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Combination of Cetylpyridinium Chloride and Chlorhexidine Acetate: A Promising Candidate for Rapid Killing of Gram-Positive/Gram-Negative Bacteria and Fungi. Curr Microbiol 2023; 80:97. [PMID: 36738393 PMCID: PMC9899061 DOI: 10.1007/s00284-023-03198-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Accepted: 01/19/2023] [Indexed: 02/05/2023]
Abstract
Combined use of the present antimicrobial drugs has been proved to be an alternative approach for antimicrobial agents' development since the co-existed of the drugs working in different mechanism have been demonstrated potentially enhance their antimicrobial activity. In this work, antibacterial and antifungal activity of the cetylpyridinium chloride (CPC)/chlorhexidine acetate (CHA) combination was evaluated for the first time, while a universal concentration for the rapid killing of gram-positive/gram-negative bacteria and fungi was also proposed. The minimum inhibitory concentrations (MIC) of CPC and CHA used alone or in combination were first measured, showing that the combined treatment decreased the MIC against tested gram-positive/gram-negative bacteria and fungi to 1/8-1/2. Growth curve assays demonstrated CPC and CHA had dynamic combined effects against the tested microorganisms at the concentration equal to MIC. Besides, combined use of these two drugs could also enhance their biocidal activity, which was illustrated by fluorescence microscopy and SEM images, as well as soluble protein measurement. More importantly, in vitro acute eye and skin irritation tests showed short-term contact with CPC/CHA combination would not cause any damage to mammalian mucosa and skin. In a word, CPC/CHA combination exhibited broad-spectrum antibacterial and antifungal activity against tested gram-positive/gram-negative bacteria and fungi while without any acute irritation to mammalian mucosa and skin, providing a new perspective on the selection of personal disinfectants.
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Dan W, Gao J, Qi X, Wang J, Dai J. Antibacterial quaternary ammonium agents: Chemical diversity and biological mechanism. Eur J Med Chem 2022; 243:114765. [PMID: 36116235 DOI: 10.1016/j.ejmech.2022.114765] [Citation(s) in RCA: 30] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2022] [Revised: 09/04/2022] [Accepted: 09/07/2022] [Indexed: 01/04/2023]
Abstract
Bacterial infections have seriously threatened public health especially with the increasing resistance and the cliff-like decline of the number of newly approved antibacterial agents. Quaternary ammonium compounds (QACs) possess potent medicinal properties with 95 successfully marketed drugs, which also have a long history as antibacterial agents. In this review, we summarize the chemical diversity of antibacterial QACs, divided into chain-like and aromatic ring, reported over the past decade (2012 to mid-2022). Additionally, the structure-activity relationships, mainly covering hydrophobicity, charges and skeleton features, are discussed. In the cases where sufficient information is available, antibacterial mechanisms including biofilm, cell membrane, and intracellular targets are presented. It is hoped that this review will provide sufficient information for medicinal chemists to discover the new generation of antibacterial agents based on QACs.
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Affiliation(s)
- Wenjia Dan
- School of Life Science and Technology, Weifang Medical University, Shandong, China
| | - Jixiang Gao
- School of Life Science and Technology, Weifang Medical University, Shandong, China
| | - Xiaohui Qi
- School of Life Science and Technology, Weifang Medical University, Shandong, China
| | - Junru Wang
- College of Chemistry & Pharmacy, Northwest A&F University, Shaanxi, China.
| | - Jiangkun Dai
- School of Life Science and Technology, Weifang Medical University, Shandong, China.
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Nunes RF, Teixeira ACSC. An overview on surfactants as pollutants of concern: Occurrence, impacts and persulfate-based remediation technologies. CHEMOSPHERE 2022; 300:134507. [PMID: 35395256 DOI: 10.1016/j.chemosphere.2022.134507] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/25/2022] [Revised: 03/20/2022] [Accepted: 03/31/2022] [Indexed: 06/14/2023]
Abstract
Surfactants are molecules that reduce interfacial energy and increase solubility of other pollutants in water. These properties make them suitable for various domestic and industrial applications, soil remediation, pesticide formulation, among others. The increase in their use and the lack of strict regulations regarding their disposal and management is a matter of concern and requires more attention since the release and distribution of these compounds into the environment can modify important water quality parameters. As a result of these changes, different toxicological effects to aquatic organisms are discussed and exposed herein. On this basis, we provide an overview of the classes of surfactants, as well as their occurrence in different aqueous matrices. In addition, existing regulations around the world regarding their concentration limit for different environments are discussed. Current research focuses on the application of conventional treatments, such as biological treatments; notwithstanding, more toxic and bioaccumulative products can be generated. Advanced Oxidation Processes are promising alternatives and have also been widely applied for the removal of surfactants. This study provides, for the first time, an overview of the application of persulfate-based processes for surfactants degradation based on recent literature findings, as well as the various factors related to the activation of the persulfate anions. This review also highlights the challenges and opportunities for future research to overcome the obstacles to the practical application of this process.
