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Antifungal Susceptibility Profile of Candida Albicans Isolated from Vulvovaginal Candidiasis in Xinjiang Province of China

  • Liang Yan
  • Xiao-dong Wang
  • Seyedmojtaba Seyedmousavi
  • Juan-na Yuan
  • Palida Abulize
  • Wei-hua Pan
  • Nong Yu
  • Ya-li Yang
  • Hai-qing Hu
  • Wan-qing LiaoEmail author
  • Shu-wen DengEmail author
Original Paper
  • 59 Downloads

Abstract

We investigated the antifungal susceptibility profiles of 207 independent Candida albicans strains isolated from patients with vulvovaginal candidiasis (VVC) in Xinjiang Province of China. Using CLSI M27-A3 and M27-S4 guidelines, anidulafungin and micafungin were the most active drugs against C. albicans showing an MIC50/MIC90 corresponding to 0.016/0.0313 µg/mL, followed by caspofungin (0.25/0.25 µg/mL), posaconazole (0.125/0.5 µg/mL), ravuconazole (0.063/1 µg/mL), itraconazole (0.125/1 µg/mL), amphotericine B (0.5/1 µg/mL), isavuconazole (0.063/2 µg/mL), 5-flucytosine (1/2 µg/mL), voriconazole (0.125/4 µg/mL), and fluconazole (0.5/4 µg/mL). 96.1% (199)–100.0% (207) isolates were sensitive to the three echinocandins tested, amphotericine B and 5-flucytosine. The in vitro activity of triazoles against all isolates tested was variable; itraconazole and voriconazole had reduced the activity to almost half of the isolates (55.1% (114) and 51.2% (106) susceptible, respectively). Fluconazole was active against 76.3% (158) isolates tested. The new triazoles ravuconazole, isavuconazole and posaconazole showed good in vitro potency against 89.9% (186)–95.2% (197) of isolates with the geometric mean MIC (µg/mL) of 0.10, 0.12 and 0.14 µg/mL, respectively. In conclusion, our study indicates that for effective management of systemic candidiasis in Xinjiang Province of China, it is important to determine the susceptibility profiles of isolated C. albicans from patients with VVC.

Keywords

Antifungal susceptibility Candida albicans Vulvovaginal candidiasis Xinjiang Province 

Notes

Acknowledgements

This study was supported by Suzhou New & Hi-Tech IDZ grant 2017Z008, in part by Shanghai Science Foundation of China under Grant 16DZ0500401. Seyedmojtaba Seyedmousavi is presently supported by the Division of Intramural Research, National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH), Bethesda, MD, USA.

Compliance with Ethical Standards

Conflict of interest

All authors declare that they have no conflict of interest.

Supplementary material

11046_2018_305_MOESM1_ESM.pdf (86 kb)
Supplementary material 1 (PDF 86 kb)

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Copyright information

© Springer Nature B.V. 2019

Authors and Affiliations

  1. 1.The People’s Hospital of Suzhou National New & Hi-Tech Industrial Development ZoneSuzhouChina
  2. 2.Shanghai Key Laboratory of Medical Molecular Mycology & PLA Key Laboratory of Fungal Disease, Department of Dermatology, Changzheng HospitalSecond Military Medical UniversityShanghaiChina
  3. 3.Wuhan General Hospital of Chinese PLAWuhanChina
  4. 4.The First Affiliated Hospital of Xinjiang Medical UniversityÜrümqiChina
  5. 5.Molecular Microbiology Section, Laboratory of Clinical Immunology and Microbiology, National Institute of Allergy and Infectious DiseasesNational Institutes of HealthBethesdaUSA
  6. 6.Center of Expertise in Microbiology, Infection Biology and Antimicrobial PharmacologyTehranIran
  7. 7.Invasive Fungi Research Center, School of MedicineMazandaran University of Medical SciencesSariIran
  8. 8.The Second Affiliated Hospital of Guangzhou University of Chinese Medicine Guangdong Provincial Hospital of Chinese MedicineGuangzhouChina
  9. 9.Department of Laboratory Medicine, Changzheng HospitalSecond Military Medical UniversityShanghaiChina

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