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ABSTRACT: Background
Pulmonary aspergillosis is a lung infection caused by Aspergillus spp., which can cause severe illnesses in immunocompromised patients with underlying lung disease or who have asthma and inhale their spores. This study aimed to screen the antifungal susceptibility of Aspergillus spp. isolated from patients with underlying pulmonary infections and characterize the isolates using PCR and sequencing.Method
Three hundred and eighty-four sputum or bronchoalveolar lavage samples were collected and processed for the isolation and identification, and characterization of Aspergillus species and molecular amplification of the ITS1-5.8S-ITS2 region by the PCR and Sanger sequencing method. Antifungal susceptibility tests for itraconazole and voriconazole were performed using the E-test.Result
The overall results revealed that out of 384 patients, 32 (8.3%) were positive for fungal growth, including 28 (87.5%) Aspergillus spp. The highest resistance rate (100 and 44.4%) was obtained from itraconazole against A. niger and A. fumigatus. In contrast, voriconazole revealed the best activities against all tested fungi compared to itraconazole. All A. flavus were sensitive to voriconazole, while only 54.5% were sensitive to itraconazole. The MICs of E-test for Aspergillus spp were 1.6 ± 1.8 and 0.6 ± 0.93 for itraconazole and voriconazole, respectively.Conclusions
The prevalence of aspergillosis was high, with a significant association with underlying lung diseases. Voriconazole was the drug of choice for isolated fungi.
SUBMITTER: Moglad E
PROVIDER: S-EPMC9612272 | biostudies-literature | 2022 Sep
REPOSITORIES: biostudies-literature
Moglad Ehssan E Saeed Samar S Saeed Humodi H Ahmed Hind H Salih Kwathar K Altayb Hisham H Elhag Wafa W
Tropical medicine and infectious disease 20220928 10
<h4>Background</h4>Pulmonary aspergillosis is a lung infection caused by <i>Aspergillus</i> spp., which can cause severe illnesses in immunocompromised patients with underlying lung disease or who have asthma and inhale their spores. This study aimed to screen the antifungal susceptibility of <i>Aspergillus</i> spp. isolated from patients with underlying pulmonary infections and characterize the isolates using PCR and sequencing.<h4>Method</h4>Three hundred and eighty-four sputum or bronchoalveo ...[more]