Toward the Standardization of Mycological Examination of Sputum Samples in Cystic Fibrosis: Results from a French Multicenter Prospective Study View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2017-07-26

AUTHORS

Noémie Coron, Marc Pihet, Emilie Fréalle, Yolande Lemeille, Claudine Pinel, Hervé Pelloux, Gilles Gargala, Loic Favennec, Isabelle Accoceberry, Isabelle Durand-Joly, Frédéric Dalle, Frédéric Huet, Annlyse Fanton, Amale Boldron, Guy-André Loeuille, Philippe Domblides, Bérengère Coltey, Isabelle Pin, Catherine Llerena, Françoise Troussier, Christine Person, Christophe Marguet, Nathalie Wizla, Caroline Thumerelle, Dominique Turck, Stéphanie Bui, Michael Fayon, Alain Duhamel, Anne Prévotat, Benoit Wallaert, Sylvie Leroy, Jean-Philippe Bouchara, Laurence Delhaes

ABSTRACT

Fungal respiratory colonization of cystic fibrosis (CF) patients emerges as a new concern; however, the heterogeneity of mycological protocols limits investigations. We first aimed at setting up an efficient standardized protocol for mycological analysis of CF sputa that was assessed during a prospective, multicenter study: “MucoFong” program (PHRC-06/1902). Sputa from 243 CF patients from seven centers in France were collected over a 15-month period and submitted to a standardized protocol based on 6 semi-selective media. After mucolytic pretreatment, sputa were plated in parallel on cycloheximide-enriched (ACT37), erythritol-enriched (ERY37), benomyl dichloran–rose bengal (BENO37) and chromogenic (CAN37) media incubated at 37 °C and on Sabouraud–chloramphenicol (SAB27) and erythritol-enriched (ERY27) media incubated at 20–27 °C. Each plate was checked twice a week during 3 weeks. Fungi were conventionally identified; time for detection of fungal growth was noted for each species. Fungal prevalences and media performances were assessed; an optimal combination of media was determined using the Chi-squared automatic interaction detector method. At least one fungal species was isolated from 81% of sputa. Candida albicans was the most prevalent species (58.8%), followed by Aspergillus fumigatus (35.4%). Cultivation on CAN37, SAB27, ACT37 and ERY27 during 16 days provided an optimal combination, detecting C. albicans, A. fumigatus, Scedosporium apiospermum complex and Exophiala spp. with sensitivities of 96.5, 98.8, 100 and 100%. Combination of these four culture media is recommended to ensure the growth of key fungal pathogens in CF respiratory specimens. The use of such consensual protocol is of major interest for merging results from future epidemiological studies. More... »

PAGES

101-117

References to SciGraph publications

Journal

TITLE

Mycopathologia

ISSUE

1

VOLUME

183

Author Affiliations

  • Laboratoire de Parasitologie-Mycologie, Centre Hospitalier Universitaire, INSERM U1045, Université de Bordeaux, Bordeaux, France
  • Laboratoire de Parasitologie-Mycologie, Centre Hospitalier Universitaire, Angers, France
  • Laboratoire de Parasitologie-Mycologie, Centre Hospitalier Universitaire de Lille, Université de Lille 2, Lille, France
  • Service de Parasitologie-Mycologie, Pôle de Biologie et Pathologie, CHU Grenoble-Alpes, Université Grenoble Alpes, Grenoble, France
  • Laboratoire de Parasitologie-Mycologie, Centre Hospitalier Universitaire Charles Nicolle, Rouen, France
  • Laboratoire de Parasitologie-Mycologie, Centre Hospitalier Universitaire, Université de Bordeaux, Bordeaux, France
  • Hygiène hospitalière, Centre Hospitalier de Dunkerque, Dunkerque, France
  • Laboratoire de Parasitologie-Mycologie, Service Microbiologie Agents Transmissibles, Centre Hospitalier Universitaire, Dijon, France
  • CRCM mixte, Hôpital d’Enfants, Centre Hospitalier Universitaire, Dijon, France
  • CRCM, Centre Hospitalier de Dunkerque, Dunkerque, France
  • CRCM Adulte, Centre Hospitalier Universitaire, Bordeaux, France
  • CRCM Adulte, Centre Hospitalier Universitaire, Grenoble, France
  • Pédiatrie, Centre Hospitalier Universitaire de Grenoble Alpes, Grenoble, France
  • CRCM mixte, Centre Hospitalier Universitaire, Angers, France
  • CRCM mixte, Normandie Univ, UNIROUEN, EA2656/Inserm U1404, département de Pediatrie, Centre Hospitalier Universitaire de Rouen, 76000, Rouen, France
  • CRCM de pédiatrie, Centre Hospitalier Universitaire de Lille, Université de Lille 2, Lille, France
  • CRCM de pédiatrie, CIC 1401, Centre Hospitalier Universitaire de Bordeaux, Université de Bordeaux, Bordeaux, France
  • CERIM, EA2694, Faculté de Médecine, Lille, France
  • CRCM adulte, Centre Hospitalier Universitaire de Lille, Université de Lille 2, Lille, France
  • Centre Hospitalier Universitaire de Nice - Hôpital Pasteur, Nice, France
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s11046-017-0173-1

    DOI

    http://dx.doi.org/10.1007/s11046-017-0173-1

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1090906077

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/28748285


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