Comparative antifungal susceptibility analyses of Cryptococcus neoformans VNI and Cryptococcus gattii VGII from the Brazilian Amazon Region by the Etest, Vitek 2, and the clinical and laboratory standards institute broth microdilution methods

Detalhes bibliográficos
Autor(a) principal: Nishikawa, Marília Martins
Data de Publicação: 2019
Outros Autores: Almeida-Paes, Rodrigo, Brito-Santos, Fabio, Nascimento, Carlos Roberto, Fialho, Miguel Madi, Trilles, Luciana, Morales, Bernadina Penarrieta, Silva, Sérgio Alves da, Santos, Wallace, Santos, Lucilaide Oliveira, Fortes, Silvana Tulio, Cardarelli-Leite, Paola, Lázera, Márcia dos Santos
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/36089
Resumo: 2020-10-02
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spelling Nishikawa, Marília MartinsAlmeida-Paes, RodrigoBrito-Santos, FabioNascimento, Carlos RobertoFialho, Miguel MadiTrilles, LucianaMorales, Bernadina PenarrietaSilva, Sérgio Alves daSantos, WallaceSantos, Lucilaide OliveiraFortes, Silvana TulioCardarelli-Leite, PaolaLázera, Márcia dos Santos2019-10-02T14:55:26Z2019-10-02T14:55:26Z2019NISHIKAWA, Marília Martins et al. susceptibility analyses of Cryptococcus neoformans VNI and Cryptococcus gattii VGII from the Brazilian Amazon Region by the Etest, Vitek 2, and the clinical and laboratory standards Institute broth microdilution methods. Medical Mycology, v. 57, p. 864-873, 2019.1369-3786https://www.arca.fiocruz.br/handle/icict/3608910.1093/mmy/myy1501460-2709engOxford University PressComparative antifungal susceptibility analyses of Cryptococcus neoformans VNI and Cryptococcus gattii VGII from the Brazilian Amazon Region by the Etest, Vitek 2, and the clinical and laboratory standards institute broth microdilution methodsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article2020-10-02Fundação Oswaldo Cruz. Instituto Nacional de Controle de Qualidade em Saúde. Setor de Fungos de Referência. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Micologia. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Micologia. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Controle de Qualidade em Saúde. Setor de Fungos de Referência. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Controle de Qualidade em Saúde. Setor de Fungos de Referência. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Micologia. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Micologia. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Controle de Qualidade em Saúde. Quality Management Board. Rio de Janeiro, RJ, Brasil.Federal University of Para. Department of Pharmacy. Belém, PA, Brazil.Tropical Medicine Foundation of Dr. Heitor Vieira Dourado. Manaus, AM, Brazil.Federal University of Roraima. Biodiversity Research Centre. Boa Vista, RR, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Controle de Qualidade em Saúde. Setor de Biologia Molecular. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Micologia. Rio de Janeiro, RJ, Brasil.Early diagnosis, efficient clinical support, and proper antifungal therapy are essential to reduce death and sequels caused by cryptococcosis. The emergence of resistance to the antifungal drugs commonly used for cryptococcosis treatment is an important issue of concern. Thus, the in vitro antifungal susceptibility of clinical strains from northern Brazil, including C. neoformans VNI (n = 62) and C. gattii VGII (n = 37), to amphotericin B (AMB), 5-flucytosine, fluconazole, voriconazole, and itraconazole was evaluated using the Etest and Vitek 2 systems and the standardized broth microdilution (CLSI-BMD) methodology. According to the CLSI-BMD, the most active in vitro azole was voriconazole (C. neoformans VNI modal MIC of 0.06 μg/ml and C. gattii VGII modal MIC of 0.25 μg/ml), and fluconazole was the least active (modal MIC of 4 μg/ml for both fungi). Modal MICs for amphotericin B were 1 μg/ml for both fungi. In general, good essential agreement (EA) values were observed between the methods. However, AMB presented the lowest EA between CLSI-BMD and Etest for C. neoformans VNI and C. gattii VGII (1.6% and 2.56%, respectively, P < .05 for both). Considering the proposed Cryptococcus spp. epidemiological cutoff values, more than 97% of the studied isolates were categorized as wild-type for the azoles. However, the high frequency of C. neoformans VNI isolates in the population described here that displayed non-wild-type susceptibility to AMB is noteworthy. Epidemiological surveillance of the antifungal resistance of cryptococcal strains is relevant due to the potential burden and the high lethality of cryptococcal meningitis in the Amazon region.In vitro antifungal susceptibility testingC. neoformansC. gattiiAmazon regioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83104https://www.arca.fiocruz.br/bitstream/icict/36089/1/license.txt79178e5f2a0eb066867a274556814938MD51ORIGINALve_Nishikawa_Marília_etal_INI_2019.pdfve_Nishikawa_Marília_etal_INI_2019.pdfapplication/pdf432734https://www.arca.fiocruz.br/bitstream/icict/36089/2/ve_Nishikawa_Mar%c3%adlia_etal_INI_2019.pdf944583905e66647b1f859d87b9acfa4dMD52TEXTve_Nishikawa_Marília_etal_INI_2019.pdf.txtve_Nishikawa_Marília_etal_INI_2019.pdf.txtExtracted 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dc.title.pt_BR.fl_str_mv Comparative antifungal susceptibility analyses of Cryptococcus neoformans VNI and Cryptococcus gattii VGII from the Brazilian Amazon Region by the Etest, Vitek 2, and the clinical and laboratory standards institute broth microdilution methods
