Fungal infectivities of implanted catheters due to Candida sp. Biofilms formation and resistance

SM Seddiki, Z Boucherit-Otmani… - Journal de mycologie …, 2015 - europepmc.org
SM Seddiki, Z Boucherit-Otmani, K Boucherit, D Kunkel
Journal de mycologie medicale, 2015europepmc.org
Background Candidemia are the most common fungal infections in hospitals. However, the
catheters are subject to be altered by Candida biofilms which increase the risk of invasive
nosocomial infections due to the high resistance to antifungal agents. Therefore, the
minimum inhibitory concentrations of planktonic (MIC) and sessile cells (CIMS) were
evaluated. Methods To review the in vivo biofilms structures of Candida sp. formed on the
inner and/or external surfaces of collected catheters, we used scanning electron microscopy …
Background
Candidemia are the most common fungal infections in hospitals. However, the catheters are subject to be altered by Candida biofilms which increase the risk of invasive nosocomial infections due to the high resistance to antifungal agents. Therefore, the minimum inhibitory concentrations of planktonic (MIC) and sessile cells (CIMS) were evaluated.
Methods
To review the in vivo biofilms structures of Candida sp. formed on the inner and/or external surfaces of collected catheters, we used scanning electron microscopy (SEM). The level of biofilm resistance was assessed against two conventional antifungal agents: amphotericin B (AmB), which belongs to the class of polyenes, and fluconazole (FLZ) which is an azole.
Results
The SEM observation of biofilms of Candida sp. reveals complex structures. Compared to MICs, the calculation of CIMS showed an increase of 32 times with AmB and of 128 times with FLZ.
Conclusion
Catheters offer an ideal surface to Candida sp. to form biofilms. This complex structure induces the increase of the resistance of sessile cells against two antifungal agents, AmB and FLZ.
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