ISSN: 0973-7510

E-ISSN: 2581-690X

Research Article | Open Access
Anita1 , Santosh Kumar2 and Himani Bhardwaj Pandya3
1Department of Microbiology, Indira Gandhi Institute of Medical science, Patna, Bihar, India.
2Department of Trauma & Emergency Medicine, Indira Gandhi Institute of Medical science, Patna, Bihar, India.
3Department of Microbiology, Smt. B.K. Shah Medical Institute and Research Centre,
Sumandeep Vidyapeeth, Pipariya, Taluka Waghodia, Dist, Vadodara, Gujarat, India.
Article Number: 7837 | © The Author(s). 2023
J Pure Appl Microbiol. 2023;17(1):427-433. https://doi.org/10.22207/JPAM.17.1.34
Received: 11 May 2022 | Accepted: 17 January 2023 | Published online: 02 March 2023
Issue online: March 2023
Abstract

Candida species are one of the most common causes of opportunistic infections in immunocompromised patients. An upsurge in incidence of less common species of Candida have been documented since last few years as the major cause of candidemia all over the world and they are also less susceptible to azoles, particularly fluconazole, than C. albicans. The purpose of study was speciation and antifungal susceptibility testing of Candida isolates, obtained from immunocompromised patients. The study included 150 consecutive immunocompromised patients and was initiated after the ethical approval from Sumandeep Vidyapeeth Institutional Ethical Committee (SVIEC). Informed consent was obtained from all and a Detailed Questionnaire regarding the Patient’s history and clinical findings were noted. All the specimens were subjected to a battery of microbiological examination for isolation, identification, and antifungal susceptibility testing. In our study, the incidence of candidiasis in immunocompromised patients was43.1%.C.tropicalis(n=23,37.09%) was the most common species isolated followed by C. albicans (n=20, 32.25%), C. glabrata (n=15,24.19%) and C. parapsilosis (n=4, 6.45%). The isolates showed 100% sensitivity to Amphotericin B and Nystatin, whereas 37.09% sensitivity to Ketoconazole, 20.9% sensitivity to clotrimazole, 19.35% sensitivity to itraconazole and 14.5% sensitivity to Fluconazole. The study undoubtedly indicates a substantial move in the species from C. albicans to Non-albicans Candida and with added resistance to common antifungal drugs.

Keywords

Candida albicans, Non-albicans Candida, Immunocompromised Patients, Resistance

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