Evidence map›Paper›PMID 28646915›Full record

ArticleBMC research notes2017

Isolation, speciation and antifungal susceptibility testing of Candida isolates from various clinical specimens at a tertiary care hospital, Nepal.

Sundar Khadka, Jeevan Bahadur Sherchand, Bharat Mani Pokhrel, Keshab Parajuli, Shyam Kumar Mishra, Sangita Sharma, Niranjan Shah, Hari Prasad Kattel, Subhash Dhital, Sulochana Khatiwada and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMC research notes, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
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  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Elucidation of the Metabolite Profile ofMolecules (Basel, Switzerland) · 2022
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  11. Speciation and antifungal susceptibility ofThe Pan African medical journal · 2022
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  12. Characterization ofCurrent medical mycology · 2021
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  13. Susceptibility to Clotrimazole ofPathogens (Basel, Switzerland) · 2021
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  14. Article
  15. Observational
  16. Article
  17. Biofilm-ProducingHIV/AIDS (Auckland, N.Z.) · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 1 country.

Sundar KhadkaHIV Reference Unit, National Public Health Laboratory, Kathmandu, Nepal. cls.sundar@iom.edu.np.
Jeevan Bahadur SherchandDepartment of Microbiology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Bharat Mani PokhrelDepartment of Microbiology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Keshab ParajuliDepartment of Microbiology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Shyam Kumar MishraDepartment of Microbiology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Sangita SharmaDepartment of Microbiology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Niranjan ShahDepartment of Microbiology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Hari Prasad KattelDepartment of Microbiology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Subhash DhitalHIV Reference Unit, National Public Health Laboratory, Kathmandu, Nepal.
Sulochana KhatiwadaDepartment of Microbiology, Universal Medical College, Bhairahawa, Nepal.
Narayan ParajuliDepartment of Microbiology, ManMohan Memorial Institute of Health Sciences, Kathmandu, Nepal.
Manoj PradhanDepartment of Microbiology, Nepalese Army Institute of Health Science, Kathmandu, Nepal.
Basista Prasad RijalDepartment of Microbiology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Tribhuvan University Teaching Hospital · NPCollege of Medical Sciences · NPManmohan Memorial Institute of Health Sciences · NPNational Public Health Laboratory · NPNepalese Army Institute of Health Services · NP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCandida species are responsible for various clinical infections ranging from mucocutaneous infection to life threatening invasive diseases along with increased resistance to antifungal drugs has made a serious concern. Resistance to antifungal agents has increased during the last decade. Thus, identification of Candida up to species level and its antifungal susceptibility testing has a paramount significance in the management of Candidal infections. The aim of the study was to speciate Candida species and to determine antifungal susceptibility pattern of Candida species to antifungal agents.

methodsA total of 100 consecutive Candida species were isolated from 1248 clinical specimens over 7 months period. Growths on Sabouraud dextrose agar were evaluated for colony appearance, macroscopic examination, Gram staining, germ tube test and urea hydrolysis test. Further, they were processed for Candida speciation on CHROMagar. Antifungal susceptibility testing was performed as recommended by Clinical and Laboratory Standards Institute (CLSI) M44-A document.

resultsOut of 100 Candida isolates, Candida albicans (56%) was the most common species. Among the non-albicans Candida species, Candida tropicalis (20%) was the predominant isolate followed by Candida glabrata (14%). Regarding antifungal susceptibility pattern, Candida species were more susceptible to clotrimazole (82%) followed by fluconazole (64%) and miconazole (44%).

conclusionsCandida albicans was the predominant species responsible for various Candidal infections. Among commonly used antifungal drugs clotrimazole, miconazole and fluconazole were most effective.

Indexed as

Antifungal AgentsCandida albicansCandida glabrataCandida tropicalisCandidiasisClotrimazoleCross-Sectional StudiesDrug Resistance, FungalFemaleFluconazoleHumansMaleMiconazoleMicrobial Sensitivity TestsMycological Typing TechniquesNepalAntifungal AgentsClotrimazoleFluconazoleMiconazoleAntifungal susceptibility testingCandidaCHROMagar

Identifiers

PMID28646915
PMCPMC5483268
OpenAlexW2621673236

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.