Voriconazole and fluconazole susceptibility of Candida isolates

被引:21
作者
Pelletier, R [1 ]
Loranger, L
Marcotte, H
De Carolis, E
机构
[1] Ctr Hosp Univ Quebec, Hotel Dieu, Microbiol Lab, Quebec City, PQ, Canada
[2] Pfizer Canada, Antiinfect Res & Dev Grp, Kirkland, PQ, Canada
关键词
D O I
10.1099/0022-1317-51-6-479
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
An adapted NCCLS M27-A method was used to evaluate the activity of voriconazole (VRC) and fluconazole (FLC) against 295 Candida isolates collected from 189 patients (including isolates from deep sites). Isolates included 186 C. albicans, 54 C. glabrata, 27 C. tropicalis, 14 C. parapsilosis, 6 C. krusei, 6 C. lusitaniae, 1 C. lypolytica and 1 C. sake. Forty-two isolates had reduced susceptibility to FLC (MIC >8 mg/L); 83.3% of these had VRC MICs less than or equal to2 mg/L (9 of 11 C. albicans, 18 of 19 C. glabrata, 6 of 6 C. krusei, 2 of 2 C. lusitaniae and 0 of 4 C. tropicalis), including 60% of isolates collected from deep-seated infections. These results suggested that in the era of azole resistance, VRC has a promising antifungal activity for serious infections with Candida spp., including most species with low susceptibility to FLC and uncommonly isolated species.
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页码:479 / 483
页数:5
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