Identification, Prevalence and Susceptibility Profile of Candida Isolates at the Pasteur Institute in Côte D'ivoire From 2017 to 2019

Author:

Ira Valerie Bonouman1ORCID,M'Boh Reine2,Roger Frédéric3,Krasteva Donika3,Koffi David2,Noell Julie3,Pottier Cyrille3,Bellet Virginie3,Drakulvoski Pascal3,Menan Hervé4,Touré Offianan André2,Dosso Mireille2,Ranque Stéphane5,Bertout Sébastien3

Affiliation:

1. Université de Montpellier Faculté de Pharmacie: Universite de Montpellier Faculte de Pharmacie

2. Institut Pasteur de Côte d'Ivoire: Institut Pasteur de Cote d'Ivoire

3. Universite de Montpellier UFR des Sciences Pharmaceutiques et Biologiques: Universite de Montpellier Faculte de Pharmacie

4. CHU de Treichville: Centre Hospitalier Universitaire de Treichville

5. IHU Méditerranée Infection: IHU Mediterranee Infection

Abstract

Abstract Aims: This study was conducted to determine the respective prevalence of Candida species and to study their sensitivity profile to antifungal agents to identify the emergence of resistance.Methods: This retrospective study was conducted from 2017 to 2019 at the Institute Pasteur of Côte d’Ivoire on patients with fungal disease. Various samples were analysed first by conventional methods. Then, the results were confirmed by MALDI-TOF-MS. Sensitivity tests were performed using the CLSI method and evaluated by the M59 benchmark.Results: In total, 227 Candida species were isolated from 1966 patients. Most of the samples were vaginal swabs (120/228). Using the conventional method, C. albicans was prevalent, being present in 52.6% of the samples. There were mixtures of 2 to 4 species in 36.8% of the samples that were not identified at the first identification. Confirmation by MALDI-TOF-MS showed a 35.18% prevalence of C. tropicalis. Thirteen species were identified, and 2 species complexes (C. albicans and C. parapsilosis) were highlighted in a final cohort of 315 Candida strains.Conclusion: This study highlights the difficulty of correct identification in developing countries. The transition from standard identification to molecular biology is essential and must be considered for improvement in public health.

Publisher

Research Square Platform LLC

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