Fluconazole resistance rate of Candida species from different regions and hospital types in Taiwan

J Microbiol Immunol Infect. 2003 Sep;36(3):187-91.

Abstract

From April 15 to June 15, 1999, 581 clinical Candida isolates from 19 hospitals in Taiwan were collected and susceptibilities to fluconazole of these isolates were determined by a broth microdilution method. A total of 42 (7.2%) isolates were resistant to fluconazole. Isolates from medical centers had a higher resistance rate to fluconazole than those from regional hospitals (10.7% vs 4.9%). Candida species isolated from different regions had different degrees of susceptibility to fluconazole. Approximately 2.5%, 6.5%, and 11.8% of Candida isolates from middle, north, and south regions, respectively, were resistant to fluconazole. The prevalence of the combination of Candida glabrata, Candida krusei, and Candida tropicalis infections were 44.5%, 49.8%, and 62.7% in middle, north, and south regions, respectively. There is an association between the rate of fluconazole resistance and the number of non-albicans Candida species collected from different regions and hospital types.

Publication types

  • Comparative Study

MeSH terms

  • Academic Medical Centers
  • Antifungal Agents / pharmacology*
  • Candida / drug effects*
  • Candida / isolation & purification
  • Candida albicans / drug effects
  • Candida albicans / isolation & purification
  • Candida glabrata / drug effects
  • Candida glabrata / isolation & purification
  • Candida tropicalis / drug effects
  • Candida tropicalis / isolation & purification
  • Candidiasis / drug therapy
  • Candidiasis / microbiology
  • Drug Resistance, Fungal*
  • Fluconazole / pharmacology*
  • Hospitals, Community
  • Hospitals, Teaching
  • Humans
  • Taiwan

Substances

  • Antifungal Agents
  • Fluconazole