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Affiliation(s)
- Roberta Frinhani Nunes
- Research Group in Advanced Oxidation Processes, Department of Chemical Engineering, Escola Politécnica, University of São Paulo, Av. Prof. Luciano Gualberto, tr. 3, 380, São Paulo, Brazil.
| | - Antonio Carlos Silva Costa Teixeira
- Research Group in Advanced Oxidation Processes, Department of Chemical Engineering, Escola Politécnica, University of São Paulo, Av. Prof. Luciano Gualberto, tr. 3, 380, São Paulo, Brazil.
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Nadar S, Khan T, Patching SG, Omri A. Development of Antibiofilm Therapeutics Strategies to Overcome Antimicrobial Drug Resistance. Microorganisms 2022; 10:microorganisms10020303. [PMID: 35208758 PMCID: PMC8879831 DOI: 10.3390/microorganisms10020303] [Citation(s) in RCA: 33] [Impact Index Per Article: 16.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Revised: 01/19/2022] [Accepted: 01/25/2022] [Indexed: 02/04/2023] Open
Abstract
A biofilm is a community of stable microorganisms encapsulated in an extracellular matrix produced by themselves. Many types of microorganisms that are found on living hosts or in the environment can form biofilms. These include pathogenic bacteria that can serve as a reservoir for persistent infections, and are culpable for leading to a broad spectrum of chronic illnesses and emergence of antibiotic resistance making them difficult to be treated. The absence of biofilm-targeting antibiotics in the drug discovery pipeline indicates an unmet opportunity for designing new biofilm inhibitors as antimicrobial agents using various strategies and targeting distinct stages of biofilm formation. The strategies available to control biofilm formation include targeting the enzymes and proteins specific to the microorganism and those involved in the adhesion pathways leading to formation of resistant biofilms. This review primarily focuses on the recent strategies and advances responsible for identifying a myriad of antibiofilm agents and their mechanism of biofilm inhibition, including extracellular polymeric substance synthesis inhibitors, adhesion inhibitors, quorum sensing inhibitors, efflux pump inhibitors, and cyclic diguanylate inhibitors. Furthermore, we present the structure–activity relationships (SAR) of these agents, including recently discovered biofilm inhibitors, nature-derived bioactive scaffolds, synthetic small molecules, antimicrobial peptides, bioactive compounds isolated from fungi, non-proteinogenic amino acids and antibiotics. We hope to fuel interest and focus research efforts on the development of agents targeting the uniquely complex, physical and chemical heterogeneous biofilms through a multipronged approach and combinatorial therapeutics for a more effective control and management of biofilms across diseases.
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Affiliation(s)
- Sahaya Nadar
- Department of Pharmaceutical Chemistry, St. John Institute of Pharmacy and Research, Mumbai 400056, India;
| | - Tabassum Khan
- Department of Pharmaceutical Chemistry & Quality Assurance, SVKM’s Dr. Bhanuben Nanavati College of Pharmacy, Mumbai 400056, India;
| | - Simon G. Patching
- School of Biomedical Sciences and Astbury Centre for Structural Molecular Biology, University of Leeds, Leeds LS2 9JT, UK
- Correspondence: or (S.G.P.); (A.O.)
| | - Abdelwahab Omri
- The Novel Drug & Vaccine Delivery Systems Facility, Department of Chemistry and Biochemistry, Laurentian University, Sudbury, ON P3E 2C6, Canada
- Correspondence: or (S.G.P.); (A.O.)
