• 대한임상검사과학회지
• /
• 제45권4호
• /
• pp.144-148
• /
• 2013

Candida spp. are yeast form fungi, which cause an opportunistic infections in a immune suppressed patients however it is a normal flora of the respiratory system, the gastrointestinal system, and the urogenital system of healthy person. It is investigated that the distribution of Candida spp. cause an oral disease from oral cavity of healthy people and also identified Candia dubliniensis. Distribution and identification of the yeast form fungi in oral cavities of healthy people was investigated by an automatic identifier, VITEK2 system. We found 21 strains of Candida albicans, 3 strains of Candida famata, one strain of Candida tropicalis, Candida haemulonii, Candida krusei, and Candida dubliniensis. In addition, one strain of Cryptococcus spp., Saccharomyces spp., and two unknown strains were isolated. Candida dubliniensis which forms a mass by more than 2 chlamydospores was isolated from a healthy person for the first time. Candida dubliniensis was not grown at $42^{\circ}C$ whereas Candida albicans was grown well. It is known that Candida dubliniencis was isolated in AIDS while it is found in healthy people from this study, which will be helpful to investigate the distribution of Candida spp.

• 한국균학회지
• /
• 제38권2호
• /
• pp.146-151
• /
• 2010

검체는 2005년 1월1일부터 2009년 12월31일까지 C 병원 진단 검사의학과에 의뢰된 환자의 임상검체 총 366,661예로부터 총 167,955 미생물이 분리되었고 이 중 6,517주의 Candida spp. 분리균을 자동화기기로 동정한 것을 후향적으로 처리 하였다. 배양균주는 smooth하고, 크림색이며, 약간 mucoid하고, 혼탁한 집락을 0.45% salin에 McFarland No 1.6-2.0되게 탁도를 맞춘 후 반응시약이 들어 있는 ID-YST card에 접종하여, VITEK II(bioMerieux Duham NC, USA)의 자동화기기에 넣어 동정하였고, 그 결과는 다음과 같다. Candida spp.의 분리율은 2005년도에 비하여 2009년이 1.9배 증가하였다. 분리빈도가 높은 Candida spp.는 C. albicans 56.4%, C. tropicalis 17.7%, C. glabrata 10.7%, C. parapsilosis 9.5%였고, Candida spp가 10%이상 분리된 검체는 객담 30.1%, 무작위소변 25.0%, 혈액 15.8%, 카테타소변 13.5%였으며, 7%이상 분리된 부서는 호흡기내과 20.5%, 신장내과 11.0%, 감염내과 10.4%, 응급의학과 10.0%, 혈액종양내과 9.6%, 외과 7.5%, 소화기내과 7.4%였다. Candida spp가 증가된 달은 7월이 10.6%였고, 가장 낮게 분리된 달은 2월이 6.1%였다. Candida spp.가 증가된 연령군은 70세 이상 군이 40.1%였고, 가장 낮게 분리된 연령군은 10대가 1.3%였고, 0-49세군(1.3-7.5%)대 50세 이상 군(16.7-40.1%)의 비교에서는 1 : 4.7로 50세 이상 군이 월등히 높았다.

• Mycobiology
• /
• 제44권2호
• /
• pp.99-104
• /
• 2016

Candida spp. is an invasive infectious fungus, a major risk factor that can increase morbidity and mortality in hospitalized patients. In this study, 2,508 Candida spp. were isolated from various clinical specimens collected from university hospitals from July 2011 to October 2014. They were identified in order to determine isolation frequencies and characteristics by specimen, gender, age group, year, season, and month. The strain-specific isolation rate of Candida spp. is in the order of Candida albicans (1,218 strains, 48.56%), Candida glabrata (416 strains, 16.59%), Candida utilis (305 strains, 12.16%), Candida tropicalis (304 strains, 12.12%), and Candida parapsilosis (116 strains, 4.63%) and these five species accounted for more than 94% of the total strains. Of the specimens, Candida spp. were most frequently isolated from urine-catheter, followed by urinevoided, blood, sputum, other, open pus, vaginal discharge, Tip, ear discharge, bronchial aspiration and bile, in that order. Looking at the age distribution, the detection rate of patients in their 60s and older was significantly higher at 75.8% (1,900/2,508). The detection rate of patients in their 20s and younger was shown to be very low at 2.55% (64/2,508). By year, the detection rate of non-albicans Candida spp. showed a tendency to gradually increase each year compared with C. albicans. As isolation of Candida spp. from clinical samples at the specie level can vary depending on characteristics of the patient, sample, season, etc., continual studies are required.

