Electrophoretic karyotyping and triazole susceptibility of Candida glabrata clinical isolates

Eur J Clin Microbiol Infect Dis. 1999 Mar;18(3):184-7. doi: 10.1007/s100960050255.

Abstract

A series of 35 strains of Candida glabrata isolated from 29 subjects (5 AIDS patients and 24 HIV-seronegative individuals) were typed by electrophoretic karyotyping and tested for their susceptibilities to both fluconazole and itraconazole. Almost every individual harboured his/her own specific isolate (DNA type). Neither the source of isolation nor the patient's HIV status was associated with a given DNA type. Recurrences were generally due to the persistence of the same DNA type over time. Only 9% of the isolates showed reduced susceptibility to fluconazole (MIC > or = 8.0 microg/ml), while 43% of the isolates showed reduced susceptibility to itraconazole (MIC > or = 0.25 microg/ml) (P = 0.02). These data show that electrophoretic karyotyping is a useful technique for DNA typing of isolates of Candida glabrata. Care must be taken prior to initiation of antifungal therapy with either of these drugs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antifungal Agents / pharmacology*
  • Candida / drug effects*
  • Candida / genetics*
  • Candidiasis / microbiology
  • DNA, Fungal / analysis*
  • Drug Resistance, Microbial / genetics
  • Fluconazole / pharmacology*
  • Humans
  • Itraconazole / pharmacology*
  • Karyotyping
  • Microbial Sensitivity Tests

Substances

  • Antifungal Agents
  • DNA, Fungal
  • Itraconazole
  • Fluconazole