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Diagn Microbiol Infect Dis ; 32(3): 211-6, 1998 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-9884838

RESUMO

This is a prospective study designed to investigate species distribution and azole susceptibility profile among Candida spp. isolated from the oral cavities of AIDS patients. One hundred thirty-two AIDS patients sequentially admitted at a teaching tertiary care hospital were enrolled in this study. Samples were obtained by swabbing the oral cavities of the patients. Yeast isolates were identified by classical methods and the antifungal susceptibility profile was further determined according to the NCCLS microbroth assay. Among all patients with prescriptions of systemic antifungal drugs, ketoconazole had been elected to treat 56% of patients. We found 82% of oral yeast carriage, 22% of them harboring non-albicans species. Overall rates of susceptibility dose dependent/resistance to azoles was 16% for itraconazole, 13% for ketoconazole, and 10% for fluconazole with a high agreement rate among the susceptibility profiles of all isolates tested against the triazoles.


Assuntos
Síndrome da Imunodeficiência Adquirida/complicações , Antifúngicos/farmacologia , Azóis/farmacologia , Candida albicans/efeitos dos fármacos , Candidíase Bucal/tratamento farmacológico , Adulto , Idoso , Antifúngicos/uso terapêutico , Azóis/uso terapêutico , Brasil/epidemiologia , Candidíase Bucal/microbiologia , Resistência Microbiana a Medicamentos , Feminino , Fluconazol/farmacologia , Fluconazol/uso terapêutico , Humanos , Itraconazol/farmacologia , Itraconazol/uso terapêutico , Cetoconazol/farmacologia , Cetoconazol/uso terapêutico , Masculino , Testes de Sensibilidade Microbiana , Pessoa de Meia-Idade , Mucosa Bucal/microbiologia , Micologia/métodos , Prevalência , Estudos Prospectivos , Estatísticas não Paramétricas
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