In vitro fluconazole susceptibility of 1565 clinical isolates of Candida species evaluated by the disk diffusion method performed using NCCLS M44-A guidelines
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Testore, GP
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机构:Univ Roma Tor Vergata, Dept Publ Hlth, Rome, Italy
Testore, GP
Dori, L
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机构:Univ Roma Tor Vergata, Dept Publ Hlth, Rome, Italy
Dori, L
Buonomini, AR
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机构:Univ Roma Tor Vergata, Dept Publ Hlth, Rome, Italy
Buonomini, AR
Schito, GC
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机构:Univ Roma Tor Vergata, Dept Publ Hlth, Rome, Italy
Schito, GC
Soro, O
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机构:Univ Roma Tor Vergata, Dept Publ Hlth, Rome, Italy
Soro, O
Fortina, G
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机构:Univ Roma Tor Vergata, Dept Publ Hlth, Rome, Italy
Fortina, G
Andreoni, S
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机构:Univ Roma Tor Vergata, Dept Publ Hlth, Rome, Italy
Andreoni, S
Carlone, N
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机构:Univ Roma Tor Vergata, Dept Publ Hlth, Rome, Italy
Carlone, N
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Tullio, V
Andreoni, M
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Univ Roma Tor Vergata, Dept Publ Hlth, Rome, ItalyUniv Roma Tor Vergata, Dept Publ Hlth, Rome, Italy
Andreoni, M
[1
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[1] Univ Roma Tor Vergata, Dept Publ Hlth, Rome, Italy
[2] Univ Genoa, Div Microbiol, Surg Anaestesiol & Organ Transplantat Sci Dept, Genoa, Italy
[3] AO Osped Maggiore Car, Microbiol & Virol Div, Novara, Italy
We determined the in vitro activity of fluconazole against 1565 clinical Candida spp. isolates collected from different specimens of non-AIDS outpatients and inpatients in 3 different regions of Italy. Susceptibility testing was performed by agar disk diffusion using the NCCLS document M44-A guidelines. Candida albicans was the most frequently isolated yeast (68%) followed by C. glabrata (15%), C tropicalis (5%), C. parapsilosis (5%), and C. krusei (5%). Other yeasts represented 4% of all isolates. Of the 1565 isolates tested, 1449 (92.6%) were susceptible (S) to fluconazole, 43 (2.7%) were susceptible dose-dependent (S-DD) and 73 (4.7%) were resistant (R). Almost all (98.2%) of the C. albicans isolates were classified as S or S-DD. Despite its widespread use, fluconazole displayed good activity against the isolates we tested, and the disk diffusion method was confirmed as a reliable approach to the evaluation of in vitro susceptibility of yeasts to this antimycotic agent. (C) 2004 Elsevier Inc. All rights reserved.