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Journal of Clinical Microbiology, April 2005, p. 1600-1603, Vol. 43, No. 4
0095-1137/05/$08.00+0     doi:10.1128/JCM.43.4.1600-1603.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.

Colonization of Human Immunodeficiency Virus-Infected Outpatients in Taiwan with Candida Species

Chien-Ching Hung,1 Yun-Liang Yang,2 Tsai-Ling Lauderdale,3 L. Clifford McDonald,3 Chin-Fu Hsiao,4 Hsiao-Hsu Cheng,3 Yong An Ho,3 and Hsiu-Jung Lo3*

Division of Infectious Diseases, Department of Internal Medicine, National Taiwan University Hospital, and Department of Parasitology, National Taiwan University College of Medicine, Taipei,1 Department of Biological Science and Technology, National Chiao Tung University, Hsinchu,2 Division of Clinical Research,3 Division of Biostatistics and Bioinformatics, National Health Research Institutes, Zhunan Town, Miaoli County, Taiwan, Republic of China4

Received 26 September 2004/ Returned for modification 25 October 2004/ Accepted 22 November 2004

To understand the Candida colonization of human immunodeficiency virus (HIV)-infected outpatients in Taiwan, we have conducted a prospective cohort study of Candida colonization and its risk factors at the National Taiwan University Hospital from 1999 to 2002. More than 50% of the patients were colonized with Candida species, and 12% developed symptomatic candidiasis. Patients colonized with fluconazole-resistant strains of Candida species had a higher prevalence of candidiasis than those colonized with susceptible strains. Our analysis found that antibiotic treatment and lower CD4+ counts (<200 cells/mm3) increased the rate of oropharyngeal candidiasis in HIV-infected patients, while antiretroviral therapy protected patients from the development of candidiasis.

* Corresponding author. Mailing address: Division of Clinical Research, National Health Research Institutes, 35 Keyan Rd., Zhunan Town, Miaoli County, 350, Taiwan, Republic of China. Phone: 886-2-2652-4095. Fax: 886-2-2789-0254. E-mail: hjlo{at}nhri.org.tw.

Journal of Clinical Microbiology, April 2005, p. 1600-1603, Vol. 43, No. 4
0095-1137/05/$08.00+0     doi:10.1128/JCM.43.4.1600-1603.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.



This article has been cited by other articles:

  • Lin, C.-Y., Chen, Y.-C., Lo, H.-J., Chen, K.-W., Li, S.-Y. (2007). Assessment of Candida glabrata Strain Relatedness by Pulsed-Field Gel Electrophoresis and Multilocus Sequence Typing. J. Clin. Microbiol. 45: 2452-2459 [Abstract] [Full Text]  
  • Chen, K.-W., Chen, Y.-C., Lo, H.-J., Odds, F. C., Wang, T.-H., Lin, C.-Y., Li, S.-Y. (2006). Multilocus Sequence Typing for Analyses of Clonality of Candida albicans Strains in Taiwan.. J. Clin. Microbiol. 44: 2172-2178 [Abstract] [Full Text]  


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