306443

Invasive Candidiasis: Prevalence, Species Distribution and Trends in Antifungal Susceptibility in an Egyptian University Hospital

Article

Last updated: 01 Jan 2025

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Abstract

The rate of Candida- induced infections has been increasing significantly. The magnitude of the problem is aggravated by the emerging antifungal resistance among various Candida species. Our study aimed to assess the antifungal susceptibility profiles of Candida isolates causing infections at Ain Shams University Hospitals from 2018 to 2022. A cross-sectional observational study of all cases of positive growth of Candida and antifungal susceptibility testing was performed using VITEK 2 compact automated system.  Out of 342 specimens, Candida albicans (C. albicans) was the most common species (40.4%). Candida non albicans (CNA) was predominating (59.6%) and was mainly composed of C. tropicalis (36.3%) and C. parapsilosis (8.8%). Among total Candida isolates, 24 (7%) were resistant to Flucytosine, 20 (5.8%) were resistant to Amphotericin B as well as Caspofungin, 12 (3.5%) were resistant to Fluconazole, 5 (1.5%) were resistant to both Micafungin and Voriconazole. Candida non albicans which express decreased susceptibility to antifungals have been emerging as a serious cause of infection among hospitalized patients. Resistance was common to Flucytosine, Amphotericin B and Caspofungin, with low resistance rate to Fluconazole, Micafungin and Voriconazole.

DOI

10.21608/ejm.2023.207321.1228

Keywords

antimicrobial sensitivity, Candida, Critically Ill Patients, Epidemiology, yeast

Authors

First Name

Basma

Last Name

Sherif

MiddleName

-

Affiliation

Clinical Pathology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Email

dr.basma.sherif@gmail.com

City

-

Orcid

0000-0002-9968-3301

First Name

Yasmeen

Last Name

Mahmood

MiddleName

M.

Affiliation

Clinical Pathology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Email

yasmeen.ibraheem@gmail.com

City

-

Orcid

0000-0002-5286-0235

Volume

58

Article Issue

1

Related Issue

47178

Issue Date

2023-12-01

Receive Date

2023-04-25

Publish Date

2024-01-01

Page Start

1

Page End

10

Print ISSN

0022-2704

Online ISSN

2357-0881

Link

https://ejm.journals.ekb.eg/article_306443.html

Detail API

https://ejm.journals.ekb.eg/service?article_code=306443

Order

306,443

Type

Original Article

Type Code

121

Publication Type

Journal

Publication Title

Egyptian Journal of Microbiology

Publication Link

https://ejm.journals.ekb.eg/

MainTitle

Invasive Candidiasis: Prevalence, Species Distribution and Trends in Antifungal Susceptibility in an Egyptian University Hospital

Details

Type

Article

Created At

23 Dec 2024