Role of Candida in Antibiotic-Associated Diarrhea

To quantitatively assess the role of Candida species in antibiotic-associated diarrhea (AAD), stool samples from a total of 395 patients and control subjects were cultured in differential isolation medium: 98 patients had AAD, 93 patients were taking antibiotics but did not have diarrhea (A+D−), 97...

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Veröffentlicht in:The Journal of infectious diseases 2001-10, Vol.184 (8), p.1065-1069
Hauptverfasser: Krause, Robert, Schwab, Egon, Bachhiesl, Daniela, Daxböck, Florian, Wenisch, Christoph, Krejs, Günter J., Reisinger, Emil C.
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container_end_page 1069
container_issue 8
container_start_page 1065
container_title The Journal of infectious diseases
container_volume 184
creator Krause, Robert
Schwab, Egon
Bachhiesl, Daniela
Daxböck, Florian
Wenisch, Christoph
Krejs, Günter J.
Reisinger, Emil C.
description To quantitatively assess the role of Candida species in antibiotic-associated diarrhea (AAD), stool samples from a total of 395 patients and control subjects were cultured in differential isolation medium: 98 patients had AAD, 93 patients were taking antibiotics but did not have diarrhea (A+D−), 97 patients were not taking antibiotics but had diarrhea (A−D+), and 107 patients were control subjects (A−D−). In addition, secreted aspartyl proteinase (Sap) production was tested. In AAD patients, Candida positivity (77/98) and Candida overgrowth (62/98) were not different from that among A+D− patients (75/93 [P=.860] and 52/93 [P=.375], respectively). Candida overgrowth among A−D+ patients (40/97, P=.003) was less frequent than among AAD patients, but Candida positivity was not different (80/97, P=.612). In control subjects, Candida positivity and overgrowth were less common than in all other groups. Production of Sap did not differ between patients with AAD and control subjects (P=.568 and P=.590, respectively). Data indicate that elevated Candida counts are a result of antibiotic treatment or diarrhea rather than a cause of AAD
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In addition, secreted aspartyl proteinase (Sap) production was tested. In AAD patients, Candida positivity (77/98) and Candida overgrowth (62/98) were not different from that among A+D− patients (75/93 [P=.860] and 52/93 [P=.375], respectively). Candida overgrowth among A−D+ patients (40/97, P=.003) was less frequent than among AAD patients, but Candida positivity was not different (80/97, P=.612). In control subjects, Candida positivity and overgrowth were less common than in all other groups. Production of Sap did not differ between patients with AAD and control subjects (P=.568 and P=.590, respectively). 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subjects Age Distribution
Anti-Bacterial Agents - adverse effects
Antibacterial agents
Antibiotics
Antibiotics. Antiinfectious agents. Antiparasitic agents
aspartyl proteinase
Biological and medical sciences
Candida
Candida - classification
Candida - growth & development
Candida - isolation & purification
Candida albicans
Diarrhea
Diarrhea - chemically induced
Diarrhea - drug therapy
Feces - microbiology
Female
Fundamental and applied biological sciences. Psychology
Humans
Major Article
Male
Medical sciences
Microbiology
Mucins
Mycology
Pathogenicity, host-agent relations, miscellaneous strains, epidemiology
Patient Selection
Pharmacology. Drug treatments
Reference Values
Secretion
Vaginitis
Virulence
Virulence factors
Yeasts
title Role of Candida in Antibiotic-Associated Diarrhea
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