Prevalence of Candida bloodstream isolates from patients in two hospitals in Vietnam

越南两家医院患者血流中分离念珠菌的流行情况

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作者:Nguyen Duy Bac, Le Tran Anh, Le Bach Quang, Nguyen Khac Luc, Tran Thi Thanh Nga, Minoru Nagi, Miyazaki Yoshitsugu, Hoang Thi Thu Ha, Dang Duc Anh, Do Quyet, Do Ngoc Anh

Conclusion

The frequency of the non-albicans Candida species in blood is increasing, especially C. tropicalis. Additional investigations should be made to clarify the epidemiological profile of invasive Candida bloodstream in Vietnam.

Methods

Candida spp. were isolated from blood cultures in two hospitals, Vietnam between May 2013 and May 2015. Participating hospitals were 103 Military Hospital, Ha Noi city (550 beds) and Cho Ray Hospital, Ho Chi Minh city (1800 beds). All the bloodstream isolates were identified to species level by the germ tube test and polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP). In addition, unknown isolates were subjected to PCR sequencing.

Results

A total of 93 Candida isolates were isolated from blood cultures during the study period. The results of this study showed that C. tropicalis (n = 47, 50.54%) was the most common agent, followed by Candida albicans/dubliniensis (n = 18, 19.35%), C. parapsilosis (n = 16, 17.20%), C. glabrata (n = 6, 6.45%), C. mesorugosa (n = 5, 5.38%) and C. krusei (n = 1, 1.08%), respectively.

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