Presumptive Identification Of Candida Albicans Research Articles

Use of CHROMagar in the Differentiation of Common Species of Candida

CHROMagar has been reported to be useful for the rapid and accurate identification of Candida species. We tested 135 isolates of Candida species isolated from oropharyngeal candidiasis in HIV patients and found that it was useful in the presumptive identification of Candida albicans and Candida krusei. Occasional strains of C. tropicalis produced colonies with a greenish tinge making it difficult to differentiate from C. albicans.

Comparative evaluation of four commercial tests for presumptive identification of Candida albicans

Four commercially available tests ( Albicans ID2®, Chromalbicans Agar®, CHROMagar Candida®, and BactiCard Candida®) and the germ tube (GT) test for presumptive identification of Candida albicans were evaluated using clinical isolates of C. albicans ( n=89) and of non- albicans yeasts ( n=107). Sensitivities and specificities of all tests regarding the identification of C. albicans were greater than 92%, except for Chromalbicans Agar® plates (88.7% after 48 h) and their specificity was 86%. Overall, the four commercial systems were easy to use and are good systems for the routine identification of C. albicans.

Comparison of Albicans ID2® agar plate with the germ tube for presumptive identification of Candida albicans

Albicans ID2® (bioMérieux, France) is a commercially available chromogenic medium that allows rapid and specific macroscopic identification of Candida albicans and facilitates the differentiation of species in mixed cultures. We compared it with the standard method for the identification of yeast species, the germ tube test (GT). This study involved 423 clinical isolates, including 163 C. albicans and 260 non- albicans yeasts. Sensitivity of Albicans ID2® agar plates regarding the identification of C. albicans were 98.2% after 48 h of incubation and specificity of 96.6%. This method using rapid enzymatic method shows the same similar sensitivity than the GT test The false negative rate (1.8%) for the GT test is consistent with that previously reported. None tests discriminated between C. albicans and C. dubliniensis isolates.

Novel microtiter plate format for testing germ tube formation and proposal of a cost-effective scheme for yeast identification in a clinical laboratory

The germ tube test is most widely used for presumptive identification of Candida albicans. Conventional testing is relatively time-consuming due to the hands-on time involved in preparing and viewing each isolate. In order to reduce workload and costs we have developed a novel microtiter plate test format that offers several advantages: (i) use of removable strips of microtiter wells placed in lockwell frames, (ii) only one pipetting step for each isolate, (iii) direct micromorphological evaluation using an inverse microscope, (iv) use of a novel synthetic germ tube test medium, (v) reduction of the inoculum, permitting testing of minute colonies, (vi) thus, testing of different colonies in potentially mixed primary cultures of clinical specimens is encouraged and facilitated. Implementing this microtiter based germ tube test with simultaneous trehalase test for presumptive identification of Torulopsis (Candida) glabrata, we propose an identification scheme including this test format. This has been implemented in our routine laboratory permitting cost-effective presumptive identification of almost all clinically relevant yeast species.

The presumptive identification of Candida albicans with germ tube induced by high temperature.

For direct identification of Candida albicans from other Candida species, the chlamydospore formation and the mycelial transition induced by high temperature and by sera were examined in 198 Candida isolates. The germ tubes of C. albicans developed early at 30 min in high temperature-induction, but at 60 min in serum-induction. C. albicans generated germ tubes well at concentrations lower than 2 x 10(7) cells/ml, but the germ tube formation was markedly restrained at concentrations higher than 4 x 10(7) cells/ml. In a serum-free, yeast extract-peptone-dextrose (YEPD) medium, C. albicans grew as a yeast form at 30 degrees C and as a mycelial form at 35-42 degrees C. Mycelial development was maximal at 37 degrees C in serum and at 39 degrees C in YEPD. Germ tubes were formed within 30 min in YEPD at 39 degrees C, but after 60 min in serum at 37 degrees C. Our examination showed that the 39 degrees C-induced germ tube formation tests were very reliable (sensitivity 100%, specificity 100%) at discerning C. albicans from other Candida species. These results suggest that the high temperature-induced germ tube formation testing could be a useful identification method of C. albicans in clinical laboratories.

