[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Home::
Journal Information::
Editorial Board::
Executive Members::
Instruction to Authors::
Peer Review::
Articles Archive::
Indexing Databases::
Contact Us::
Site Facilities::
::
Search in website

Advanced Search
Receive site information
Enter your Email in the following box to receive the site news and information.
:: Volume 19, Issue 2 (7-2017) ::
J Gorgan Univ Med Sci 2017, 19(2): 59-64 Back to browse issues page
Drug susceptibility testing of clinical isolates of Candida albicans against Amphotericin B and Ketoconazole by microdilution and disk diffusion methods
A Kazemi1 , H Nowrozi *2 , M Badiee Moghadam3
1- Assistant Professor, Department of Nursing, College of Medical Sciences, Varamin- Pishva Branch, Islamic Azad University, Varamin, Iran
2- Assistant Professor, Department of Laboratory Sciences, Faculty of Allied Medical Sciences, Iran University of Medical Sciences, Tehran, Iran , nowrozi.h@iums.ac.ir
3- Departments of Pharmaceutics, Islamic Azad University, Pharmaceutical Sciences Branch, Tehran, Iran
Abstract:   (12548 Views)

Background and Objective: Candida albicans is the normal flora of the body as opportunistic fungi. It causes candidiasis in immunocompromised condition. This study was done to drug susceptibility testing of Candida albicans isolated from patients against Amphotericin B and Ketoconazole.

Methods: In this descriptive – analytic study, drug susceptibility of 30 Candida albicans isolated from patients admitted to Tehran hospitals, Iran was tested against Amphotericin B and Ketoconazole by micro dilution method in accordance with CLSI M27-A2 guideline and disk diffusion method in accordance with CLSI M44-S2 guideline. Standard isolate Candida albicans PTCC (5027) and Candida krusei PTCC (5295) were used for quality control.

Results: The minimum and maximum MIC against Amphotrericin B was 0.0625 µg.ml-1 and
4 µg.ml-1, respectively. The minimum and maximum MIC against Ketoconazole was 0.5 µg/ml-1 and 32 µg/ml-1, respectively. The minimum and maximum zone diameter was 6 and 28 mm for both drugs. The results of drug susceptibility testing by two methods did not show significant differences. 25 isolates (83.3%) against ketoconazole and 2 isolates (6.7%) against Amphotericin B were resistant.

Conclusion: Amphotericin B administration seems better choice in candidiasis treatment in comparision with Ketoconazole.

