Showing 12 results for Candida
A Jafari Nadooshan, A Fllah Tafti, M Ghafoor Zadeh, F Mirzaii,
Volume 1, Issue 2 (10-2007)
Abstract
Abstract Background and objectives: Poor oral hygiene in elderly people increases the colonization of opportunistic pathogens such as Candida and Staphylococci. The presence of yeasts and bacteria in the oral cavity of elderly people can be harmful and in certain conditions may cause oral and systemic infections. The general purpose of this study was to determine the oral health status, particularly the prevalence of Candida and Staphylococcus species in the oral cavity of elderly people in Yazd. Materials and methods: Oral Saliva was aseptically collected from seventytwo elderly individuals and cultured on selective fungal and bacterial media. The density of isolated microorganisms Such as Candida and Staphylococcus species was determined base on colony forming units (CFU) and identified through the biochemical and microbiological tests. Results: Fifty- eight percent of Candida species isolated from 50 (69.4%) of the subjects were Candida albicans .70.8 percentage of Staphylococcus species isolated from 65 (90.3%) of elderly are Coagulase negative. The Candida colonization in denture users is significantly higher than the elderly without denture (p= 0.001). C. albicans and the Coagulase negative staphylococcus are the most prevalent microorganisms isolated from elderly oral cavity in this study. Conclusion: The elderly have a higher risk of opportunistic bacterial and fungal infections. Their oral health care should be improved to protect them from opportunistic infections. Key words: Elderly, Candida, Staphylococcus, oral cavity, Yazd
Aa Jafari Nodoushan,
Volume 2, Issue 1 (4-2008)
Abstract
Abstract Background and objectives: Germ tube-producing ability of C.albicans in human serum is one of the most important virulent factors inducing transformation yeast to mycelia form. This phenomenon can be altered by some environmental and nutritional factors. The purpose of this study was to investigate the effect of temperature, pH and glucose concentrations in germ tube formation of C. albicans in an in vitro system. Material and Methods: The germ tube production test in human serum (with normal glucose titer) in different temperature, pH, and glucose concentrations was conducted invitro using standard strain of C. albicans (ATCC 10231). The average number of cells with germ tube after 2 hours and the rate of yeastmycelial transition were analyzed using one-way ANOVA test. Results: Maximum germ tube production rate is seen in temperature of 37°C, pH of 6.5 and glucose concentration of 30 mg/ml (P= 0.0001) and also germ tube is seen in earliest time in these conditions in invitro. Conclusion: It seems that these environmental and nutritional factors in human body particularly in diabetics can make this fungus to produce germ tube and invade to the different tissues. Key words: Candida Albicans, germ tube, in vitro, Temperature, pH, Glucose
Nasrollahi Omran A(phd), Vakili L(msc), Jafarpur M(phd),
Volume 5, Issue 1 (4-2011)
Abstract
Abstract Background and objectives: Genital tract infections are among the most common causes of patients referred to therapeutic centers. Nearly 75% of women suffer from genital Candida infection, at least once in their lifetime. The aim of present study was detection of Candida species causing vaginitis and the evaluation of antimycotic effects of ketoconazol, clotrimazole and fluconazole against Candida species. Material and Methods: In this study, 210 vaginal samples were obtained from the patients suspected of Vaginal Candidiasis. Direct examination and culture were carried out for all specimens to detect the yeast. The isolated yeast species were then identified, using various different tests such as culture on corn meal agar, tween-80, germ tube test, and assimilation test by API 20C kit by using Sabouraud Dextrose Agar and microdilution broth, MIC90 and MIC50 of drug were measured and determined their drug resistance. Results: In the present study, 100 yeast colonies were isolated from patients %80 are C. albicans and the rest are C. parapsilosis(2%), C. tropicalis(6%), C. glabrata(4%), C. krusei(2%), C. guilliermondii (3%), C.stellatoidea(3%). In terms of drug resistance test MIC50 and MIC90 of fluconazole for candida albicans are 5.33 and 35.27μg/ ml, respectively, and for non-albicans candida are 3 and 21.4μg/ml, respectively. Clotrimazole MIC for Candida albicans (MIC50, MIC90) 0.97 and 4.9μg/ml, respectively, and for non-albicans 0.63 and 3.4/ml, respectively. Kectoconazole MIC for Candida albicans 2.43 and 16.45μg/ml, respectively, and for non-albicans 1.12 and 6.6μg/ml, respectively. Conclusion: Clotrimazole has been better than the two other drugs for Candida species on the whole, non albicans species are more sensitive than albicans species in the presence of the drugs used in this study. Key words: Candida, vaginal candidiasis, Resistance drug , Tonekabon.