• 대한임상검사과학회지
• /
• 제54권2호
• /
• pp.133-141
• /
• 2022

혈류 감염(BSI)의 주요 원인균의 하나로 입원환자에서 이환율과 사망률을 높이는 칸디다의 항진균제 내성률을 조사하여 칸디다 혈증(candidemia)의 경험적 치료 방침에 중요한 정보를 제공하고자 한다. 2009~2018년 S병원의 혈액배양 검사에서 분리된 Candida 균주(973건) 중 Candida spp. (932 균주)에 대한 fluconazole 감수성 시험결과에서 4.7% (N=44)가 내성(resistant, R)을 보였고 C. albicans, C. parapsilosis, C. tropicalis, C. glabrata에서 내성 균주를 확인하였다. 또한, Candida spp. (947 균주)의 amphotericin B에 대한 감수성 결과에서는 내성(N=6, 0.6%)이 나타났고, 전체 Candida spp.(973 균주)에 대한 flucytosine 감수성 시험에서는 내성(N=23, 2.4%)을 보였다. Candida spp. (768 균주)의 voriconazole에 대한 감수성 시험에서는 내성(N=24, 3.1%)을 보였다. C. albicans는 fluconazole (N=23, 6.9%), voriconazole (N=21, 6.0%)이 내성이고 통계학적으로 C. albicans과 non-albicans Candida species은 fluconazole (P=0.039), voriconazole (P<0.001)로 나타났다. 칸디다 혈증의 감염률을 이해하고 예방하기 위한 감시 시스템이 요구되고 항진균제의 적절한 투여와 치료가 요구된다. 따라서 항진균제 감수성 결과의 모니터링을 통한 칸디다의 내성을 추적하는 감염감시활동 정책이 필요할 것으로 사료된다.

• 한국미생물·생명공학회지
• /
• 제50권4호
• /
• pp.488-500
• /
• 2022

Most fungal infections by opportunistic yeast pathogens such as Candida spp. are the major causes of morbidity and mortality in patients with lowered immune. Previous studies have reported that some strains of Candida secret secondary metabolites play an important role in the decreasing of immunity in the infected patient. In this study, 110 Candida spp. were isolated from different clinical specimens from Baghdad hospitals. Candida isolates were identified by conventional methods, they were processed for Candida speciation on CHROMagar. The results of identification were confirmed by internal transcribed spacer (ITS) sequencing. Phylogenetic trees were analyzed with reference strains deposited in GenBank. Antifungal susceptibility testing was evaluated by the disc diffusion method and performed as recommended by the Clinical and Laboratory Standard Institute (CLSI) M44-A document. Candida isolates investigated produce secondary metabolites gliotoxin with HPLC technique and quantification. Out of 110 Candida isolates, C. albicans (66.36%) was the most frequent isolate, followed by the isolates of C. tropicalis (10.9%) and C. glabrata (6.36%) respectively. Concerning the antifungal susceptibility test, Candida isolates showed a high level of susceptibility to Miconazole (70.9%), Itraconazole (68.2%), and Nystatine (64.5%). The ability of obtained isolates of Candida spp. to produce gliotoxin on RPMI medium was investigated, only 28 isolates had the ability to secret this toxin in culture filtrates. The highest concentrations were detected in C. albicans (1.048 ㎍/ml). Gliotoxin productivity of other Candida species was significantly lower. The retention time for gliotoxin was approximately 5.08 min.

• Asian Pacific Journal of Cancer Prevention
• /
• 제15권24호
• /
• pp.10933-10935
• /
• 2015

Background: Many scientists have reported Candida species to be of great concern because of the high frequency that they colonize and infect human hosts, particularly cancer patients. Moreover, in the last decades Candida species have developed resistance to many antifungal agents. Based on this, we aimed to identify and determine the prevalence of Candida spp from blood culture bottles among cancer patients and their antifungal resistance pattern. Materials and Methods: From the blood culture bottles isolation and identification of the Candida spp were performed by conventional microbiological techniques. The in vitro antibiotic resistance pattern of the isolates was determined by CLSI guidelines. Genomic DNA was isolated and amplified. Each gene was separated by agar gel electrophoresis. Results: Identification of Candida spp was based on the presence of yeast cells in direct examination, culture and DNA extraction. Of the 68 blood samples collected during the study period (April 2013 to October 2013), five (7.35%) were positive for the presence of Candida spp, 2 (40%) of which were identified as Candida albicans and 3 (60%) were Candida non-albicans. Conclusions: High resistance to amphotricin B was observed among all the Candida non-albicans isolates. Regular investigations into antifungal resistance will help us to get an updated knowledge about their antibiotic resistance pattern which may help the physician in selecting the antibiotics for empirical therapy.

