Background:Candidiasis is the most common opportunistic infection in human immunodeficiency virus (HIV) seropositive patients, starting from asymptomatic colonization to pathogenic forms and gradual colonization of non-albicans in patients with advanced immunosuppression leads to resistance for azole group of antifungal drugs with high rate of morbidity and mortality.Objectives:To isolate the Candida species and determine of antifungal drug susceptibility against fluconazole, itraconazole, nystatin, amphotericin B, and clotrimazolein HIV seropositive and control individuals, with or without clinical oropharyngeal candidiasis (OPC).Materials and Methods:Includes samples from faucial region of 70 subjects with and without clinical candidiasis in HIV seropositive and controls were aseptically inoculated onto Sabaraud's Dextrose Agar media and yeasts were identified for the specific species by Corn Meal Agar, sugar fermentation and heat tolerance tests. Antifungal drug susceptibility of the isolated species was done against above-mentioned drugs by E-test and disc diffusion method.Results:The commonly isolated species in HIV seropositive and controls were Candida albicans, Candida glabrata and Candida tropicalis Candida guilliermondii and Candida dubliniensis isolated only in HIV seropositive patients. Susceptibility against selected antifungal drugs was observed more in HIV-negative individuals whereas susceptible dose-dependent and resistance were predominant in HIV-positive patients.Conclusion:Resistance is the major problem in the therapy of OPC, especially in HIV seropositive patients due to aggressive and prolonged use of antifungal agents, therefore, our study emphasizes the need for antifungal drug susceptibility testing whenever antifungal treatment is desired, especially in HIV-infected subjects.

Background: Micronuclei are chromatin masses that arise from chromosomal fragments or whole chromosome that lack behind at the anaphase stage of cell division. Their presence in cells means the number of chromosomal aberrations arising during mitosis. Cigarette smoke contains over 4000 chemical carcinogens, with 200 known carcinogens that show significant genotoxic effects in human cells. Chronic high levels of glucose during Diabetes Mellitus are thought to increase oxidative stress and the formation of free radicals that in turn damage cells. Reactive oxygen species chemically attack cellular components altering metabolism, inflammatory mediators, and antioxidant defense mechanisms, overall favoring the pathogenesis of the disease and the persistence of genetic damage. Scoring of micronuclei is considered a DNA damage biomarker for chromosomal damage and instability. Aim: Considering this, we decided to evaluate & compare the frequency of micronuclei in oral epithelial cells in smokers & in diabetics. Materials & Methods: A total number of eligible 150 individuals were included in the study; 50 smokers without diabetes, 50 smokers with diabetes & 50 age and sex matched non smoker healthy individuals group as controls. Oral epithelial cells were taken from buccal smears and subjected to PAP stain. Mean micronuclei were taken from all the subjects. Results: Least number of micronuclei was found in non smoker, non diabetic group & highest numbers were found in smoker, Diabetic group. Conclusion: Micronuclei assay is non-invasive technique that offers a very simple method for obtaining information on status of the epithelial cells, particularly DNA damage, proliferative potential of basal cells and cell death.

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