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Emerg Infect Dis. 2004 Jan;10(1):14-9.

Fungal biofilms and drug resistance.

Author information

1
Department of Diagnostic Sciences and Pathology, Dental School, University of Maryland, Baltimore, Maryland 21201, USA. mar002@dental.umaryland.edu

Abstract

Candida species, including the novel opportunistic pathogen Candida dubliniensis, are now emerging as major agents of nosocomial infections. Many such manifestations of infections associated with the formation of Candida biofilms include those occurring on devices such as indwelling intravascular catheters. Fungal biofilm-associated infections are frequently refractory to conventional therapy because of resistance to antimicrobial agents. This resistance could be in part due to the surface-induced upregulation of drug efflux pumps. Biofilm-associated Candida show uniform resistance to a wide spectrum of the currently available conventional antifungal agents, which implies that antimicrobial drugs that specifically target biofilm-associated infections are needed. The novel classes of antifungal agents, the lipid formulation of amphotericins, and the echinocandins have demonstrated unique antifungal activity against the resistant Candida biofilms, providing a breakthrough in the treatment of life-threatening invasive systemic mycoses. The use of drugs effective in combating biofilm-associated infections could lead to major developments in the treatment of fungal implant infections.

PMID:
15078591
PMCID:
PMC3031105
DOI:
10.3201/eid1001.030119
[Indexed for MEDLINE]
Free PMC Article

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