Jafari M, Khalojini M, Falahati M, Ghadimipoor H R, Bigvand P, Tavakoli S,
Volume 5, Issue 1 (4-2011)
Abstract
Abstract Background and objectives: Candida albicans is a normal flora in skin and mucosa and is not pathogen in normal individuals.The main defence against yeasts ,particulary Candida, is phagocytes, but phagocytesis and opsonization are reduced in thalassemia . the aim of this study was the determination of the frequency of Candida albicans and its species in the oral cavity of patients with major thalassemia and normal individuals. Material and Methods: This descriptive –analytic study was Conducted on 52 patients with major thalassemia and 104 normal individuals in Hamadan,2009. The specimens from oral cavity of the patients and control group were taken by sterile swab and then the direct exam and culture of all specimens were done Results: The Candida species in patients with thalassemia are Candida albicans (32.7%), tropicalis (13.5%) glaberata(10.5%), guilliermondii(10.9%) and Krusei(10.9%). In normal individuals,the frequency is 17.3%for albicans, 3.8% For tropicalis ,1% for glaberata and 1%for kefyr.Fifty-nine percent of the subjects undergone splenctomy and 23% of those with heathy Spleen have Candida in their oral cavity, this differene is statistically meaningful. Conclusion:The results show that suffering from thalassemia and spleenectomy can increase the possibitity of oral infection by Candida species. Key words: Major thalassemia,Candida albicans,Oral Cavity.
Hoseini, S. S. (msc), Rudbar Mohammadi, Sh. (phd), Joshaghani, H. R. (phd),
Volume 5, Issue 2 (10-2011)
Abstract
Abstract Background and objectives: Candida albicans is a human opportunistic fungus causing mucosal and systemic infections in immunocompromised individuals. There is evidence of increasing resistance to antifungal agents, thus it is necessary to search about new formulations for finding the antifungal agents. Some plants have antimicrobial properties due to presence of components such as polyphenols. We aimed at evaluating antifungal effects of Carvacrol essence, which is the main compound of essential oil of Thymus vulgaris, on standard Fluconazole sensitive and resistance strains of Candida albicans. Material and Methods: This study evaluated the antiCandida activity of essential oil Carvacrol by means of Inhibitory zone diameter and Minimum Inhibitory Concentration (MIC), using Microdilution broth and Disc diffusion methods. To do this, Serial dilutions (10-100 µl) of essential oils were made in 96 well microtiter plates. The wells’ opacity was assessed by using a microtiter plate reader of solution. The Minimum Inhibitory Concentration (MIC) of essential oil Carvacrol and Fluconazole were measured by counting the number of colony in Dextro agar medium. Results: the minimum inhibitory concentration of Carvacrol essence in standard strains and Fluconazole-resistance Candida albicans are, respectively, 5.3 and 6.18µg/ml, and the Minimal Fungicide Concentration (MFC) are 10.61 and 12. 3µg/ml. Inhibitory zone diameters are 45 and 35 millimeter for Fluconazole sensitive and resistance Candida albicans, respectively. Conclusion: the results show that essence of Carvacrol has suitable antifungal effects against standard strains and Fluconazole sensitive and resistance of Candida albicans. These herbal essences, after supplementary studies, possibly can be used for infections caused by Candidas. Key words: Antifungal activity Carvacrol Candida albicans Fluconazole
Nahid Ariana, Ali Nazemi , Ayatollah Nasrollahi Omran,
Volume 9, Issue 4 (10-2015)
Abstract
Abstract
Background and objectives: More Candida albicans strains are reported resistant to fluconazole in patients with AIDS, cancer and organ recipients. Fluconazole resistance can be attributed to changes in pathways of sterol biosynthesis, mutation in or overexpression of ERG11 and the expression of CDR1, CDR2, and MDR1. This study aimed to compare the expression of CDR1, CDR2, and MDR1 in C. albicans resistant and susceptible to fluconazole.
