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Natl J Integr Res Med. 2012; 3(4): 118-120


Candida Prevalence and Its Antifungal Susceptibility in Various Clinical Specimens in Tertiary Care Center.

Dr.Patel Bhaumik*, Dr. Modi Dhara+, Dr. Patel Mitesh**, Dr. Patel Sachin***, Dr. Soni Sumeeta#, Dr. Vegad Mahendra M. @.

Abstract
Background: The purpose of this study was to isolate the Candida spp. & examine their susceptibility to antifungal drugs from various clinical specimens. One hundred fifty isolates of Candida spp. were included in this study. Clinical history revealed that all patients were on systemic broad spectrum antibacterial drugs. Materials and Methods: Candida spp. was differentiated by germ tube test, culture characteristics on special media for fungus, sugar fermentation, sugar assimilation and growth on corn meal agar. Antifungal drug susceptibility testing against Fluconazole, Ketoconazole, Itraconazole, Voriconazole, Nystatin and Amphotericin B were done on basis of CLSI guidelines on Methylene blue containing Mueller Hinton Agar by disk diffusion method. Result: We found 52% and 48%, C.albicans & Non albicans candida spp., respectively. There were no resistance to Nystatin and Amphotericin B. C.albicans was more susceptible than Non albicans candida. Nystatin & Amphotericin B were susceptible to all isolated Candida spp. In present scenario, Fluconazole is most commonly used empirical antifungal drug, which is more effective to C.albicans than Non albicans Candida. Conclusion: Due to emergence of resistance in Azole group of antifungal among Non albicans candida, it should be mandatory to use antifungal drugs as per the susceptibility testing. [Patel Bh et al NJIRM 2012; 3(4): 118-120]

Key words: Candida albicans, Non albicans candida, Methylene blue containing Muller Hinton agar, Antifungal drug susceptibility.



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