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Distribution and susceptibility to amphotericin B and fluconazole of Candida spp. isolated from Taiwan

Published online by Cambridge University Press:  18 January 2005

Y. L. YANG
Affiliation:
Department of Biological Science and Technology, National Chiao Tung University, Hsinchu, Taiwan, Republic of China
Y. A. HO
Affiliation:
Division of Clinical Research, National Health Research Institutes, Taipei, Taiwan, Republic of China
H. H. CHENG
Affiliation:
Division of Clinical Research, National Health Research Institutes, Taipei, Taiwan, Republic of China
H. J. LO
Affiliation:
Division of Clinical Research, National Health Research Institutes, Taipei, Taiwan, Republic of China
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Abstract

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Susceptibilities to amphotericin B and fluconazole of 628 clinical yeast strains collected from 22 hospitals in Taiwan were determined. A total of 53 isolates (8·4%) were resistant to fluconazole. Each hospital had different resistance rate to fluconazole ranging from 0% to 24%. None of the 186 isolates from eight of the 22 hospitals was resistant to fluconazole. In contrast, isolates from nine of the remaining 14 hospitals had greater than 10% resistance rate to fluconazole. Consistently, 88·9% (8/9) fluconazole-resistant C. albicans isolates were from hospitals having a high resistance rate to fluconazole. The prevalence of various Candida spp. in each hospital was different. A positive association was found between the prevalence of C. tropicalis and the resistance rate to fluconazole for individual hospitals. Although only three isolates (0·5%) were resistant to amphotericin B, a co-resistance to both amphotericin B and fluconazole was observed, which highlights the emerging problem of drug resistance.

Type
Research Article
Copyright
© 2005 Cambridge University Press