Distribution of Aspergillus Species and Prevalence of Azole Resistance in Respiratory Samples From Swiss Tertiary Care Hospitals

Author:

Ragozzino Silvio1ORCID,Goldenberger Daniel2,Wright Patrick R3ORCID,Zimmerli Stefan4,Mühlethaler Konrad5,Neofytos Dionysios6ORCID,Riat Arnaud7,Boggian Katia8,Nolte Oliver9,Conen Anna10,Fankhauser Hans11,Schreiber Peter W12,Zbinden Reinhard13,Lamoth Frederic14,Khanna Nina1ORCID

Affiliation:

1. Division of Infectious Diseases and Hospital Epidemiology, University of Basel and University Hospital Basel, Basel, Switzerland

2. Clinical Bacteriology and Mycology, University of Basel and University Hospital Basel, Basel, Switzerland

3. Clinical Trial Unit, University Hospital Basel, Basel, Switzerland

4. Department of Infectious Diseases, Bern University Hospital and University of Bern, Bern, Switzerland

5. Clinical Microbiology, Institute for Infectious Diseases, University of Bern, Bern, Switzerland

6. Division of Infectious Diseases and Hospital Epidemiology, University Hospital Geneva, Geneva, Switzerland

7. Division of Laboratory Medicine, Laboratory of Bacteriology, University Hospital Geneva and University of Geneva, Geneva, Switzerland

8. Division of Infectious Diseases and Hospital Epidemiology, Cantonal Hospital St Gallen, St Gallen, Switzerland

9. Center for Laboratory Medicine, St Gallen, Switzerland

10. Clinic of Infectious Diseases and Hospital Hygiene, Cantonal Hospital Aarau, Aarau, Switzerland

11. Clinical Microbiology, Cantonal Hospital Aarau, Aarau, Switzerland

12. Division of Infectious Diseases and Hospital Epidemiology, University of Zurich and University Hospital Zurich, Zurich, Switzerland

13. Clinical Microbiology, University Hospital Zurich, Zurich, Switzerland

14. Infectious Diseases Service and Institute of Microbiology, Lausanne University Hospital, Lausanne, Switzerland

Abstract

Abstract Among 400 Aspergillus species from respiratory samples in Switzerland, Aspergillus fumigatus was the most frequent species. Non-fumigatus Aspergillus spp were more prevalent among solid organ transplant recipients and after azole exposure. Azole resistance was detected in 4 A fumigatus isolates, 3 of them with the “environmental” mutation TR34/L98H in the cyp51A gene.

Funder

Schering-Plough

Gilead Sciences

Merck Sharp and Dohme

Novartis Foundation

Pfizer Foundation

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Oncology

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