Molecular identification of Candida species from urinary infections in Honduras

Bryan Ortiz1, Erika Pérez-Alemán1, Carmen Galo1

  • 1Microbiology School, Universidad Nacional Autónoma de Honduras (UNAH), Ciudad Universitaria, Building J1, 4th Fl. Tegucigalpa, Honduras.

Abstract

Insights

This study identified seven Candida species in Honduran urine samples, with Candida albicans/dubliniensis and Candida glabrata being the most frequent. This research provides crucial data on fungal urinary tract infections in the region.

Area of Science:

  • Medical Mycology
  • Infectious Diseases
  • Molecular Diagnostics

Background:

  • Candiduria, a common hospital-acquired infection, represents a growing public health concern due to increasing fungal urinary tract infections.
  • While Candida albicans is prevalent, other Candida species are emerging, some exhibiting antifungal resistance.
  • The clinical significance of yeast in urine requires further definition.

Purpose of the Study:

  • To determine the prevalence of different Candida species causing candiduria in a Honduran hospital.
  • To establish a baseline for fungal species distribution in urinary infections in Honduras.

Main Methods:

  • Utilized a cost-effective Polymerase Chain Reaction-Restriction Fragment Length Polymorphism (PCR-RFLP) technique.
  • Amplified the ribosomal ITS1-ITS2 region for species identification.
  • Employed MspI enzyme digestion for fragment analysis.

Main Results:

  • Seven Candida species were identified in 73 urine samples analyzed in 2016.
  • Candida albicans/dubliniensis was the most common species (30%), followed closely by Candida glabrata (28.8%).
  • Candida kefyr was the least frequent isolate (2.5%).

Conclusions:

  • This study presents the first PCR-RFLP-based identification of Candida species causing candiduria in Honduras.
  • The PCR-RFLP method is a viable tool for future local and national epidemiological studies of candiduria.
  • Understanding the spectrum of Candida species is vital for managing antifungal resistance and treatment strategies.

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