Methods: MIC testing for fluconazole was performed on C. albicans isolates isolated from patients with oral and vaginal candidiasis to determine resistant and susceptible strains. Then real time PCR was performed on the resistant and susceptible isolates and the expression of CDR1, CDR2, and MDR1 was compared in C. albicans.
Results: Of 46 Candida albicans isolates, 20 susceptible isolates, 12 semi-susceptible isolates and 14 resistant isolates were identified by MIC. After real time PCR was performed, Candida albicans isolates susceptible to fluconazole showed moderate expression of CDR1, CDR2, and MDR1 genes, while resistant isolates showed slight or no expression.
Conclusion: Increased expression of CDR1, CDR2, and MDR1 had less and insignificant role in resistance to fluconazole.
Keywords: Candida Albicans, Gene Expression, Real time PCR method
Fateme Golipour, Reza Habibipour, Leila Moradihaghgou,
Volume 13, Issue 6 (11-2019)
Abstract
ABSTRACT
Background and Objectives: Candida albicans is one of the most common fungal pathogens that can form biofilm, particularly on surface of medical devices. In recent years, C. albicans has shown increased resistance to antifungal agents. In this experimental study, we aimed to study effects of superparamagnetic iron oxide nanoparticles (Fe3O4 nanoparticles or SPION) on biofilm formation by C. albicans.
Methods: First, the SPION were synthesized by chemical co-precipitation. The formation of nanoparticles was confirmed by Fourier-transform infrared spectroscopy and X-ray diffraction. Minimum inhibitory concentration (MIC) and minimum fungicidal concentration (MFC) of SPION were determined. Then, antibiofilm effects of the nanoparticles were investigated by enzyme-linked immunosorbent assay. Finally, data were analyzed using SPSS 22.0 at significance level of 0.05.
Results: According to the results of X-ray diffraction, the SPION had a mean diameter of about 70 nm. MIC and MFC values of SPION against C. albicans were 100 ppm and 200 ppm which reduced biofilm formation by 87.2% and 100%, respectively. SPION showed significant inhibitory effects on C. albicans growth and biofilm formation.
Conclusion: Based on the findings, SPION may be considered as a novel family of fungicidal compounds. However, further studies are necessary to evaluate the safety of these nanoparticles for treatment of fungal infections in humans.
Keywords: Candida albicans; Biofilms; SPION; Nanoparticles.
Azadeh Abedzadeh Hajar, Mohammad Dakhili, Mojgan Saghazadeh, Seyyed Soheil Aghaei, Razieh Nazari,
Volume 14, Issue 3 (5-2020)
Abstract
Background and Objective: The prevalence of the infections caused by Candida species has led to a significant increase in their resistance to antifungal compounds. The aim of this study was to i) investigate drug resistance ii) evaluate the incidence of Candida albicans drug resistance pattern in the vaginal samples of women referring to health centers of Qom province, and iii) examine the effect of Zn nanoparticles combined with fluconazole against C. albicans isolates.
Methods: This experimental, descriptive study was performed on 120 patients of candidiasis. In order to identify Candida albicans, direct experiments, differential culture, Germ tube test and sugar assimilation test (API20C kit) were conducted. The effect of different antifungal drugs and zinc nanoparticles and the synergistic effect of fluconazole with zinc nanoparticles were investigated by disk diffusion method. Minimum Inhibitory Concentration (MICs) of all cases was further specified.
