Identification and Speciation of Aspergillus in Clinical and Environmental Samples using Culture-Based Methods: A Laboratory-based Study in Hyderabad

Background: Aspergillosis is increasingly recognized as a serious opportunistic infection, particularly among immunocompromised patients. Accurate species-level identification of Aspergillus is critical for selecting appropriate antifungal therapy and implementing effective infection control me...

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Main Authors: Shaik Begum Meherunnisa, Mohd Ubaidullah Ansari, Mohammed Yasser Arafath K M, Juveria Sultana
Format: Article
Language:English
Published: Prathima Institute of Medical Sciences 2025-04-01
Series:Perspectives In Medical Research
Online Access:https://www.pimr.org.in/2025-vol13-issue-1/Original_Article_Juveria_PIMR.pdf
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author Shaik Begum Meherunnisa
Mohd Ubaidullah Ansari
Mohammed Yasser Arafath K M
Juveria Sultana
author_facet Shaik Begum Meherunnisa
Mohd Ubaidullah Ansari
Mohammed Yasser Arafath K M
Juveria Sultana
author_sort Shaik Begum Meherunnisa
collection DOAJ
description Background: Aspergillosis is increasingly recognized as a serious opportunistic infection, particularly among immunocompromised patients. Accurate species-level identification of Aspergillus is critical for selecting appropriate antifungal therapy and implementing effective infection control measures. This study aimed to identify and characterize Aspergillus species isolated from both clinical specimens and indoor air samples at a tertiary care hospital in Hyderabad, Telangana, India. Methods: Over a one-year period, a total of 709 specimens—including nasal mucosa swabs, tissue biopsies (lung, FESS), blood samples, nail clippings, and passive indoor air seƩle plates—were processed in the microbiology laboratory. Direct microscopic examination was performed using KOH mount, periodic acid–Schiff stain, and calcofluor white stain. Specimens showing filamentous fungi were cultured on Sabouraud dextrose agar. potato dextrose agar, corn meal agar, Czapek medium, and malt extract agar, and incubated at 25–30 ◦C for 7–10 days. Species identification was based on detailed assessment of colony morphology and microscopic features (conidiophore structure, vesicle shape, phialide arrangement, and conidial ornamentation), following CLSI guidelines. Results: Out of 709 specimens, Aspergillus species were isolated from 239 samples (33.7%). Thirteen species were identified, with A. flavus being the most common (33.4%), followed by A. niger (26.7%), A. fumigatus(19.2%), A. nidulans(4.6%), A. glaucus (3.3%), A. terreus (2.9%), A. versicolor (2.1%), A. calidoustus (1.7%), A. glabrata (1.7%), A. parasiticus (1.2%), A. clavatus (1.3%), A. ochraceus (0.8%), and A. tanneri (0.8%). A. flavus predominated among both clinical and environmental isolates. Conclusion: Conventional morphological methods combined with the use of multiple culture media proved effective for species-level identification of Aspergillus. Routine surveillance of Aspergillus species in both clinical and environmental samples can guide targeted antifungal therapy and support proactive infection control in healthcare environments. KEYWORDS: Aspergillus, Speciation, Differential Media, Clinical specimens, Environmental surveillance
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record_format Article
series Perspectives In Medical Research
