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首页> 外文期刊>Journal of Clinical Microbiology >In vitro susceptibility testing and DNA typing of Saccharomyces cerevisiae clinical isolates.
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In vitro susceptibility testing and DNA typing of Saccharomyces cerevisiae clinical isolates.

机译:酿酒酵母临床分离株的体外药敏试验和DNA分型。

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Saccharomyces spp. are widely distributed in nature and may colonize the normal human gastrointestinal tract. Although Saccharomyces cerevisiae isolates have been previously considered nonpathogenic, they appear to be increasingly associated with infections in immunocompromised or otherwise debilitated patients. The antifungal susceptibility and epidemiology of S. cerevisiae are poorly defined at present. A series of 76 isolates (mostly stool surveillance and throat swab isolates) from 70 bone marrow transplant patients hospitalized at two different medical centers were characterized by antifungal susceptibility testing and restriction endonuclease analysis of chromosomal DNA. For DNA typing, digestion with NotI followed by pulsed-field gel electrophoresis was applied. Typing results revealed 62 distinct DNA types among the 76 clinical isolates. Despite this genomic diversity, clusters of identical isolates were identified among different patients hospitalized concurrently in the same unit, indicating possible nosocomial transmission. The MICs of amphotericin B, 5-fluorocytosine, fluconazole, and itraconazole were determined by a broth microdilution method, as recommended by the National Committee for Clinical Laboratory Standards. The MICs at which 90% of the strains were inhibited were as follows: amphotericin B, 1.0 micrograms/ml; 5-fluorocytosine, 0.25 micrograms/ml; fluconazole, 8.0 micrograms/ml; and itraconazole, 1.0 micrograms/ml. The relative resistance of S. cerevisiae to fluconazole and itraconazole may promote the emergence of this species as a pathogen among immunosuppressed patients.
机译:酿酒酵母属。在自然界广泛分布,并可能定居于正常人的胃肠道。尽管酿酒酵母分离株以前被认为是非致病性的,但它们似乎与免疫受损或虚弱的患者的感染日益相关。目前对酿酒酵母的抗真菌药性和流行病学的定义还很不明确。对来自两个不同医学中心住院的70名骨髓移植患者的76株分离株(主要是粪便监测和咽喉拭子分离株)进行了抗真菌药敏试验和染色体DNA限制性核酸内切酶分析。对于DNA分型,应用NotI消化,然后进行脉冲场凝胶电泳。打字结果揭示了76种临床分离物中62种不同的DNA类型。尽管存在这种基因组多样性,但仍在同一单元中同时住院的不同患者之间发现了相同的分离株簇,表明可能发生了医院内传播。按照国家临床实验室标准委员会的建议,通过肉汤微量稀释法测定两性霉素B,5-氟胞嘧啶,氟康唑和伊曲康唑的MIC。抑制90%菌株的MIC如下:两性霉素B,1.0微克/毫升;两性霉素B,1.0微克/毫升。 5-氟胞嘧啶,0.25微克/毫升;氟康唑8.0微克/毫升;和伊曲康唑1.0微克/毫升。酿酒酵母对氟康唑和伊曲康唑的相对耐药性可能会促进这种物种作为免疫抑制患者中的病原体出现。

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