Probiotics as antifungals in mucosal candidiasis

Matsubara, Victor H.; Bandara, H. M. H. N.; Mayer, Marcia P. A.; Samaranayake, Lakshman P.

doi:10.1093/cid/ciw038

Cited by 151Antifungal resistance and susceptibilityProbiotics and Fermented FoodsReproductive tract infections research

Probiotics as antifungals in mucosal candidiasis

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Matsubara, Victor H., Bandara, H. M. H. N., Mayer, Marcia P. A., Samaranayake, Lakshman P.·2016·Clinical Infectious Diseases

DOI 10.1093/cid/ciw038

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Abstract

Candidais an opportunistic pathogen that causes mucosal and deep systemic candidiasis. The emergence of drug resistance and the side effects of currently available antifungals have restricted their use as long-term prophylactic agents for candidal infections. Given this scenario, probiotics have been suggested as a useful alternative for the management of candidiasis. We analyzed the available data on the efficacy of probiotics in candidal colonization of host surfaces. A number of well-controlled studies indicate that probiotics, particularly lactobacilli, suppressCandidagrowth and biofilm development in vitro.A few clinical trials have also shown the beneficial effects of probiotics in reducing oral, vaginal, and enteric colonization byCandida; alleviation of clinical signs and symptoms; and, in some cases, reducing the incidence of invasive fungal infection in critically ill patients. Probiotics may serve in the future as a worthy ally in the battle against chronic mucosal candidal infections.

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Probiotic Lactobacillus strains have been reported in vitro and in vivo to be beneficial for candidiasis management, including oral candidiasis.
“Probiotic Lactobacillus strains have been reported in vitro and in vivo to be beneficial for candidiasis management, including oral candidiasis.1,2”
From Aggregation and adhesion ability of various probiotic strains and Candida species: An in vitro study (2024) · cites this paper as [1]

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Authors: Matsubara, V. H., Bandara, H. M. H. N., Mayer, M. P. A., & Samaranayake, L. P.
Affiliations: The University of Queensland (AU)
ORCID: Matsubara, Victor H.
Samaranayake, Lakshman P.
Venue: Clinical Infectious Diseases
Publisher: Oxford University Press (OUP)
Published: 2016-01-29
Volume: 62
Issue: 9
Pages: 1143-1153
ISSN: 1058-4838 (ISSN-L)
1537-6591
DOI: 10.1093/cid/ciw038
OpenAlex: W2325976755
Cited by: 151
References: 40
Citations by year: 2026: 12 · 2025: 15 · 2024: 16 · 2023: 13 · 2022: 18 · 2021: 15 · 2020: 20 · 2019: 13 · 2018: 12 · 2017: 11 · 2016: 6
FWCI: 2.16
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Clinical Infectious Diseases (publishedVersion)
PubMed (publishedVersion)
Explore Bristol Research (acceptedVersion, other-oa)
HighWire Press Open Archive (submittedVersion)
Topics: Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
Keywords: probiotics, antifungal activity, mucosal candidiasis, Candida, lactobacilli, candidal colonization, biofilm formation, oral candidiasis, vaginal candidiasis, invasive fungal infections, critically ill patients, antifungal resistance, candidiasis prophylaxis
MeSH terms: Adolescent, Adult, Aged, Aged, 80 and over, Antifungal Agents, Candidiasis, Female, Humans, Infant, Infant, Newborn, Lactobacillus, Middle Aged, Probiotics, Young Adult

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