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Nunes RF, Metolina P, Teixeira ACSC. Dodecylpyridinium chloride removal by persulfate activation using UVA radiation or temperature: experimental design and kinetic modeling. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2021; 28:68229-68243. [PMID: 34264490 DOI: 10.1007/s11356-021-15174-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/10/2021] [Accepted: 06/24/2021] [Indexed: 06/13/2023]
Abstract
The degradation of dodecylpyridinium chloride (DPC) by SO4•- and HO• radicals, generated by UVA and thermal-activated persulfate (PS) was investigated. Temperatures of 30-50°C were used for the heat activation of PS. In the case of UVA/PS, the effects of [PS]0 and specific photon emission rate (EP,0) were studied through a Doehlert design coupled with statistical analysis and response surface methodology. The results showed high DPC removal (99.8%) and pseudo-first-order degradation rate (kobs = 0.0971 min-1) for [DPC]0 = 4.60 ± 0.11 mg L-1, [PS]0 = 7.75 mmol L-1, and EP,0 = 0.437 μmol photons L-1 s-1, with a major role of SO4•- radicals in comparison with HO•. The specific DPC degradation rate found under these conditions was higher than that observed for thermal activation at 50°C and [PS]0 = 5.5 mmol L-1 (kobs = 0.0712 min-1) over the same time, although complete DPC removal was also achieved in the latter. The positive effect of EP,0 on DPC degradation by the UVA/PS process depends on PS concentrations, with kobs values increasing linearly with [PS]0 in the range 7.75-10 mmol L-1, whereas lower EP,0 values can be compensated by increasing [PS]0 up to about 10 mmol L-1, without significant scavenging. The second-order rate constants of DPC with HO• and SO4•-, estimated by comprehensive kinetic modeling, were 8.26 × 109 and 4.44 × 109 L mol-1 s-1, respectively. Furthermore, higher [DPC]0 would negatively affect the DPC degradation rate by the UVA/PS process, while 62% DPC removal was obtained in WWTP water, which can be considered good given the complexity of the real matrix. Finally, our results shed light on the possibility of using available UVA radiation (4.5%) in solar irradiance on the Earth's surface, making this treatment process more sustainable and cost-effective.
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Affiliation(s)
- Roberta Frinhani Nunes
- Research Group in Advanced Oxidation Processes, Department of Chemical Engineering, Escola Politécnica, University of São Paulo, Av. Prof. Luciano Gualberto, tr. 3, São Paulo, 380, Brazil.
| | - Patrícia Metolina
- Research Group in Advanced Oxidation Processes, Department of Chemical Engineering, Escola Politécnica, University of São Paulo, Av. Prof. Luciano Gualberto, tr. 3, São Paulo, 380, Brazil
| | - Antonio Carlos Silva Costa Teixeira
- Research Group in Advanced Oxidation Processes, Department of Chemical Engineering, Escola Politécnica, University of São Paulo, Av. Prof. Luciano Gualberto, tr. 3, São Paulo, 380, Brazil
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Chittrakanwong J, Charoenlap N, Vanitshavit V, Sowatad A, Mongkolsuk S, Vattanaviboon P. The role of MfsR, a TetR-type transcriptional regulator, in adaptive protection of Stenotrophomonas maltophilia against benzalkonium chloride via the regulation of mfsQ. FEMS Microbiol Lett 2021; 368:6332283. [PMID: 34329426 DOI: 10.1093/femsle/fnab098] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2021] [Accepted: 07/28/2021] [Indexed: 11/12/2022] Open
Abstract
A gene encoding the TetR-type transcriptional regulator mfsR is located immediately downstream of mfsQ and is transcribed in the same transcriptional unit. mfsQ encodes a major facilitator superfamily (MFS) efflux transporter contributing to the resistance of Stenotrophomonas maltophilia towards disinfectants belonging to quaternary ammonium compounds (QACs), which include benzalkonium chloride (BAC). Phylogenetic analysis revealed that MfsR is closely related to CgmR, a QAC-responsive transcriptional regulator belonging to the TetR family. MfsR regulated the expression of the mfsQR operon in a QAC-inducible manner. The constitutively high transcript level of mfsQ in an mfsR mutant indicated that MfsR functions as a transcriptional repressor of the mfsQR operon. Electrophoretic mobility shift assays showed that purified MfsR specifically bound to the putative promoter region of mfsQR, and in vitro treatments with QACs led to the release of MfsR from binding complexes. DNase I protection assays revealed that the MfsR binding box comprises inverted palindromic sequences located between motifs -35 and -10 of the putative mfsQR promoter. BAC-induced adaptive protection was abolished in the mfsR mutant and was restored in the complemented mutant. Overall, MfsR is a QACs-sensing regulator that controls the expression of mfsQ. In the absence of QACs, MfsR binds to the box located in the mfsQR promoter and represses its transcription. The presence of QACs derepresses MfsR activity, allowing RNA polymerase binding and transcription of mfsQR. This MfsR-MsfQ system enables S. maltophilia to withstand high levels of QACs.
