Studying the candida resistance and sensitivity for some antifungals

Abstract

Back ground: The current study included 150 samples from patients with Candida from a hospital of Medical City / education labs - Baghdad, and ranged in age from (10 – 65(years for both sexes, all isolates taken from different sources (Lower respiratory tract, Urine, Skin, Vaginal and Oral thrux), where the number of males (55(as a percentage (37%) while the number of females (95) as a percentage (63%).

The objective: The objectives of this study are studying resistance and sensitivity of candida spp to some antifungals.

Material and methods: All the required material which used for the study, and the direct examination was conducted using potassium hydroxide KOH 10%, As well as microscopic examination and laboratory transplantation for all samples, for the purpose of investigating the candidiasis. Also Vitek System examination was conducted on all positive samples for microscopy and laboratory culturing; and so to be diagnosed on the species level, and this study included using (3) anti-fungal equipped from Himedia (India), an  (Fluconazole, Clotrimazole and Nystatin), anti-fungal used by standard disk Diffusion to know the resistance of Candida and its sensitivity toward used anti-fungal.

The results: The results of direct examination were vaginal swab (50), Sputum (28), Oral swab (34), Urine (21) and Skin swab (17).

Conclusion: Candidiasis was more common in female patients as well as from medical units, where the rate of infection in females more than in males, Candida species were identified by the manual and automated methods and we found that the automated method by using VITEK² YST Card was the best for species identification.