Evaluation of CHROMagar Candida for presumptive identification of clinically important Candida species

CHROMagar Candida is a recently described and differential medium for the isolation and the presumptive identification of clinically important yeasts. We evaluated it with 262 yeast strains from clinical specimens, including 173 Candida albicans, 21 Candida tropicalis, 8 Candida krusei, 49 Candida glabrata, and 12 strains of other yeast species. Strains were presumptively identified on the basis of colony color and texture. These observations were compared with conventional identification results. Candida albicans was identified correctly in 170 (98%) of the 173 strains. A total of 46 of the 205 specimens that were plated on CHROMagar contained mixed cultures of yeast. Thirty-seven (80%) of these mixed cultures were not detected in the original specimens. CHROMagar Candida was useful for the rapid presumptive identification of Candida albicans and facilitated the recognition of mixed cultures. For other yeast species, it may provide additional information to laboratories that do not regularly perform identifications beyond the germ tube test.

Comparison of a New Chromogenic Agar with the Germ Tube Method for Presumptive Identification of Candida albicans

Comparison of a New Chromogenic Agar with the Germ Tube Method for Presumptive Identification of Candida albicans

Comparison of a new chromogenic agar with the germ tube method for presumptive identification of Candida albicans.

Comparison of a new chromogenic agar with the germ tube method for presumptive identification of Candida albicans.

A new minimal synthetic medium for germ-tube production in Candida albicans

A new minimal synthetic medium, with low amount of glucose, without aminoacids, vitamins and neutral pH, which induces germ-tubes production in Candida albicans, is reported in this work. The results indicate a perfect agreement between the germ-tube test performed with the standard method in human or animal serum and this test performed in minimal synthetic medium. In this medium the germ-tube test for the presumptive identification of Candida albicans can be performed with the same formality, time and reproducibility as those in human or animal serum. This constitutes an interesting finding because it is easy to prepare, to store and is highly reproducible.

New germ tube induction medium for the identification of Candida albicans.

A new germ tube induction medium, composed of three parts Rabbit Coagulase Plasma with EDTA (BBL Microbiology Systems) and two parts Tryp-Soy broth (Scott Laboratories, Inc.), was effective for the presumptive identification of Candida albicans. This medium was safer to use, more accurate, and less expensive than other commercial germ tube induction media.

A simple system for the presumptive identification ofCandida albicansand differentiation of strains within the species

A system of 10 agar plate tests allowed presumptive identification of Candida albicans and differentiation of up to 512 strain types within the species. The yeast isolates were tested for acid and salt tolerance, proteinase production, resistance to 5-fluorocytosine and safranine, and assimilation of urea, sorbose, citrate and glycine. Media were inoculated semiquantitatively with a multiple-pronged device so that 55 yeasts and 5 reference strains could be printed on each plate at once. The results for the 9 strain differentiation tests were arranged in 3 groups to allow simple designation of types by 3-digit numbers. Mouth and vaginal samples from 85 patients and healthy volunteers yielded to 45 different strain types, of which types 153, 157 and 357 were the most prevalent. The reproducibility of the system was good, if attention was paid to the precision which the media were prepared and inoculated. The effect of test variables, including incubation temperature, medium pH and inoculum size, was assessed. Work is presently in progress to extend the system for presumptive identification of other clinically important Candida spp. and differentiation of their strain types.

New culture medium for the presumptive identificaion of Candida albicans and Cryptococcus neoformans

A new medium composed of Tween 80, oxgall, caffeic acid, and Davis agar (TOC) that provides for the rapid presumptive identification of Candida albicans and Cryptococcus neoformans is described herein. C. albicans is differentiated from other yeasts by the sequential production of germ tubes and chlamydospores. In a comparison with cormeal agar control plates, there was an increase of chlamydospore-forming strains of C. albicans (97.1% versus 87.2%) and a decrease in the time required for chlamydospore formation (24 h versus 48 h). C. neoformans produced a brown pigment of TOC, which is specific for its identification, thus differentiating it from the other yeasts. A comparison of 24-h pigment production by C. neoformans on TOC with that of birdseed agar showed a dark, coffee brown color in the former cultures and a light brown color in the latter. The change in pigmentation of C. neoformans, as well as morphological changes in C. albicans, can be induced within 3 to 12 h and in not more than 24 h on the TOC medium.