RRC ID 78552
Author Takeda K, Suzuki J, Sasaki Y, Watanabe A, Kamei K.
Title Importance of Accurate Identification and Antifungal Susceptibility Testing of Aspergillus Species in Clinical Settings.
Journal Med Mycol J
Abstract Aspergillus species have been identified morphologically in most clinical laboratories without conducting antifungal susceptibility tests (ASTs). This review aimed to evaluate the importance of accurate identification and ASTs of Aspergillus spp. strains for adequate clinical management of Aspergillus infections. The Aspergillus spp. were identified by gene sequencing, and ASTs for itraconazole and voriconazole were conducted. In Aspergillus section Nigri, the rate of detection of cryptic species was high, and Aspergillus tubingensis with lower susceptibility to azoles was frequently identified. Azole-resistant Aspergillus fumigatus was detected at a high rate in patients with chronic pulmonary aspergillosis managed with long-term azole treatment. In conclusion, accurate identification of Aspergillus spp. and ASTs are needed to carry out appropriate treatment. Moreover, we hope that these microbiological tests will be widely used in clinical laboratories to improve clinical practice.
Volume 64(4)
Pages 95-98
Published 2023-1-1
DOI 10.3314/mmj.23-004
PMID 38030277
MeSH Antifungal Agents* / pharmacology Aspergillus Aspergillus fumigatus / genetics Azoles / pharmacology Drug Resistance, Fungal* / genetics Fungal Proteins / genetics Humans Microbial Sensitivity Tests
Resource
Pathogenic eukaryotic microorganisms Aspergillus lentulus IFM 66080