Results: Of the 120 samples, 50 (41.6%) were identified as Candida albicans. These strains were resistant to certain antifungal drugs while others were semi-sensitive and sensitive. The lowest and the highest mean diameter of inhibition zone in all Candida albicans isolates belonged to ketoconazole (15.64 mm) and fluconazole nano-ZnO (26.76mm), respectively. The lowest and the highest MICs were observed in fluconazole- nano-ZnO and nano-ZnO, respectively.
Conclusion: The synergistic effect of Zn nanoparticles with fluconazole can be conducive to the treatment of vaginal candidiasis.
Tahere Shamoushaki, Leila Fozouni,
Volume 14, Issue 5 (9-2020)
Abstract
Background and objectives: The incidence of drug-resistant candidiasis has increased dramatically. This study aimed to evaluate antifungal effects of fluconazole alone and in combination with ibuprofen on isolates from patients with mucosal candidiasis.
Methods: Candida species isolates from 142 patients with suspected mucosal (oral and vaginal) candidiasis were identified by culture on CHROMagar
Candida medium and carbohydrate assimilation test using the API 20CAUX kit
. Minimum inhibitory concentration (MIC) of fluconazole alone and in combination with ibuprofen was determined by the broth microdilution method.
Results: Among isolates, 43.7% were identified as
Candida species (
Candida albicans,
Candida glabrata, Candidia parapsilosis,
Candida tropicalis,
Candida guilliermondii and
Candida kefyr). The highest rate of fluconazole resistance was observed among
C. albicans (50%) isolates. MIC
90 of ibuprofen-fluconazole combination against
C. albicans isolates was 32 μg/mL, which was 8-fold less than that of fluconazole alone (MIC
90=256 μg/mL) (P<0.01). Moreover, the MIC
90 of fluconazole-ibuprofen combination against
C. parapsilosis isolates was 4-fold less than that of fluconazole alone.
Conclusion: Our results revealed partial fluconazole resistance among
Candida isolates from patients with mucosal candidiasis. However, the resistance rate decreased 2.5 fold following treatment with the ibuprofen-fluconazole combination. Therefore, it is recommended to further investigate the therapeutic potential of this drug combination for treatment of fungal infections, such as candidiasis.
Maryam Moazeni, Mojtaba Nabili,
Volume 16, Issue 2 (3-2022)
Abstract
Background and objectives: The incidence of candiduria caused by Candida spp. has increased in recent years, particularly in hospitalized patients. Candiduria is most commonly caused by Candida albicans; however, an increase in the prevalence of non-albicans species has been observed during last decades. This study aimed at molecular identification of Candida species isolated from candiduria in hospitalized patients.
Methods: This cross-sectional study was conducted on 530 hospitalized patients in two hospitals in the Mazandaran Province, Iran. Midstream urine specimens were collected and then cultured on CHROMagar Candida medium. Molecular identification of common Candida species was carried out using the polymerase chain reaction-restriction fragment length polymorphism method after enzymatic digestion with MspI. C. albicans and Candida parapsilosis species complexes were identified by amplification of the HWP1 and intein-containing vacuolar ATPase precursor genes, respectively.
Results: The frequency of candiduria was estimated at 14% among hospitalized patients. Of 74 samples positive for candiduria, 65 (87.8%) were isolated from females. The most common predisposing factor to candiduria was diabetes (n=36; 48.6%). The most frequent isolates were C. albicans complex (n=44; 59.4%), followed by Candida glabrata (n= 16; 21.6%), Candida tropicalis (n= 10; 13.5%), Candida Krusei (n= 3; 4%) and C. parapsilosis (n= 1; 1.3%).