• 한국균학회지
• /
• 제45권4호
• /
• pp.259-269
• /
• 2017

대전광역시 하천들의 효모 종 다양성을 조사하기 위하여 먼저 대전광역시 동남부와 시내를 흐르는 대전천과 서남부의 갑천에 있는 물과 주변 토양들을 2016년 8월과 2017년 2월에 각각 148점을 동일 장소에서 채취하여 야생효모들을 분리, 동정하였다. 여름 채취 물과 주변 토양 74점에서 23종 37균주의 야생효모들이 분리된 반면에 겨울 채취 시료들에서는 약 2배 이상 많은 34종 83균주가 분리되었다. 이들 3대 하천에서 가장 많이 분리된 야생효모는 Candida속 균으로 전체 42%이었고 Cryptococcus속 균과 식품에서 주로 분리되는 Saccharomyces속 균들이 각각 7%와 6%로 많이 분리되었다. 종 수준에서는 Candida tropicalis가 25균주로 가장 많았으며 여름 시료와 겨울 시료에서 공통으로 분리된 효모들은 Aureobasidium pullulans 등 13종이었다.

• 한국균학회지
• /
• 제29권1호
• /
• pp.28-33
• /
• 2001

피부과환자 105명에서 원인 진균의 발현율을 보기 위하여 연구를 하였다. 피부질환의 병형별 발현율은 족부백선이 44.8%, 완선이 30,5%였으며, 병원성진균의 분리율이 높았던 병형은 안면백선, 체부백선, 조감백선이었다. 병원성진균의 분리율이 높았던 연령군은 $0{\sim}9$세군, $60{\sim}69$세군, $20{\sim}29$세군 이었다. 피부질환의 원인진균으로는 Trichophyton spp.가 43.5%, Candida spp 12.9%. Microsporium spp. 3.2%였다 전체적으로 분리된 진균은 Trichophyton spp. 24.1%, Penicillium spp. 23.2%, Rhizopus spp. 8.0%였다.

• Journal of Microbiology and Biotechnology
• /
• 제14권5호
• /
• pp.1067-1070
• /
• 2004

In the course of screening for specific inhibitors against the mycelial form of Candida albicans from natural resources, we have isolated and identified A6792-1 from Streptomyces sp. A6792 by using several chromatographies. By spectral analyses, this compound was determined as 7-oxostaurosporine, having a structure of staurosporine aglycon noiety. 7-Oxostaurosporine exhibited a selective growth inhibitory activity against the mycelial form of Candida spp. up to $100\mu\textrm{g}/disc$ in bioassay. It also exhibited a specific antifungal activity against the mycelial form of Candida spp. including C. krusei, C. albicans, C. tropicalis, and C. lusitaniae with MICs ranging from 3.1 to $25\mu\textrm{g}/ml$ 7-Oxostaurosporine demonstrated no in vivo toxicity in SPF ICR mice. Therefore, this compound may have a considerable potential as an antifungal agent based on the preferential inhibition against growth of the mycelial form of Candida spp., dimorphic fungi.

• 한국임상수의학회지
• /
• 제8권1호
• /
• pp.53-57
• /
• 1991

항생물질과 부신피질홀몬을 장기간 투여한 7세의 홀스타인종 암소에 있어서 Candida 에 의한 유방의 기회성진균감염율 보고하였다. C. tropicalis는 섭씨 30도의 단순한 해바라기씨 배지에서 반복하여 분리되었다. 이 병원체는 PHOL 기법에 의해 감염된 우유에서 직접 검출되었다. 우유침전물을 그람염색하여 현미경하에서 검사한 결과 Candida spp. 와 일치하는 다수의 효모세포와 균사가 관찰되었다. 실험 실내 약물감수성을 조사한 결과 nystatin에 감수성을 나타내었다. 임상적 및 진균학적 검사결과 nystatin에 의한 유방내 화학요법은 성공적이었다. 수의학에 있어서 C. tropicalis와 기타 기회성진균의 점증하는 중요성이 강조되었다.