spelling doaj-art-211f36fabd2d4647bd2c0077acf3ecce2025-08-20T03:49:22ZengPrathima Institute of Medical SciencesPerspectives In Medical Research2348-14472348-229X2025-04-01131293410.47799/pimr.1301.07Identification and Speciation of Aspergillus in Clinical and Environmental Samples using Culture-Based Methods: A Laboratory-based Study in HyderabadShaik Begum MeherunnisaMohd Ubaidullah AnsariMohammed Yasser Arafath K MJuveria Sultana Background: Aspergillosis is increasingly recognized as a serious opportunistic infection, particularly among immunocompromised patients. Accurate species-level identification of Aspergillus is critical for selecting appropriate antifungal therapy and implementing effective infection control measures. This study aimed to identify and characterize Aspergillus species isolated from both clinical specimens and indoor air samples at a tertiary care hospital in Hyderabad, Telangana, India. Methods: Over a one-year period, a total of 709 specimens—including nasal mucosa swabs, tissue biopsies (lung, FESS), blood samples, nail clippings, and passive indoor air seƩle plates—were processed in the microbiology laboratory. Direct microscopic examination was performed using KOH mount, periodic acid–Schiff stain, and calcofluor white stain. Specimens showing filamentous fungi were cultured on Sabouraud dextrose agar. potato dextrose agar, corn meal agar, Czapek medium, and malt extract agar, and incubated at 25–30 ◦C for 7–10 days. Species identification was based on detailed assessment of colony morphology and microscopic features (conidiophore structure, vesicle shape, phialide arrangement, and conidial ornamentation), following CLSI guidelines. Results: Out of 709 specimens, Aspergillus species were isolated from 239 samples (33.7%). Thirteen species were identified, with A. flavus being the most common (33.4%), followed by A. niger (26.7%), A. fumigatus(19.2%), A. nidulans(4.6%), A. glaucus (3.3%), A. terreus (2.9%), A. versicolor (2.1%), A. calidoustus (1.7%), A. glabrata (1.7%), A. parasiticus (1.2%), A. clavatus (1.3%), A. ochraceus (0.8%), and A. tanneri (0.8%). A. flavus predominated among both clinical and environmental isolates. Conclusion: Conventional morphological methods combined with the use of multiple culture media proved effective for species-level identification of Aspergillus. Routine surveillance of Aspergillus species in both clinical and environmental samples can guide targeted antifungal therapy and support proactive infection control in healthcare environments. KEYWORDS: Aspergillus, Speciation, Differential Media, Clinical specimens, Environmental surveillancehttps://www.pimr.org.in/2025-vol13-issue-1/Original_Article_Juveria_PIMR.pdf
spellingShingle Shaik Begum Meherunnisa
Mohd Ubaidullah Ansari
Mohammed Yasser Arafath K M
Juveria Sultana
Identification and Speciation of Aspergillus in Clinical and Environmental Samples using Culture-Based Methods: A Laboratory-based Study in Hyderabad
Perspectives In Medical Research
title Identification and Speciation of Aspergillus in Clinical and Environmental Samples using Culture-Based Methods: A Laboratory-based Study in Hyderabad
title_full Identification and Speciation of Aspergillus in Clinical and Environmental Samples using Culture-Based Methods: A Laboratory-based Study in Hyderabad
title_fullStr Identification and Speciation of Aspergillus in Clinical and Environmental Samples using Culture-Based Methods: A Laboratory-based Study in Hyderabad
title_full_unstemmed Identification and Speciation of Aspergillus in Clinical and Environmental Samples using Culture-Based Methods: A Laboratory-based Study in Hyderabad
title_short Identification and Speciation of Aspergillus in Clinical and Environmental Samples using Culture-Based Methods: A Laboratory-based Study in Hyderabad
title_sort identification and speciation of aspergillus in clinical and environmental samples using culture based methods a laboratory based study in hyderabad
url https://www.pimr.org.in/2025-vol13-issue-1/Original_Article_Juveria_PIMR.pdf
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AT mohdubaidullahansari identificationandspeciationofaspergillusinclinicalandenvironmentalsamplesusingculturebasedmethodsalaboratorybasedstudyinhyderabad
AT mohammedyasserarafathkm identificationandspeciationofaspergillusinclinicalandenvironmentalsamplesusingculturebasedmethodsalaboratorybasedstudyinhyderabad
AT juveriasultana identificationandspeciationofaspergillusinclinicalandenvironmentalsamplesusingculturebasedmethodsalaboratorybasedstudyinhyderabad