Conclusion: Based on the results, the conventional and molecular methods produced similar results for identification of Candida species. However, accurate identification of Candida spp. requires the use of molecular techniques such as PCR-RFLP, HWP1, and intein-containing vacuolar ATPase precursor genes. Nevertheless, chromogenic methods such as CHROMagar Candida can be used for diagnosis of Candida spp. in laboratories with limited resources.
Marziyeh Erfaninia, Fahimeh Alizadeh,
Volume 17, Issue 1 (1-2023)
Abstract
Background and objectives: Overuse and misuse of antibiotics in the agricultural and healthcare sectors have led to the emergence of antibiotic-resistant strains. Therefore, finding alternative antimicrobial compounds, such as phytochemicals, is of great importance. This study evaluated the feasibility of carvacrol as an antifungal agent in suppressing the planktonic and hyphal growth of clinical isolates of fluconazole-susceptible and -resistant Candida tropicalis.
Methods: Clinical isolates of fluconazole-resistant C. tropicalis were identified using the CLSI guidelines and the World Health Organization's WHONET software. The inhibitory effect of carvacrol on planktonic cells was assessed by determining the minimum inhibitory concentration (MIC) and time-kill profile. The inhibitory effect of carvacrol on hyphal growth was studied by using light field microscopy.
Results: The findings indicated that 50% of clinical isolates of C. tropicalis were resistant to fluconazole. The MIC90 and MIC50 of carvacrol against clinical isolates of fluconazole-susceptible and -resistant C. tropicalis were 25.00-300.00 µg/ml and 12.50-100.00 µg/ml, respectively. The time-kill analysis indicated that carvacrol exhibited fungicidal activity against the fluconazole-susceptible and -resistant C. tropicalis isolates 2-48 hours after exposure. Moreover, planktonic and hyphal growth of the isolates decreased significantly after exposure to carvacrol.
Conclusion: The findings revealed that carvacrol exhibits inhibitory effects on the planktonic and hyphal cells of fluconazole-susceptible and -resistant C. tropicalis isolates. Therefore, the antifungal potential of carvacrol as a natural antifungal could be further exploited for the treatment of resistant C. tropicalis infections
Sukanya Sudhaharan , Naga Appala Raju Sundarapu, Umabala Pamidimukkala ,
Volume 18, Issue 5 (9-2024)
Abstract
Background: The reference method for antifungal susceptibility testing is broth microdilution according to Clinical and Laboratory Standard Institute (CLSI) guidelines. However, the fully automated system, Vitek 2C system may reduce the workload and observer bias associated with manual broth microdilution. This study aimed to compare the results of YS08 card with the results of the broth microdilution (BMD) method.
Methods: A total of 50 clinical Candida isolates were included in the study. The susceptibility testing was done by Vitek 2C using the YS08 card. Broth microdilution was done according to CLSI guidelines M27M44S-Ed3.
Results: For C. albicans, the categorical agreement was 85.8%, 71.5%, 85.8%, and 100% for fluconazole, voriconazole, caspofungin, and micafungin, respectively. The minor errors (MiE) of 14.2% for fluconazole and caspofungin, 28.5% for voriconazole, were detected in C. albicans. In C. glabrata, the categorical agreement (CA) was 100% for micafungin, voriconazole, but 63.7% for caspofungin. An MiE of 36.3% was detected for caspofungin. C. parapsilosis showed a 100% CA for fluconazole, caspofungin, and micafungin, and 85.8% for voriconazole. There were 14.2% of MiEs for voriconazole. In C. tropicalis, 100 % CA was observed for fluconazole, micafungin, and caspofungin, and 88.9% for voriconazole. Moreover, 11.1% (1/9) of MiEs was observed for voriconazole. In C. auris, there was a 100% CA for caspofungin and micafungin, 77.8% for fluconazole, and 66.7% for amphotericin B. There was a major error of 22.2% for fluconazole and 33.3% for amphotericin B.
Conclusion: The majority of Vitek 2C showed comparable results with the broth microdilution (BMD) method. Only minor errors (MiEs) were observed in the tested Candida species.