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Affiliation(s)
- Jurairat Chittrakanwong
- Laboratory of Biotechnology, Chulabhorn Research Institute, 54 Kamphaeng Phet 6 Road, Talat Bang Khen, Lak Si, Bangkok 10210, Thailand.,Program in Applied Biological Sciences: Environmental Health, Chulabhorn Graduate Institute, Chulabhorn Royal Academy, 906 Kamphaeng Phet 6 Road, Talat Bang Khen, Lak Si, Bangkok 10210, Thailand
| | - Nisanart Charoenlap
- Laboratory of Biotechnology, Chulabhorn Research Institute, 54 Kamphaeng Phet 6 Road, Talat Bang Khen, Lak Si, Bangkok 10210, Thailand.,Center of Excellence on Environmental Health and Toxicology, EHT, Ministry of Education, 272 Rama 6 Road, Ratchathewi, Bangkok 10400, Thailand
| | - Veerakit Vanitshavit
- Laboratory of Biotechnology, Chulabhorn Research Institute, 54 Kamphaeng Phet 6 Road, Talat Bang Khen, Lak Si, Bangkok 10210, Thailand.,Program in Applied Biological Sciences: Environmental Health, Chulabhorn Graduate Institute, Chulabhorn Royal Academy, 906 Kamphaeng Phet 6 Road, Talat Bang Khen, Lak Si, Bangkok 10210, Thailand
| | - Apinya Sowatad
- Laboratory of Biotechnology, Chulabhorn Research Institute, 54 Kamphaeng Phet 6 Road, Talat Bang Khen, Lak Si, Bangkok 10210, Thailand
| | - Skorn Mongkolsuk
- Laboratory of Biotechnology, Chulabhorn Research Institute, 54 Kamphaeng Phet 6 Road, Talat Bang Khen, Lak Si, Bangkok 10210, Thailand.,Center of Excellence on Environmental Health and Toxicology, EHT, Ministry of Education, 272 Rama 6 Road, Ratchathewi, Bangkok 10400, Thailand
| | - Paiboon Vattanaviboon
- Laboratory of Biotechnology, Chulabhorn Research Institute, 54 Kamphaeng Phet 6 Road, Talat Bang Khen, Lak Si, Bangkok 10210, Thailand.,Program in Applied Biological Sciences: Environmental Health, Chulabhorn Graduate Institute, Chulabhorn Royal Academy, 906 Kamphaeng Phet 6 Road, Talat Bang Khen, Lak Si, Bangkok 10210, Thailand.,Center of Excellence on Environmental Health and Toxicology, EHT, Ministry of Education, 272 Rama 6 Road, Ratchathewi, Bangkok 10400, Thailand
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Vereshchagin AN, Frolov NA, Egorova KS, Seitkalieva MM, Ananikov VP. Quaternary Ammonium Compounds (QACs) and Ionic Liquids (ILs) as Biocides: From Simple Antiseptics to Tunable Antimicrobials. Int J Mol Sci 2021; 22:6793. [PMID: 34202677 PMCID: PMC8268321 DOI: 10.3390/ijms22136793] [Citation(s) in RCA: 77] [Impact Index Per Article: 25.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Revised: 06/15/2021] [Accepted: 06/16/2021] [Indexed: 12/13/2022] Open
Abstract
Quaternary ammonium compounds (QACs) belong to a well-known class of cationic biocides with a broad spectrum of antimicrobial activity. They are used as essential components in surfactants, personal hygiene products, cosmetics, softeners, dyes, biological dyes, antiseptics, and disinfectants. Simple but varied in their structure, QACs are divided into several subclasses: Mono-, bis-, multi-, and poly-derivatives. Since the beginning of the 20th century, a significant amount of work has been dedicated to the advancement of this class of biocides. Thus, more than 700 articles on QACs were published only in 2020, according to the modern literature. The structural variability and diverse biological activity of ionic liquids (ILs) make them highly prospective for developing new types of biocides. QACs and ILs bear a common key element in the molecular structure-quaternary positively charged nitrogen atoms within a cyclic or acyclic structural framework. The state-of-the-art research level and paramount demand in modern society recall the rapid development of a new generation of tunable antimicrobials. This review focuses on the main QACs exhibiting antimicrobial and antifungal properties, commercial products based on QACs, and the latest discoveries in QACs and ILs connected with biocide development.
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Affiliation(s)
- Anatoly N. Vereshchagin
- N. D. Zelinsky Institute of Organic Chemistry, Russian Academy of Sciences, Leninsky Prospect 47, 119991 Moscow, Russia; (N.A.F.); (K.S.E.); (M.M.S.)
| | | | | | | | - Valentine P. Ananikov
- N. D. Zelinsky Institute of Organic Chemistry, Russian Academy of Sciences, Leninsky Prospect 47, 119991 Moscow, Russia; (N.A.F.); (K.S.E.); (M.M.S.)
