Species distribution and antifungal susceptibility patterns of Candida isolates from a public tertiary teaching hospital in the Eastern Cape Province, South Africa

vital:49389Candida species are the leading cause of invasive fungal infections, and over the past decade there has been an increased isolation of drug resistant Candida species. This study aimed to identify the species distribution of Candida isolates and to determine their unique antifungal susceptibility and resistance patterns. During a cross-sectional study, 209 Candida isolates (recovered from 206 clinical samples) were collected and their species distribution was determined using ChromAgar Candida. The Vitek-2 system (Biomerieux, South Africa) was used to determine minimum inhibitory concentrations (MICs) to azoles (fluconazole, voriconazole), echinocandins (caspofungin, micafungin), polyenes (amphotericin B) and flucytosine. Four species of Candida were isolated, of which C. albicans was the most frequent, isolated in 45.4 percent (95/209) of the isolates, followed by C. glabrata: 31.1 percent (65/209). The MICs of the different antifungal drugs varied amongst the species of Candida. From the 130 isolates tested for MICs, 90.77 percent (112/130) were susceptible to all antifungal drugs and 6.9 percent (9/130) of the isolates were multi-drug resistant. C. dubliniensis (n=2) isolates were susceptible to all the above mentioned antifungal drugs. There was no significant difference in species distribution amongst clinical specimens and between patients’ genders (P40.05). An increase in MIC values for fluconazole and flucytosine towards the resistance range was observed. To our knowledge, this is the first report on surveillance of Candida species distribution and antifungal susceptibility at a public tertiary teaching hospital in Eastern Cape, South Africa. Key words: Candida species; Distribution; Antifungal susceptibility; Identification; South Afric

Marine hotspots of activity inform protection of a threatened community of pelagic species in a large oceanic jurisdiction

Remote oceanic islands harbour unique biodiversity, especially of species that rely on the marine trophic resources around their breeding islands. Identifying marine areas used by such species is essential to manage and limit processes that threaten these species. The Tristan da Cunha territory in the South Atlantic Ocean hosts several endemic and globally threatened seabirds, and pinnipeds; how they use the waters surrounding the islands must be considered when planning commercial activities. To inform marine management in the Tristan da Cunha Exclusive Economic Zone (EEZ), we identified statistically significant areas of concentrated activity by collating animal tracking data from nine seabirds and one marine mammal. We first calculated the time that breeding adults of the tracked species spent in 10 × 10 km cells within the EEZ, for each of four seasons to account for temporal variability in space use. By applying a spatial aggregation statistic over these grids for each season, we detected areas that are used more than expected by chance. Most of the activity hotspots were either within 100 km of breeding colonies or were associated with seamounts, being spatially constant across several seasons. Our simple and effective approach highlights important areas for pelagic biodiversity that will benefit conservation planning and marine management strategies.This is the peer reviewed version of the following article: Requena, S., Oppel, S., Bond, A.L., Hall, J., Cleeland, J., Crawford, R.J.M., Davies, D., Dilley, B.J., Glass, T., Makhado, A., Ratcliffe, N., Reid, T.A., Ronconi, R.A., Schofield, A., Steinfurth, A., Wege, M., Bester, M. and Ryan, P.G. (2020), Marine hotspots of activity inform protection of a threatened community of pelagic species in a large oceanic jurisdiction. Anim Conserv. doi:10.1111/acv.12572, which has been published in final form at https://doi.org/10.1111/acv.12572. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. The attached file is the final approved author manuscript version, you are advised to consult the publisher’s version if you wish to cite from it