Keywords: Candida albicans, Amphotericin B, Ketoconazole
Full-Text [PDF 266 kb] [English Abstract]   (19315 Downloads) |   |   Abstract (HTML)  (1482 Views)  
Type of Study: Original Articles | Subject: Medical Mycology
References
1. CDC. Preventing emerging infectious diseases: a strategy for the 21st century. Atlanta, Georgia: US Department of Health and Human Services, Public Health Service, 1998.
2. Ma L, Xie L, Dong X, Shi W. Role of extracellular phospholipase B of Candida albicans as a virulent factor in experimental keratomycosis. Curr Eye Res 2009; 34(9): 761-8.
3. Pfaller MA, Diekema DJ, Procop GW, Rinaldi MG. Multicenter comparison of the VITEK 2 antifungal susceptibility test with the CLSI broth microdilution reference method for testing amphotericin B, flucytosine, and voriconazole against Candida spp. J Clin Microbiol. 2007; 45(11): 3522-28. doi:10.1128/JCM.00403-07
4. Nowrozi H, Kazemi D, Kazemi A, Khaji L. [Effect of Amphotericin B and Fluconazole on hospital wards fungi]. J Gorgan Uni Med Sci. 2015; 16(4): 121-25. [Article in Persian]
5. Nowrozi H, Kazemi A, Teshfam M, Temorian Sh, Adimi P, Bashashati M. [Efficacy of ultraviolet radiation on drug susceptibility of Candida Spp. to itraconazole, fluconazole and amphotericin B]. J Gorgan Uni Med Sci. 2013; 15(4): 53-58. [Article in Persian]
6. NCCLS, Reference method for broth dilution antifungal susceptibility testing of yeast fungi. Approved standard M27-A. National Committee for Clinical Laboratory Standards, Wayne, PA. NCCLS. 2002.
7. Razzaghi-Abyaneh M, Sadeghi G, Zeinali E, Alirezaee M, Shams-Ghahfarokhi M, Amani A, et al. Species distribution and antifungal susceptibility of Candida spp. isolated from superficial candidiasis in outpatients in Iran. J Mycol Med. 2014 Jun; 24(2): e43-50. doi:10.1016/j.mycmed.2014.01.004
8. Salehi Z, Seifi Z, Mahmoudabadi A. Sensitivity of Vaginal Isolates of Candida to Eight Antifungal Drugs Isolated From Ahvaz, Iran. Jundishapur J Microbiol. 2012; 5(4): 574-77. doi:10.5812/jjm.4556
9. Zomorodian K, Rahimi MJ, Pakshir K, Motamedi M, Rahimi Ghiasi M, Rezashah H. Determination of antifungal susceptibility patterns among the clinical isolates of Candida species. J Glob Infect Dis. 2011; 3(4): 357-60. doi:10.4103/0974-777X.91059
10. Hasanbeigi A, Shahmir P, Amraie M. Study of antifungal resistance of Candida types against some of common antifungal drugs. Int J Pharm Sci Res. 2015; 6(2): 241-44.
11. Akbarzadeh M, Bonyadpoure B, Pacshir K, Mohagheghzadeh A. [Causes and clinical symptoms of vaginal candidiasis in patients referring to selective clinics of Shiraz University of Medical Sciences (2009)]. J Arak Univ Med Sci. 2010; 13(3): 12-20. [Article in Persian]
12. Mohamadi J, Havasian MR, Panahi J, Pakzad I. Antifungal drug resistance pattern of Candida. spp isolated from vaginitis in Ilam-Iran during 2013-2014 . Bioinformation 2015; 11(4): 203-6.
13. Macura AB, Skora M. Fungi isolated from the vagina and their susceptibility of antifungals. Ginekol Pol. 2012; 83(6):433-8.
14. Ma CF, Li FQ, Shi LN, Hu YA, Wang Y, Huang M, Kong QQ. Surveillance study of species distribution, antifungal susceptibility and mortality of nosocomial candidemia in a tertiary care hospital in China. BMC Infect Dis. 2013 Jul; 13:337. doi:10.1186/1471-2334-13-337
15. Pu S, Niu S, Zhang C, Xu X, Qin M, Huang S, Zhang. Epidemiology, antifungal susceptibilities, and risk factors for invasive candidiasis from 2011 to 2013 in a teaching hospital in southwest China. J Microbiol Immunol Infect. 2017 Feb; 50(1): 97-103. doi:10.1016/j.jmii.2015.01.005
16. Eleonora Milici M, Massimo Maida C, Spreghini E, Ravazzolo B, Oliveri S, Scalise G, et al. Comparison between Disk Diffusion and Microdilution Methods for Determining Susceptibility of Clinical Fungal Isolates to Caspofungin. J Clin Microbiol. 2007 Nov; 45(11): 3529-33. doi:10.1128/JCM.00826-07
17. López-Oviedo E, Aller AI, Martín C, Castro C, Ramirez M, Pemán JM, et al. Evaluation of disk diffusion method for determining posaconazole susceptibility of filamentous fungi: comparison with CLSI broth microdilution method. Antimicrob Agents Chemother. 2006 Mar; 50(3): 1108-11.
Send email to the article author


XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Kazemi A, Nowrozi H, Badiee Moghadam M. Drug susceptibility testing of clinical isolates of Candida albicans against Amphotericin B and Ketoconazole by microdilution and disk diffusion methods. J Gorgan Univ Med Sci 2017; 19 (2) :59-64
URL: http://goums.ac.ir/journal/article-1-3078-en.html


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 19, Issue 2 (7-2017) Back to browse issues page
مجله دانشگاه علوم پزشکی گرگان Journal of Gorgan University of Medical Sciences
Persian site map - English site map - Created in 0.05 seconds with 36 queries by YEKTAWEB 4700
Creative Commons License
This work is licensed under a Creative Commons — Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)