Distribution and antifungal susceptibility of candida species isolated from blood cultures

Objective:To determine the distribution of samples exhibiting candida growth among the blood cultures, and the antifungal susceptibility. Methods:The retrospective study was conducted at Samsun Training and Research Hospital, Samsun, Turkey, and comprised data of immunosuppressed patients with sepsis from January to December 2018. Yeast growth was typed by means of colony morphology, germ tube formation and the VITEK 2 system. The susceptibility was determined using the same automated system. Resistant strains were also tested using the dilution method. Data was analysed using SPSS 25. Results: Of the 50 patients, 31(62%) were males and 19(38%) were females. The overall mean age was 60.84 +/- 22.05 years. Of the total samples, 31(62%) were received from intensive care units, 14(28%) from the palliative care unit, and 5(10%) from inpatients. The most common isolate was candida albicans 26(52%), while candida parapsiosis was the most common among non-albicans species 13(26%). Resistance to antifungals was observed in 13(26%) isolates; 5(10) to fluconazole, 4(8%) to voriconazole, 2(4%) each to flucytosine and amphotericin B. The findings obtained through both the dilution method and the automated system were consistent. Conclusion: The resistance to antifungal drugs varied among different candida species.