Comparative in vitro activity of voriconazole and itraconazole against fluconazole-susceptible and fluconazole-resistant clinical isolates of Candida species from Spain

被引:37
作者
Cuenca-Estrella, M [1 ]
Díaz-Guerra, TM [1 ]
Mellado, E [1 ]
Monzón, A [1 ]
Rodríguez-Tudela, JL [1 ]
机构
[1] Inst Salud Carlos III, Ctr nacl Microbiol, Unidad Micol, E-28220 Madrid, Spain
关键词
D O I
10.1007/s100960050313
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
The in vitro activity of voriconazole was compared with that of itraconazole against 299 fluconazole-susceptible (MIC less than or equal to 8 mu g/ml) and 130 fluconazole-resistant (MIC greater than or equal to 16 mu g/ml) clinical isolates of Candida spp. An adaptation of the National Committee for Clinical Laboratory Standards reference method was employed for determination of MICs. Voriconazole showed more potent activity than either fluconazole and itraconazole, even against some Candida albicans, Candida glabrata, and Candida krusei isolates resistant to fluconazole, However, for fluconazole-resistant isolates, the MICs of itraconazole and voriconazole were proportionally higher than for fluconazole-susceptible isolates. These data may indicate cross-resistance.
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收藏
页码:432 / 435
页数:4
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