ISOLATION AND IDENTIFICATION OF CANDIDA SPECIES IN THE PATIENTS OF UTI
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 64
Abstract
Fungal infections of the urinary tract especially those caused by Candida species are becoming increasingly common due to prolonged antibiotic use, indwelling urinary catheters, and increase in the number of immunocompromised individuals. Symptoms of Candida pyelonephritis, cystitis, prostatitis, or epididymo-orchitis are little different from those of the same infections produced by other pathogens. Candiduria occurring in critically ill patients should initially be regarded as a marker for the possibility of invasive Candidiasis. The first step in further evaluation is to verify funguria by repeating the urinalysis and urine culture. MATERIALS AND METHODS A total of 3381 clinically diagnosed cases of UTI from OPD and IPD of JAH and KRH Hospitals, G. R. Medical College, Gwalior were studied for one year from 1st Jan, 2015, to 31st Dec, 2015. Urine samples were aseptically collected. Cultures were done on blood agar, MacConkey agar, CLED agar, and Sabouraud Dextrose Agar. Both bacteria and yeast were isolated. Both bacteria and yeast were identified further as per standard protocol. The isolated yeasts were included in our study for evaluation. RESULTS Total of 87 (2.57%) cases were found positive for yeast growth. Among these, 4 species are identified with predominance of C. albicans 31.03% (n=27), C. krusei 29.89% (n=26), C. glabrata 24.14% (n=21), C. tropicalis 14.94% (n=13). CONCLUSION The finding of candiduria in a patient with or without symptoms should be neither dismissed nor hastily treated, but requires a careful evaluation, which should proceed in a logical fashion
Authors and Affiliations
Vaibhav , Abhishek Jain, Sanjay , Himanshi
Keywords
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