The Fourier-transform infrared spectroscopy-based IR Biotyper is a straightforward typing tool for bacterial species, but its use with
Candida
species is limited. We applied IR Biotyper to
Candida parapsilosis
, a common cause of nosocomial bloodstream infection (BSI), which is aggravated by the intra-hospital spread of fluconazole-resistant isolates. Of 59
C
.
parapsilosis
isolates studied,
n
= 56 (48 fluconazole-resistant and 8 fluconazole-susceptible) and
n
= 3 (2 fluconazole-resistant and 1 fluconazole-susceptible) isolates, respectively, had been recovered from BSI episodes in 2 spatially distant Italian hospitals. The latter isolates served as an outgroup. Of fluconazole-resistant isolates,
n
= 40 (including one outgroup) harbored the Y132F mutation alone and
n
= 10 (including one outgroup) harbored both Y132F and R398I mutations in the
ERG11
-encoded azole-target enzyme. Using a microsatellite typing method, which relies on the amplification of genomic short tandem repeats (STR), two major clusters were obtained based on the mutation(s) (Y132F or Y132F/R398I) present in the isolates. Regarding IR Biotyper, each isolate was analyzed in quintuplicate using an automatic (i.e., proposed by the manufacturer’s software) or tentative (i.e., proposed by us) cutoff value. In the first case, four clusters were identified, with clusters I and II formed by Y132F or Y132F/R398I isolates, respectively. In the second case, six subclusters (derived by the split of clusters I and II) were identified. This allowed to separate the outgroup isolates from other isolates and to increase the IR Biotyper typeability. The agreement of IR Biotyper with STR ranged from 47% to 74%, depending on type of cutoff value used in the analysis.
IMPORTANCE
Establishing relatedness between clinical isolates of
Candida parapsilosis
is important for implementing rapid measures to control and prevent nosocomial transmission of this
Candida
species. We evaluated the FTIR-based IR Biotyper, a new typing method in the
Candida
field, using a collection of fluconazole-resistant
C. parapsilosis
isolates supposed to be genetically related due to the presence of the Y132F mutation. We showed that IR Biotyper was discriminatory but not as much as the STR method, which is still considered the method of choice. Further studies on larger series of
C. parapsilosis
isolates or closely related
Candida
species will be necessary to confirm and/or extend the results from this study.