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Wille I, Mayr A, Kreidl P, Brühwasser C, Hinterberger G, Fritz A, Posch W, Fuchs S, Obwegeser A, Orth-Höller D, Lass-Flörl C. Cross-sectional point prevalence survey to study the environmental contamination of nosocomial pathogens in intensive care units under real-life conditions. J Hosp Infect 2017; 98:90-95. [PMID: 28964884 DOI: 10.1016/j.jhin.2017.09.019] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2017] [Accepted: 09/21/2017] [Indexed: 01/09/2023]
Abstract
BACKGROUND In intensive care units (ICUs), inanimate surfaces and equipment may be contaminated by nosocomial pathogens, including multi-drug-resistant micro-organisms. AIMS To assess the degree of environmental contamination close to and distant from patients, and contamination of healthcare workers' (HCWs) hands with nosocomial pathogens under real-life conditions and to investigate potential transmission events. METHODS Over the course of three weeks, agar contact samples were taken close to and distant from patient areas and from HCWs' hands in eight ICUs of a tertiary care hospital in Innsbruck, Austria. Each ICU was visited once without announcement. Species identification and antimicrobial susceptibility testing were performed according to standard methods, and corresponding strains from patient, environment and hand samples were genotyped using pulsed-field gel electrophoresis. FINDINGS Among 523 samples, HCWs' hands were most frequently contaminated with potentially pathogenic bacteria (15.2%), followed by areas close to patients (10.9%) and areas distant from patients (9.1%). Gram-positive bacteria were identified most often (67.8%), with Enterococcus spp. being the most prevalent species (70% vancomycin sensitive and 30% vancomycin resistant) followed by Staphylococcus aureus, of which 64% were classified as meticillin-resistant Staphylococcus aureus. Molecular typing documented identical strains among patient, environment and hand isolates. CONCLUSION This study found widespread contamination of the ICU environment with clinically relevant pathogens, including multi-drug-resistant micro-organisms, despite cleaning and disinfection. The bioburden might not be restricted to areas close to patients. The role of extended environmental disinfection of areas distant from patients in order to improve infection prevention needs further discussion.
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Affiliation(s)
- I Wille
- Division of Hygiene and Medical Microbiology, Department of Hygiene, Microbiology and Public Health, Medical University of Innsbruck, Innsbruck, Austria; Christian Doppler Laboratory for Invasive Fungal Infections, Innsbruck, Austria
| | - A Mayr
- Division of Hygiene and Medical Microbiology, Department of Hygiene, Microbiology and Public Health, Medical University of Innsbruck, Innsbruck, Austria; Christian Doppler Laboratory for Invasive Fungal Infections, Innsbruck, Austria.
| | - P Kreidl
- Division of Hygiene and Medical Microbiology, Department of Hygiene, Microbiology and Public Health, Medical University of Innsbruck, Innsbruck, Austria
| | - C Brühwasser
- Division of Hygiene and Medical Microbiology, Department of Hygiene, Microbiology and Public Health, Medical University of Innsbruck, Innsbruck, Austria; Christian Doppler Laboratory for Invasive Fungal Infections, Innsbruck, Austria
| | - G Hinterberger
- Division of Hygiene and Medical Microbiology, Department of Hygiene, Microbiology and Public Health, Medical University of Innsbruck, Innsbruck, Austria
| | - A Fritz
- Division of Hygiene and Medical Microbiology, Department of Hygiene, Microbiology and Public Health, Medical University of Innsbruck, Innsbruck, Austria; Christian Doppler Laboratory for Invasive Fungal Infections, Innsbruck, Austria
| | - W Posch
- Division of Hygiene and Medical Microbiology, Department of Hygiene, Microbiology and Public Health, Medical University of Innsbruck, Innsbruck, Austria
| | - S Fuchs
- Division of Hygiene and Medical Microbiology, Department of Hygiene, Microbiology and Public Health, Medical University of Innsbruck, Innsbruck, Austria
| | - A Obwegeser
- Department of Neurosurgery, University Hospital of Innsbruck, Austria
| | - D Orth-Höller
- Division of Hygiene and Medical Microbiology, Department of Hygiene, Microbiology and Public Health, Medical University of Innsbruck, Innsbruck, Austria
| | - C Lass-Flörl
- Division of Hygiene and Medical Microbiology, Department of Hygiene, Microbiology and Public Health, Medical University of Innsbruck, Innsbruck, Austria; Christian Doppler Laboratory for Invasive Fungal Infections, Innsbruck, Austria
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