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Short Communication:
Molecular identification and antifungal susceptibility profile of
Candida
species isolated from patients with vulvovaginitis in Tehran, Iran
Somayeh Sharifynia, Mehraban Falahati, Lame Akhlaghi, Alireza Foroumadi, Roohollah Fateh
J Res Med Sci
2017, 22:132 (26 December 2017)
DOI
:10.4103/jrms.JRMS_106_17
PMID
:29387119
Background:
Rapid and accurate identification and evaluation of antifungal susceptibility pattern of
Candida
isolates are crucial to determine suitable antifungal drugs for the treatment of patients with vulvovaginitis candidiasis.
Materials and Methods:
Vaginal samples were collected from 150 women with suspicious vaginal candidiasis, and then cultured on Sabouraoud's Dextrose Agar with chloramphenicol to isolate
Candida
species. After identification of
Candida
isolates using polymerase chain reaction-restriction fragment length polymorphism technique, antifungal susceptibility testing of four azolic antifungal drugs was carried out using broth microdilution method according to the CLSI M27-A3.
Results:
Candida
species were isolated from eighty suspected patients (61.79%). The most common pathogen was
Candida albicans
(63.75%). Resistance to fluconazole and ketoconazole was observed in 27.5% and 23.75% of
Candida
isolates, respectively, and only 2% of
Candida
isolates were resistant to miconazole. Interestingly, resistance to fluconazole in
C. albicans
was more than other
Candida
species.
Conclusion:
The results indicated that therapy should be selected according to the antifungal susceptibility tests for the prevention of treatment failure and miconazole therapy can be considered as the best therapeutic choice in the management of vulvovaginitis.
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Online since 9
th
February, 2015