Non-albicans Candida species in blood stream infections in a tertiary care hospital at New Delhi, India.
dc.contributor.author | Oberoi, Jaswinder Kaur | |
dc.contributor.author | Wattal, Chand | |
dc.contributor.author | Goel, Neeraj | |
dc.contributor.author | Raveendran, Reena | |
dc.contributor.author | Datta, S | |
dc.contributor.author | Prasad, Kamaljeet | |
dc.date.accessioned | 2013-08-02T05:22:28Z | |
dc.date.available | 2013-08-02T05:22:28Z | |
dc.date.issued | 2012-12 | |
dc.description.abstract | Background & objectives: During recent decades, there has been a change in the epidemiology of Candida infections, characterized by a progressive shift from a predominance of Candida albicans to non-albicans Candida species. This study was undertaken to analyze the change in the epidemiology of candidaemia and antifungal use at tertiary care hospital in New Delhi, India, over a period of 10 years. Methods: A retrospective review of candidaemia between 1999 and 2008 and antifungal use from 2000 to 2008 was performed at Sir Ganga Ram Hosptial, New Delhi. Initially (1999-2005), isolates were differentiated as C. albicans and non- albicans Candida species. Between 2006-2008, these were identified to the species level and antifungal susceptibility was performed. Results: The occurrence of candidaemia and total antifungal use increased significantly. Candidaemia due to non-albicans species increased and this was correlated with an increasing use of fluconazole. There was emergence and increased isolation of a novel species C. haemulonii with decreased susceptibility to both amphotericin B and azoles. Overall, sensitivities of 89.6, 90.9, 88.6, 68.8 and 54.3 per cent to amphotericin B, 5 flucytosine, voriconazole, fluconazole and itraconazole, respectively were observed. Cross-resistance or reduced susceptibility to both fluconazole (MIC >16 μg/ml) and voriconazole was observed in 11.3 per cent isolates. Interpretation & conclusions: The study demonstrates a shift to non-albicans Candida species causing fungaemia and the emergence of amphotericin B and azole resistant novel species, C. haemulonii. Decreased susceptibility to fluconazole, as well as the threat of emergence of cross-resistance to voriconazole in the background of high azole consumption may limit the use of these agents as a presumptive therapy for Candida blood stream infections (BSI). | en_US |
dc.identifier.citation | Oberoi Jaswinder Kaur, Wattal Chand, Goel Neeraj, Raveendran Reena, Datta S, Prasad Kamaljeet. Non-albicans Candida species in blood stream infections in a tertiary care hospital at New Delhi, India. Indian Journal of Medical Research. 2012 Dec; 136(6): 997-1003. | en_US |
dc.identifier.uri | https://imsear.searo.who.int/handle/123456789/147664 | |
dc.language.iso | en | en_US |
dc.source.uri | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3612330/?report=classic | en_US |
dc.subject | Antifungal use | en_US |
dc.subject | Candida haemulonii | en_US |
dc.subject | candidaemia | en_US |
dc.subject | fluconazole | en_US |
dc.subject | non-albicans Candida species | en_US |
dc.title | Non-albicans Candida species in blood stream infections in a tertiary care hospital at New Delhi, India. | en_US |
dc.type | Article | en_US |
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