In vitro susceptibility testing of Candida and Aspergillus spp. to voriconazole and other antifungal agents using Etest ®: results of a French multicentre study

Minimum inhibitory concentrations (MICs) of the antifungal agent voriconazole were determined using the Etest ® and compared with those of amphotericin B, itraconazole and fluconazole using 1986 clinical isolates of Candida spp. Voriconazole MICs were also compared with those of amphotericin B and i...

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Veröffentlicht in:International journal of antimicrobial agents 2005-04, Vol.25 (4), p.321-328
Hauptverfasser: Mallié, M., Bastide, J.M., Blancard, A., Bonnin, A., Bretagne, S., Cambon, M., Chandenier, J., Chauveau, V., Couprie, B., Datry, A., Feuilhade, M., Grillot, R., Guiguen, C., Lavarde, V., Letscher, V., Linas, M.D., Michel, A., Morin, O., Paugam, A., Piens, M.A., Raberin, H., Tissot, E., Toubas, D., Wade, A.
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container_end_page 328
container_issue 4
container_start_page 321
container_title International journal of antimicrobial agents
container_volume 25
creator Mallié, M.
Bastide, J.M.
Blancard, A.
Bonnin, A.
Bretagne, S.
Cambon, M.
Chandenier, J.
Chauveau, V.
Couprie, B.
Datry, A.
Feuilhade, M.
Grillot, R.
Guiguen, C.
Lavarde, V.
Letscher, V.
Linas, M.D.
Michel, A.
Morin, O.
Paugam, A.
Piens, M.A.
Raberin, H.
Tissot, E.
Toubas, D.
Wade, A.
description Minimum inhibitory concentrations (MICs) of the antifungal agent voriconazole were determined using the Etest ® and compared with those of amphotericin B, itraconazole and fluconazole using 1986 clinical isolates of Candida spp. Voriconazole MICs were also compared with those of amphotericin B and itraconazole using 391 clinical isolates of Aspergillus spp. Voriconazole was found to have more potent activity and lower MIC values than amphotericin B, itraconazole and fluconazole against C. albicans, C. tropicalis, C. parapsilosis and C. kefyr. Against C. glabrata and C. krusei, voriconazole was more active than either of the other two azole antifungals but had similar activity to amphotericin B. For species of Aspergillus, MIC values of voriconazole were lower than those of amphotericin B and itraconazole against A. fumigatus and A. flavus, and were similar to those of amphotericin B against A. niger. Against A. terreus, MIC values for voriconazole and itraconazole were similar. A. terreus is known to be resistant to amphotericin B, and this was reflected in higher MIC values compared with those of voriconazole and itraconazole. Voriconazole therefore compares very favourably with other antifungal agents against a large number of clinical isolates of Candida and Aspergillus spp.
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subjects Amphotericin B
Amphotericin B - pharmacology
Antibiotics. Antiinfectious agents. Antiparasitic agents
Antifungal Agents - pharmacology
Aspergillus
Aspergillus - classification
Aspergillus - drug effects
Biological and medical sciences
Candida
Candida - classification
Candida - drug effects
Drug Resistance, Fungal
Etest
Humans
Itraconazole
Itraconazole - pharmacology
Life Sciences
Medical sciences
Microbial Sensitivity Tests - methods
Microbial Sensitivity Tests - statistics & numerical data
Pharmacology. Drug treatments
Pyrimidines - pharmacology
Triazoles - pharmacology
Voriconazole
title In vitro susceptibility testing of Candida and Aspergillus spp. to voriconazole and other antifungal agents using Etest ®: results of a French multicentre study
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