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Keywords {🔍}

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Topics {✒️}

int/mediacentre/news/releases/2004/pr15/en/ pre-publication history soybean meal-nitrogen sources dextrose-carbon energy source federal hiv/aids prevention long-term suppressive therapies de almeida lp long-term azole treatment hiv-positive children/adults article download pdf hiv-tuberculosis coinfected patients tryptose soya broth tanzanian hiv-infected patients efficacious antimicrobial agents advanced aids diseases human immunodeficiency virus bmc oral health gondar teaching hospital privacy choices/manage cookies hiv negative individuals south canara district aspergillus fumigatus full access highly relevant factor hiv negative patients impaired drug absorption hiv infection predisposes hiv-infected children multiple drug resistance blood borne infection rev iberoam micol systemic fungal infection broth microdilution method common opportunistic infection antimicrobial resistance local fungal pathogens antifungal drug susceptibility hiv-positive people antifungal drug resistance minimum inhibitory concentrations article mulu peri-oral lesions clinical drug resistance estimated hiv prevalence synthetic medium supplemented chi square test vitro azole resistance susceptibility/resistance profile central ethiopia [9 voluntary hiv counselling

Questions {❓}

• Goldman M, Cloud GA, Smedema M, LeMonte A, Connolly P, McKinsey DS, Kauffman CA, Moskovitz B, Wheat LJ: Does long-term itraconazole prophylaxis result in vitro azole resistance in mucosal Candida albicans isolates from persons with advanced human immunodeficiency virus infection?
• Rogers TR: Antifungal drug resistance: limited data, dramatic impact?

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         headline:Frequent detection of ‘azole’ resistant Candida species among late presenting AIDS patients in northwest Ethiopia
         description:The chronic use of antifungal agents in the treatment of fungal infection in general and oropharyngeal candidiasis mainly in AIDS patient’s leads to the selection of strain resistant to these therapies and a shift in the spectrum of Candida species. This study determines the species diversity and in vitro susceptibility of Candida isolates from late presenting AIDS patients in northwest Ethiopia. Two hundred and twenty one HIV/AIDS patients were assessed with a standardized evaluation form at enrolment. Oral rinses were cultured on CHROMagar plates at 37°C for 48 hours and Candida species identification were made following standard microbiological techniques. In vitro drug susceptibility tests were made using broth microdilution method. The colonization rate of Candida species was found to be 82.3% (177/215). C. albicans was the predominant species isolated from 139 (81%) patients but there was a diversity of other species. C. glabrata was the most frequent non-albicans species isolated in 22.5% (40/177) of the patients followed by C. tropicalis 14.1% (27/177), C. krusei 5.6% (10) and other unidentifiable Candida species 4% (7/177). Recurrent episodes of oropharyngeal candidiasis and previous exposure to antifungal drugs were found to be predisposing factors for colonization by non-albicans species. Irrespective of the Candida species identified 12.2% (11/90), 7.7% (7/90) and 4.7% (4) of the isolates were resistant to fluconazole, ketoconazole and itraconazole, respectively. In contrast, resistance to micafungin, amphotericin B and 5-Fluorocytosine was infrequent. HIV/AIDS patients are orally colonized by single or multiple albicans and non- albicans Candida species that are frequently resistant to azoles and occasionally to amphotericin B, 5-Fluorocytosine and micafungin. These highlight the need for national surveillance for examining Candida epidemiology and resistance to antifungal drugs.
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             In vitro susceptibility
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      headline:Frequent detection of ‘azole’ resistant Candida species among late presenting AIDS patients in northwest Ethiopia
      description:The chronic use of antifungal agents in the treatment of fungal infection in general and oropharyngeal candidiasis mainly in AIDS patient’s leads to the selection of strain resistant to these therapies and a shift in the spectrum of Candida species. This study determines the species diversity and in vitro susceptibility of Candida isolates from late presenting AIDS patients in northwest Ethiopia. Two hundred and twenty one HIV/AIDS patients were assessed with a standardized evaluation form at enrolment. Oral rinses were cultured on CHROMagar plates at 37°C for 48 hours and Candida species identification were made following standard microbiological techniques. In vitro drug susceptibility tests were made using broth microdilution method. The colonization rate of Candida species was found to be 82.3% (177/215). C. albicans was the predominant species isolated from 139 (81%) patients but there was a diversity of other species. C. glabrata was the most frequent non-albicans species isolated in 22.5% (40/177) of the patients followed by C. tropicalis 14.1% (27/177), C. krusei 5.6% (10) and other unidentifiable Candida species 4% (7/177). Recurrent episodes of oropharyngeal candidiasis and previous exposure to antifungal drugs were found to be predisposing factors for colonization by non-albicans species. Irrespective of the Candida species identified 12.2% (11/90), 7.7% (7/90) and 4.7% (4) of the isolates were resistant to fluconazole, ketoconazole and itraconazole, respectively. In contrast, resistance to micafungin, amphotericin B and 5-Fluorocytosine was infrequent. HIV/AIDS patients are orally colonized by single or multiple albicans and non- albicans Candida species that are frequently resistant to azoles and occasionally to amphotericin B, 5-Fluorocytosine and micafungin. These highlight the need for national surveillance for examining Candida epidemiology and resistance to antifungal drugs.
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      dateModified:2013-02-12T00:00:00Z
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          Candida species diversity
          In vitro susceptibility
         Late presenters
         Northwest Ethiopia
         Infectious Diseases
         Parasitology
         Medical Microbiology
         Tropical Medicine
         Internal Medicine
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      name:Department of Microbiology, Parasitology and Immunology, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
      name:Department of Disease Control and Molecular Epidemiology, Health Sciences University of Hokkaido, Ishikari-Tobetsu, Japan

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