Journal of Isfahan Medical School

Journal of Isfahan Medical School

Evaluating the Sensitivity of Candida Albicans Isolates from Oral Candidiasis of AIDS Patients to Fluconazole by Microdilution Broth and Disk Diffusion Methods

Document Type : Original Article (s)

Authors
Mojtaba Taghizadeh Armaki 1
Ehsan Farahbakhsh 1
Mohammad Hossein Yadegari 2
Masoumeh Rajabi Bazl 3
Farzad Katiraee 4
1 MSc Student, Department of Mycology, School of Medicine, Tarbiat Modares University, Tehran, Iran
2 Associate Professor, Department of Mycology, School of Medicine, Tarbiat Modares University, Tehran, Iran
3 Assistant Professor, Department of Clinical Biochemistry, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4 Assistant Professor, Department of Veterinary Mycology, School of Veterinary, The University of Tehran, Tehran, Iran
Abstract
Background: Candida albicans is a pathogenic yeast that causes oral, vaginal and systemic infections. Oral candidiasis is treated with antifungal agents, particularly triazoles such as fluconazole. However, the overuse of fluconazole has resulted in the emergence of azole-resistant strains of Candida. This study tried to evaluate the sensitivity to fluconazole in strains of C. albicans clinical isolates from oral candidiasis of AIDS patients by broth microdilution and disk diffusion methods.Methods: The study included 66 C. albicans isolated from oral candidiasis of AIDS patients. C. albicans ATCC10231 was used as sensitive control and C. albicans ATCC76615 as resistant control. The minimum inhibitory concentrations (MICs) of fluconazole for all isolates were determined by broth microdilution assays for yeasts according to the clinical and laboratory standards institute (CLSI) guidelines. The MICs were evaluated after 48h of incubation at 35°C. The disk diffusion test was performed according to the procedure outlined in CLSI M44-S2 document. Mueller-Hinton agar supplemented with 2% glucose and 0.5 μg/ml of methylene blue was used and the results were read after 24h incubation at 35°C.Findings: Significant differences were not observed between broth microdilution and disk diffusion methods for evaluating the sensitivity of isolates to fluconazole. Conclusion: However, while broth microdilution is a difficult, time consuming technique, disk diffusion test is a quick and simple method for determining the sensitivity of yeasts to fluconazole.
Keywords
Candida
Fluconazole
Evaluation of sensitivity
Microdilution
Disk diffusion
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Journal of Isfahan Medical School
Volume 29, Issue 158 - Serial Number 158
September and October 2011
Pages 1583-1592

  • Receive Date 17 March 2011
  • Accept Date 06 April 2022