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Journal of Clinical Microbiology, May 1999, p. 1498-1502, Vol. 37, No. 5
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.

Membrane Filtration Test for Rapid Presumptive Differentiation of Four Candida Species

T. G. Bauters,1 R. Peleman,2 M. Moerman,3 H. Vermeersch,3 D. de Looze,4 L. Noens,5 and H. J. Nelis1,*

Laboratory of Pharmaceutical Microbiology, Department of Pharmaceutical Analysis, University of Ghent,1 and Department of Internal Medicine, Division of Infectious Diseases,2 Department of Head and Neck Surgery,3 Department of Gastroenterology,4 and Department of Haematology,5 University Hospital of Ghent, B-9000 Ghent, Belgium

Received 28 August 1998/Returned for modification 2 November 1998/Accepted 27 January 1999

A rapid enzymatic two-step test for the presumptive differentiation of four Candida species commonly occurring in various clinical samples is described. The technique involves membrane filtration of a liquid sample, followed by preincubation of the membrane filter on Sabouraud glucose agar supplemented with ticarcillin-clavulanic acid to yield microcolonies. In a separate assay step, parts of the filter are placed on absorbent pads impregnated with fluorogenic 4-methylumbelliferyl (4-MU) enzyme substrates (4-MU-N-acetyl-beta -D-galactosaminide, 4-MU-phosphate, 4-MU-pyrophosphate, and 4-MU-beta -D-galactoside) in combination with 0.1% digitonin acting as a membrane permeabilizer. The membrane filter in contact with the assay medium is incubated to allow cleavage of the enzyme substrate, resulting in fluorescent microcolonies under long-wavelength UV light. This approach, tested on 301 clinical samples, is able to presumptively differentiate C. albicans, C. glabrata, C. krusei, and C. tropicalis and to distinguish them from other Candida spp. in about 9 to 11 h. Overall agreement with the conventional methods of 94.4% (one Candida species present in the sample) to 83.8% (multiple Candida spp. present) was obtained. The false-negative rates with reference to identification by traditional methods were 1.3% (single species) and 3.8% (multiple species).


* Corresponding author. Mailing address: Laboratory of Pharmaceutical Microbiology, Department of Pharmaceutical Analysis, Harelbekestraat 72, B-9000 Ghent, Belgium. Phone: 32-9.2648091. Fax: 32-9.2648195. E-mail: Hans.Nelis{at}rug.ac.be.


Journal of Clinical Microbiology, May 1999, p. 1498-1502, Vol. 37, No. 5
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.



This article has been cited by other articles:

  • Bauters, T. G., Nelis, H. J. (2002). Comparison of Chromogenic and Fluorogenic Membrane Filtration Methods for Detection of Four Candida Species. J. Clin. Microbiol. 40: 1838-1839 [Abstract] [Full Text]  
  • Bauters, T. G. M., Nelis, H. J. (2000). Rapid and Sensitive Plate Method for Detection of Aspergillus fumigatus. J. Clin. Microbiol. 38: 3796-3799 [Abstract] [Full Text]