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Distribution and antifungal susceptibility of yeasts isolates from intensive care unit patients
Authors:Vladimír Hrabovský  Victoria Takáčová  Eva Schréterová  Lydia Pastvová  Zuzana Hrabovská  Katarina Čurová  Leonard Siegfried
Affiliation:1.Institute of Medical and Clinical Microbiology,P. J. ?afárik University, Faculty of Medicine and L. Pasteur University Hospital,Ko?ice,Slovakia;2.Department of Dermatovenerology,P. J. ?afárik University, Faculty of Medicine and L. Pasteur University Hospital,Ko?ice,Slovakia
Abstract:Yeasts frequently colonize non-sterile sites in the body. The aim of the study was to determine distribution in clinical samples and antifungal susceptibility to five antifungals. From January 2013 through June 2015, 800 isolates were obtained from intensive care unit patients. Candida albicans (58.9%), Candida glabrata (20.4%), Candida krusei (8.6%), and Candida parapsilosis (3.6%) were the leading species. Majority of the C. albicans isolates were susceptible to the fluconazole. Elevated voriconazole minimal inhibitory concentrations (MICs) were observed in isolates exhibiting high fluconazole MICs, most frequently in C. glabrata. Isolates with echinocandins MICs suggesting reduced susceptibility were only sporadic cases with the exception of Trichosporon spp. The amphotericin B MICs were slightly higher for some C. krusei.
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