EFFECTS OF ANTIFUNGAL AGENT COMBINATIONS ADMINISTERED SIMULTANEOUSLY AND SEQUENTIALLY AGAINST ASPERGILLUS-FUMIGATUS

被引:37
作者
MAESAKI, S [1 ]
KOHNO, S [1 ]
KAKU, M [1 ]
KOGA, H [1 ]
HARA, K [1 ]
机构
[1] NAGASAKI UNIV,SCH MED,DEPT INTERNAL MED 2,NAGASAKI 852,JAPAN
关键词
D O I
10.1128/AAC.38.12.2843
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
The in vitro effects of antifungal agent combinations administered simultaneously and sequentially against 15 strains of Aspergillus fumigatus were tested by the yeast-malt broth method. The synergistic effect of the combination of amphotericin B (AMPH) and miconazole was observed in nine strains (60%). However, the combinations of AMPH and fluconazole, AMPH and ketoconazole, and AMPH and itraconazole administered simultaneously showed antagonistic effects against three (20%), five (34%), and four (26%) strains, respectively. The effects of combinations of azole antifungal agents administered simultaneously were indifferent or antagonistic against A. fumigatus. In experiments measuring the effects of sequentially administered antifungal agents, however, pretreatment with AMPH and then azole antifungal agents exhibited better in vitro efficacy than that found in experiments measuring the effects of simultaneously administered AMPH and azole compounds.
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页码:2843 / 2845
页数:3
相关论文
共 12 条
[1]   THERAPY OF MURINE ASPERGILLOSIS WITH AMPHOTERICIN-B IN COMBINATION WITH RIFAMPIN OR 5-FLUOROCYTOSINE [J].
ARROYO, J ;
MEDOFF, G ;
KOBAYASHI, GS .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1977, 11 (01) :21-25
[2]   COMPARISON OF AMPHOTERICIN-B ALONE AND COMBINED WITH FLUCYTOSINE IN THE TREATMENT OF CRYPTOCCAL MENINGITIS [J].
BENNETT, JE ;
DISMUKES, WE ;
DUMA, RJ ;
MEDOFF, G ;
SANDE, MA ;
GALLIS, H ;
LEONARD, J ;
FIELDS, BT ;
BRADSHAW, M ;
HAYWOOD, H ;
MCGEE, ZA ;
CATE, TR ;
COBBS, CG ;
WARNER, JF ;
ALLING, DW .
NEW ENGLAND JOURNAL OF MEDICINE, 1979, 301 (03) :126-131
[3]   METHOD FOR TESTING FOR SYNERGY WITH ANY NUMBER OF AGENTS [J].
BERENBAUM, MC .
JOURNAL OF INFECTIOUS DISEASES, 1978, 137 (02) :122-130
[4]   ANTIFUNGAL ACTION OF AMPHOTERICIN-B IN COMBINATION WITH OTHER POLYENE OR IMIDAZOLE ANTIBIOTICS [J].
BRAJTBURG, J ;
KOBAYASHI, D ;
MEDOFF, G ;
KOBAYASHI, GS .
JOURNAL OF INFECTIOUS DISEASES, 1982, 146 (02) :138-146
[5]   INVITRO SUSCEPTIBILITY AND SYNERGY STUDIES OF ASPERGILLUS SPECIES TO CONVENTIONAL AND NEW AGENTS [J].
DENNING, DW ;
HANSON, LH ;
PERLMAN, AM ;
STEVENS, DA .
DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE, 1992, 15 (01) :21-34
[6]   ANTIFUNGAL SUSCEPTIBILITY TESTS [J].
GALGIANI, JN .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1987, 31 (12) :1867-1870
[7]   INVITRO ACTIVITIES OF AMPHOTERICIN-B IN COMBINATION WITH 4 ANTIFUNGAL AGENTS AND RIFAMPIN AGAINST ASPERGILLUS SPP [J].
HUGHES, CE ;
HARRIS, C ;
MOODY, JA ;
PETERSON, LR ;
GERDING, DN .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1984, 25 (05) :560-562
[8]  
MEASAKI S, 1994, J MYCOL MED, V4, P29
[10]   COLLABORATIVE INVESTIGATION OF VARIABLES IN SUSCEPTIBILITY TESTING OF YEASTS [J].
PFALLER, MA ;
RINALDI, MG ;
GALGIANI, JN ;
BARTLETT, MS ;
BODY, BA ;
ESPINELINGROFF, A ;
FROMTLING, RA ;
HALL, GS ;
HUGHES, CE ;
ODDS, FC ;
SUGAR, AM .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1990, 34 (09) :1648-1654