceptible to amphotericin B. The results reported here showed that although C. albicans continues to be present in one-half of oral Candida carriage of HIV-infected patients, Candida non-albicans species are increasing among these patients. Besides, the findings of resistant isolates endorse the role of antifungal susceptibility testing whenever antifungal treatment with azoles is planned.

译文

:在这项研究中,我们调查了念珠菌属(包括C. dubliniensis)的酵母菌定殖,分离出了HIV感染患者的口腔,并研究了念珠菌分离株对四种抗真菌剂的体外敏感性模式。在调查的99位患者中,有62位(62.6%)被酵母菌定植。白色念珠菌是主要的物种(50%)。 C. dubliniensis分离株未在我们的研究中回收。我们证实,分离出的酵母中有8.1%对氟康唑有抵抗力,对伊曲康唑有8.1%的抗性,对伏立康唑有3.2%的抗性。分离物显示伏立康唑的MIC非常低,其中79%(49/62)的值为0.015杯/毫升。所有念珠菌分离株均对两性霉素B敏感。此处报告的结果表明,尽管白色念珠菌仍存在于感染了HIV的患者的一半念珠菌口服口服药物中,但这些患者中念珠菌中非白色念珠菌的种类有所增加。此外,每当计划使用吡咯类药物进行抗真菌治疗时,耐药菌的发现都支持抗真菌药敏试验的作用。

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