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Journal of Clinical Microbiology, May 1999, p. 1498-1502, Vol. 37, No. 5
Laboratory of Pharmaceutical Microbiology,
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-
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
-D-galactosaminide, 4-MU-phosphate, 4-MU-pyrophosphate, and
4-MU-
-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.
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