366947

Species distribution and antifungal susceptibility patterns of <i>Candida</i> isolated from critically ill patients with candidemia

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

Medical mycology

Abstract

Background: Candidemia, the prevailing form of invasive candidiasis, is a serious medical condition with high fatality rates particularly among individuals who are critically ill. We conducted this study to investigate the distribution of Candida species and their susceptibility to different antifungal drugs among patients with candidemia in intensive care units. Methods: During one year, seventy-four Candida isolates were obtained from the blood of pediatric and adult patients in intensive care units of Kasr Alainy University hospitals. The Vitek-2 yeast identification system was employed to identify the isolates. Additionally, the antifungal susceptibility of all isolates was assessed using Vitek-2 system AST-YS08. Results: The age of patients with candidemia varied from 8 days to 85 years, with a higher occurrence observed among neonates and individuals aged 60-69 years. Higher rates of candidemia were observed in females than males (55.4% versus 44.6%). Among patients diagnosed with candidemia, Candida albicans was the most prevalent species, accounting for 52.7% of cases. Non-albicans Candida species represented 47.3% of cases; C. parapsilosis was the most predominant (18.9%), and C. tropicalis came in the second rank (16.2%). Fluconazole resistance among different Candida species was (20.3%), with no resistance recorded against amphotericin B, voriconazole, and micafungin. Conclusions: Candida albicans was the most commonly detected species, but there was an increased non-albicans Candida isolation rate. Candida isolates exhibited the highest resistance against fluconazole. Amphotericin B remained the most effective drug for treating Candida infections. The emergence of uncommon and multidrug-resistant Candida species highlights the need for surveillance and antifungal stewardship.

DOI

10.21608/mid.2024.297773.2006

Keywords

Candida, species distribution, Antifungal susceptibility, Candidemia, Critically Ill Patients

Authors

First Name

Nahla

Last Name

Sahloul

MiddleName

-

Affiliation

Medical Microbiology and Immunology Department. Faculty of Medicine, Cairo University, Cairo, Egypt

Email

nahla.sahloul@kasralainy.edu.eg

City

-

Orcid

-

First Name

Mariam

Last Name

Balah

MiddleName

Mahmoud

Affiliation

Clinical and Chemical Pathology Department. Faculty of Medicine, Cairo University, Cairo, Egypt

Email

dr.mariam_balah@cu.edu.eg

City

-

Orcid

-

First Name

Mai

Last Name

Sahbal

MiddleName

Adel

Affiliation

Critical Care Medicine Department. Faculty of Medicine, Cairo University, Cairo, Egypt

Email

mai_adel1986@cu.edu.eg

City

-

Orcid

-

First Name

Basma

Last Name

Elawady

MiddleName

Ahmed

Affiliation

Medical Microbiology and Immunology Department. Faculty of Medicine, Cairo University, Cairo, Egypt

Email

basma.elawady@kasralainy.edu.eg

City

-

Orcid

0000-0003-1601-1639

First Name

Noha

Last Name

Gohar

MiddleName

Mahmoud

Affiliation

Medical Microbiology and Immunology Department. Faculty of Medicine, Cairo University, Cairo, Egypt

Email

nohagohar@kasralainy.edu.eg

City

-

Orcid

-

Volume

5

Article Issue

4

Related Issue

51278

Issue Date

2024-11-01

Receive Date

2024-06-15

Publish Date

2024-11-01

Page Start

1,631

Page End

1,641

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_366947.html

Detail API

https://mid.journals.ekb.eg/service?article_code=366947

Order

37

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

https://mid.journals.ekb.eg/

MainTitle

Species distribution and antifungal susceptibility patterns of <i>Candida</i> isolated from critically ill patients with candidemia

Details

Type

Article

Created At

25 Dec 2024