In vitro activities of fluconazole, itraconazole and voriconazole against otomycotic fungal pathogens

To determine the causative pathogens of otomycosis, and to evaluate the in vitro activity of antifungal agents against these pathogens. A total of 96 fungal isolate were taken from 92 patients suspected of otomycosis. The in vitro activity of fluconazole, itraconazole and voriconazole against otomyc...

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Veröffentlicht in:Journal of laryngology and otology 2009-09, Vol.123 (9), p.978-981
Hauptverfasser: Yenişehirli, G, Bulut, Y, Güven, M, Günday, E
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container_end_page 981
container_issue 9
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container_title Journal of laryngology and otology
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creator Yenişehirli, G
Bulut, Y
Güven, M
Günday, E
description To determine the causative pathogens of otomycosis, and to evaluate the in vitro activity of antifungal agents against these pathogens. A total of 96 fungal isolate were taken from 92 patients suspected of otomycosis. The in vitro activity of fluconazole, itraconazole and voriconazole against otomycotic pathogens was tested using the E-test method. The most common pathogen was Aspergillus fumigatus (40.6 per cent), followed by A niger (35.4 per cent), A flavus (12.5 per cent) and Candida albicans (11.5 per cent). All Aspergillus species were found to be resistant to fluconazole (minimum inhibitory concentration > or =256 microg/ml). The mean minimum inhibitory concentrations of voriconazole for A fumigatus, A niger, A flavus and C albicans were significantly lower than those of itraconazole for the same pathogens. This study found that the most common otomycotic fungal pathogen was A fumigatus, and that voriconazole had more potent in vitro activity than itraconazole against all Aspergillus species as well as against C albicans.
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A total of 96 fungal isolate were taken from 92 patients suspected of otomycosis. The in vitro activity of fluconazole, itraconazole and voriconazole against otomycotic pathogens was tested using the E-test method. The most common pathogen was Aspergillus fumigatus (40.6 per cent), followed by A niger (35.4 per cent), A flavus (12.5 per cent) and Candida albicans (11.5 per cent). All Aspergillus species were found to be resistant to fluconazole (minimum inhibitory concentration &gt; or =256 microg/ml). The mean minimum inhibitory concentrations of voriconazole for A fumigatus, A niger, A flavus and C albicans were significantly lower than those of itraconazole for the same pathogens. 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Laryngol. Otol</addtitle><description>To determine the causative pathogens of otomycosis, and to evaluate the in vitro activity of antifungal agents against these pathogens. A total of 96 fungal isolate were taken from 92 patients suspected of otomycosis. The in vitro activity of fluconazole, itraconazole and voriconazole against otomycotic pathogens was tested using the E-test method. The most common pathogen was Aspergillus fumigatus (40.6 per cent), followed by A niger (35.4 per cent), A flavus (12.5 per cent) and Candida albicans (11.5 per cent). All Aspergillus species were found to be resistant to fluconazole (minimum inhibitory concentration &gt; or =256 microg/ml). The mean minimum inhibitory concentrations of voriconazole for A fumigatus, A niger, A flavus and C albicans were significantly lower than those of itraconazole for the same pathogens. 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Laryngol. Otol</addtitle><date>2009-09-01</date><risdate>2009</risdate><volume>123</volume><issue>9</issue><spage>978</spage><epage>981</epage><pages>978-981</pages><issn>0022-2151</issn><eissn>1748-5460</eissn><coden>JLOTAX</coden><abstract>To determine the causative pathogens of otomycosis, and to evaluate the in vitro activity of antifungal agents against these pathogens. A total of 96 fungal isolate were taken from 92 patients suspected of otomycosis. The in vitro activity of fluconazole, itraconazole and voriconazole against otomycotic pathogens was tested using the E-test method. The most common pathogen was Aspergillus fumigatus (40.6 per cent), followed by A niger (35.4 per cent), A flavus (12.5 per cent) and Candida albicans (11.5 per cent). All Aspergillus species were found to be resistant to fluconazole (minimum inhibitory concentration &gt; or =256 microg/ml). The mean minimum inhibitory concentrations of voriconazole for A fumigatus, A niger, A flavus and C albicans were significantly lower than those of itraconazole for the same pathogens. This study found that the most common otomycotic fungal pathogen was A fumigatus, and that voriconazole had more potent in vitro activity than itraconazole against all Aspergillus species as well as against C albicans.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>19454132</pmid><doi>10.1017/S0022215109005489</doi><tpages>4</tpages></addata></record>
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subjects Antibiotics. Antiinfectious agents. Antiparasitic agents
Antifungal Agents
Antifungal Agents - pharmacology
Aspergillus - drug effects
Aspergillus flavus
Aspergillus fumigatus
Biological and medical sciences
Candida albicans
Candida albicans - drug effects
Candida albicans - isolation & purification
Candidiasis - drug therapy
Colony Count, Microbial
Ear Diseases - microbiology
Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology
Fluconazole - pharmacology
Fungus Diseases
Humans
Itraconazole - pharmacology
Laboratories
Medical sciences
Non tumoral diseases
Otitis Externa
Otolaryngology
Otorhinolaryngology. Stomatology
Pathogens
Pharmacology. Drug treatments
Pyrimidines - pharmacology
Statistical analysis
Student's t-test
Treatment Outcome
Triazoles - pharmacology
Voriconazole
title In vitro activities of fluconazole, itraconazole and voriconazole against otomycotic fungal pathogens
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