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Whole Genome Sequencing of Candida glabrata for Detection of Markers of Antifungal Drug Resistance
Published on: December 28, 2017
Yeasts and fluconazole susceptibility in the Philippines
G S Bulmer1, M L Marquez, L Co-Barcelona
1University of Santo Tomas School of Medicine & Surgery, Department of Laboratory Medicine, Manila, Philippines. Glenn@compass.com.ph
Abstract:
Identification and fluconazole susceptibility of 579 yeasts isolated from patients in 16 medical centers throughout the Philippines in 1997-98 is reported. Speciation revealed the following distribution of yeasts (with percent occurrence): Candida albicans (49.6%); C. parapsilosis (17.2%); C. tropicalis (14.9%); C. glabrata (6.2%); C. pelliculosa (4.3%); C. krusei (2.4%); C. guilliermondii (1.9%); Trichosporon cutaneum (1.7%); Cryptococcus neoformans (0.9%); Candida famata (0.5%); C. lusitaniae (0.2%) and Saccharomyces cerevisiae (0.2%). Using an agar disk diffusion assay for fluconazole susceptibility it was determined that 94% of the isolates were susceptible, 5% dose-dependent susceptible and only 1% resistant. All isolates of C. albicans were susceptible (one being dose dependent sensitive) to fluconazole. The only yeasts resistant to fluconazole were: C. guillermondii (1 isolate), C. glabrata (3 isolates) and C. parapsilosis (1 isolate).
Insights
A study of 579 yeast isolates in the Philippines found that most were susceptible to fluconazole. Candida albicans, the most common yeast, showed high susceptibility to this antifungal medication.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Antimicrobial Resistance
Background:
- Yeasts are a significant cause of opportunistic infections in healthcare settings.
- Antifungal susceptibility testing is crucial for guiding treatment decisions.
- Fluconazole is a widely used antifungal agent.
Purpose of the Study:
- To identify yeast species isolated from patients in the Philippines.
- To determine the in vitro susceptibility of these yeast isolates to fluconazole.
Main Methods:
- Isolation and speciation of 579 yeast samples from 16 medical centers.
- Agar disk diffusion assay was employed to assess fluconazole susceptibility.
Main Results:
- Candida albicans was the most prevalent species (49.6%).
- 94% of all yeast isolates were susceptible to fluconazole, with only 1% resistant.
- All Candida albicans isolates demonstrated susceptibility to fluconazole.
Conclusions:
- The majority of clinical yeast isolates in the Philippines are susceptible to fluconazole.
- Fluconazole remains an effective treatment option for common yeast infections in the region.
- Monitoring antifungal resistance patterns is essential for public health.
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