title Comparative antifungal susceptibility analyses of Cryptococcus neoformans VNI and Cryptococcus gattii VGII from the Brazilian Amazon Region by the Etest, Vitek 2, and the clinical and laboratory standards institute broth microdilution methods
spellingShingle Comparative antifungal susceptibility analyses of Cryptococcus neoformans VNI and Cryptococcus gattii VGII from the Brazilian Amazon Region by the Etest, Vitek 2, and the clinical and laboratory standards institute broth microdilution methods
Nishikawa, Marília Martins
In vitro antifungal susceptibility testing
C. neoformans
C. gattii
Amazon region
title_short Comparative antifungal susceptibility analyses of Cryptococcus neoformans VNI and Cryptococcus gattii VGII from the Brazilian Amazon Region by the Etest, Vitek 2, and the clinical and laboratory standards institute broth microdilution methods
title_full Comparative antifungal susceptibility analyses of Cryptococcus neoformans VNI and Cryptococcus gattii VGII from the Brazilian Amazon Region by the Etest, Vitek 2, and the clinical and laboratory standards institute broth microdilution methods
title_fullStr Comparative antifungal susceptibility analyses of Cryptococcus neoformans VNI and Cryptococcus gattii VGII from the Brazilian Amazon Region by the Etest, Vitek 2, and the clinical and laboratory standards institute broth microdilution methods
title_full_unstemmed Comparative antifungal susceptibility analyses of Cryptococcus neoformans VNI and Cryptococcus gattii VGII from the Brazilian Amazon Region by the Etest, Vitek 2, and the clinical and laboratory standards institute broth microdilution methods
title_sort Comparative antifungal susceptibility analyses of Cryptococcus neoformans VNI and Cryptococcus gattii VGII from the Brazilian Amazon Region by the Etest, Vitek 2, and the clinical and laboratory standards institute broth microdilution methods
author Nishikawa, Marília Martins
author_facet Nishikawa, Marília Martins
Almeida-Paes, Rodrigo
Brito-Santos, Fabio
Nascimento, Carlos Roberto
Fialho, Miguel Madi
Trilles, Luciana
Morales, Bernadina Penarrieta
Silva, Sérgio Alves da
Santos, Wallace
Santos, Lucilaide Oliveira
Fortes, Silvana Tulio
Cardarelli-Leite, Paola
Lázera, Márcia dos Santos
author_role author
author2 Almeida-Paes, Rodrigo
Brito-Santos, Fabio
Nascimento, Carlos Roberto
Fialho, Miguel Madi
Trilles, Luciana
Morales, Bernadina Penarrieta
Silva, Sérgio Alves da
Santos, Wallace
Santos, Lucilaide Oliveira
Fortes, Silvana Tulio
Cardarelli-Leite, Paola
Lázera, Márcia dos Santos
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Nishikawa, Marília Martins
Almeida-Paes, Rodrigo
Brito-Santos, Fabio
Nascimento, Carlos Roberto
Fialho, Miguel Madi
Trilles, Luciana
Morales, Bernadina Penarrieta
Silva, Sérgio Alves da
Santos, Wallace
Santos, Lucilaide Oliveira
Fortes, Silvana Tulio
Cardarelli-Leite, Paola
Lázera, Márcia dos Santos
dc.subject.en.pt_BR.fl_str_mv In vitro antifungal susceptibility testing
C. neoformans
C. gattii
Amazon region
topic In vitro antifungal susceptibility testing
C. neoformans
C. gattii
Amazon region
description 2020-10-02
publishDate 2019
dc.date.accessioned.fl_str_mv 2019-10-02T14:55:26Z
dc.date.available.fl_str_mv 2019-10-02T14:55:26Z
dc.date.issued.fl_str_mv 2019
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv NISHIKAWA, Marília Martins et al. susceptibility analyses of Cryptococcus neoformans VNI and Cryptococcus gattii VGII from the Brazilian Amazon Region by the Etest, Vitek 2, and the clinical and laboratory standards Institute broth microdilution methods. Medical Mycology, v. 57, p. 864-873, 2019.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/36089
dc.identifier.issn.pt_BR.fl_str_mv 1369-3786
dc.identifier.doi.none.fl_str_mv 10.1093/mmy/myy150
dc.identifier.eissn.none.fl_str_mv 1460-2709
identifier_str_mv NISHIKAWA, Marília Martins et al. susceptibility analyses of Cryptococcus neoformans VNI and Cryptococcus gattii VGII from the Brazilian Amazon Region by the Etest, Vitek 2, and the clinical and laboratory standards Institute broth microdilution methods. Medical Mycology, v. 57, p. 864-873, 2019.
1369-3786
10.1093/mmy/myy150
1460-2709
url https://www.arca.fiocruz.br/handle/icict/36089
dc.language.iso.fl_str_mv eng
language eng
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dc.publisher.none.fl_str_mv Oxford University Press
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