Drug Resistance of Candida Species Isolated from Fungal Peritonitis by PCR-RFLP Method

BACKGROUND AND OBJECTIVE: Fungal peritonitis is a relatively rare disease with serious complications in peritoneal dialysis patients and is associated with significant morbidity and mortality. Candida species are the most common cause of fungal peritonitis. The objective of this study was to isolate...

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Autores principales:	M Alinejad, A Nasrollahi Omran, SJ Hashemi
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2012
Materias:	candida fungal peritonitis drug resistance minimum inhibitory concentration polymerase chain reaction restriction fragment length polymorphism Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/22f3a0daeaa1411eb4b18819e2928cce
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spelling	oai:doaj.org-article:22f3a0daeaa1411eb4b18819e2928cce2021-11-10T08:52:02ZDrug Resistance of Candida Species Isolated from Fungal Peritonitis by PCR-RFLP Method1561-41072251-7170https://doaj.org/article/22f3a0daeaa1411eb4b18819e2928cce2012-01-01T00:00:00Zhttp://jbums.org/article-1-3983-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Fungal peritonitis is a relatively rare disease with serious complications in peritoneal dialysis patients and is associated with significant morbidity and mortality. Candida species are the most common cause of fungal peritonitis. The objective of this study was to isolate the Candida species in the patients with peritoneal dialysis by molecular methods, and thus to determine their drug resistance. METHODS: In this cross-sectional study, sampling (peritoneal samples) was carried out on 210 suspicious patients with peritonitis after peritoneal dialysis in Tehran, Iran in 2010. Species identification was done by direct microscopic tests, culture on Chromagar and Corn meal agar, Germ tube test in bovine serum, Urease test, and biochemical identification with the API 20 kit. Identification of isolated yeasts was confirmed by PCR-RELF method. Antifungal susceptibility testing of isolated Candida species was conducted by the broth dilution method in accordance with the National Committee on Clinical Laboratory Standards guidelines [NCCLS-M27]. FINDINGS: Totally 210 samples were surveyed that 40 cases (19.05%) with microbial peritonitis were identified based on experiments, which only 9 cases (22.5%) had Candida peritonitis which determined as specific species in accordance with PCR-RFLP molecular technique for confirming phenotyping methods. Among these 9 cases of isolated candida species, 5 cases of them (55%) were C. albicans, 1 case (11%) was C. Kefyr and 2 cases (22%) were C. guilliermondii and also 1 case (11%) was C. parapsilosis. The MIC determined by antifungal susceptibility testing were: C. albicans (Amphotericin B=0.125 µg/ml, Fluconazole=2 µg/ml, 5- Flucytosine=2 µg/ml), C. guilliermondii (Amph B=1 µg/ml Flu=2 µg/ml, 5- Fluc=4 µg/ml), C. Kefyr (Amph B=0.5-1 µg/ml, Flu=0.5- 1 µg/ml, 5- Fluc=2-4 µg/ml) and C. parapsilosis (Amph B =0.5 µg/ml, Flu =1 µg/ml, 5- Fluc=0.5g/ml).CONCLUSION: Accurate identification of Candida albicans and non-Candida albicans species cases of Candida peritonitis in patients with peritoneal dialysis is necessary.M AlinejadA Nasrollahi OmranSJ HashemiBabol University of Medical Sciencesarticlecandidafungal peritonitisdrug resistanceminimum inhibitory concentrationpolymerase chain reactionrestriction fragment length polymorphismMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 14, Iss 1, Pp 53-62 (2012)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	candida fungal peritonitis drug resistance minimum inhibitory concentration polymerase chain reaction restriction fragment length polymorphism Medicine R Medicine (General) R5-920
spellingShingle	candida fungal peritonitis drug resistance minimum inhibitory concentration polymerase chain reaction restriction fragment length polymorphism Medicine R Medicine (General) R5-920 M Alinejad A Nasrollahi Omran SJ Hashemi Drug Resistance of Candida Species Isolated from Fungal Peritonitis by PCR-RFLP Method
description	BACKGROUND AND OBJECTIVE: Fungal peritonitis is a relatively rare disease with serious complications in peritoneal dialysis patients and is associated with significant morbidity and mortality. Candida species are the most common cause of fungal peritonitis. The objective of this study was to isolate the Candida species in the patients with peritoneal dialysis by molecular methods, and thus to determine their drug resistance. METHODS: In this cross-sectional study, sampling (peritoneal samples) was carried out on 210 suspicious patients with peritonitis after peritoneal dialysis in Tehran, Iran in 2010. Species identification was done by direct microscopic tests, culture on Chromagar and Corn meal agar, Germ tube test in bovine serum, Urease test, and biochemical identification with the API 20 kit. Identification of isolated yeasts was confirmed by PCR-RELF method. Antifungal susceptibility testing of isolated Candida species was conducted by the broth dilution method in accordance with the National Committee on Clinical Laboratory Standards guidelines [NCCLS-M27]. FINDINGS: Totally 210 samples were surveyed that 40 cases (19.05%) with microbial peritonitis were identified based on experiments, which only 9 cases (22.5%) had Candida peritonitis which determined as specific species in accordance with PCR-RFLP molecular technique for confirming phenotyping methods. Among these 9 cases of isolated candida species, 5 cases of them (55%) were C. albicans, 1 case (11%) was C. Kefyr and 2 cases (22%) were C. guilliermondii and also 1 case (11%) was C. parapsilosis. The MIC determined by antifungal susceptibility testing were: C. albicans (Amphotericin B=0.125 µg/ml, Fluconazole=2 µg/ml, 5- Flucytosine=2 µg/ml), C. guilliermondii (Amph B=1 µg/ml Flu=2 µg/ml, 5- Fluc=4 µg/ml), C. Kefyr (Amph B=0.5-1 µg/ml, Flu=0.5- 1 µg/ml, 5- Fluc=2-4 µg/ml) and C. parapsilosis (Amph B =0.5 µg/ml, Flu =1 µg/ml, 5- Fluc=0.5g/ml).CONCLUSION: Accurate identification of Candida albicans and non-Candida albicans species cases of Candida peritonitis in patients with peritoneal dialysis is necessary.
format	article
author	M Alinejad A Nasrollahi Omran SJ Hashemi
author_facet	M Alinejad A Nasrollahi Omran SJ Hashemi
author_sort	M Alinejad
title	Drug Resistance of Candida Species Isolated from Fungal Peritonitis by PCR-RFLP Method
title_short	Drug Resistance of Candida Species Isolated from Fungal Peritonitis by PCR-RFLP Method
title_full	Drug Resistance of Candida Species Isolated from Fungal Peritonitis by PCR-RFLP Method
title_fullStr	Drug Resistance of Candida Species Isolated from Fungal Peritonitis by PCR-RFLP Method
title_full_unstemmed	Drug Resistance of Candida Species Isolated from Fungal Peritonitis by PCR-RFLP Method
title_sort	drug resistance of candida species isolated from fungal peritonitis by pcr-rflp method
publisher	Babol University of Medical Sciences
publishDate	2012
url	https://doaj.org/article/22f3a0daeaa1411eb4b18819e2928cce
work_keys_str_mv	AT malinejad drugresistanceofcandidaspeciesisolatedfromfungalperitonitisbypcrrflpmethod AT anasrollahiomran drugresistanceofcandidaspeciesisolatedfromfungalperitonitisbypcrrflpmethod AT sjhashemi drugresistanceofcandidaspeciesisolatedfromfungalperitonitisbypcrrflpmethod
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Drug Resistance of Candida Species Isolated from Fungal Peritonitis by PCR-RFLP Method

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