Evaluation of disk diffusion method compared to broth microdilution for antifungal susceptibility testing of 3 echinocandins against Aspergillus spp.

被引:12
作者
Isabel Martos, Antonia [1 ]
Martin-Mazuelos, Estrella [1 ]
Romero, Ana [1 ]
Serrano, Carmen [1 ]
Gonzalez, Trinidad [1 ]
Almeida, Carmen [2 ]
Puche, Beatriz [1 ]
Canton, Emilia [3 ]
Peman, Javier [3 ]
Espinel-Ingroff, Ana [4 ]
机构
[1] Valme Univ Hosp, Microbiol Serv, Seville, Spain
[2] Valme Univ Hosp, Biostat Serv, Seville, Spain
[3] La Fe Univ Hosp, Microbiol Serv, Valencia, Spain
[4] VCU Med Ctr, Richmond, VA USA
关键词
Echinocandin; Aspergillus; Susceptibility testing; Disk diffusion; INVASIVE FUNGAL-INFECTIONS; IN-VITRO ACTIVITY; FILAMENTOUS FUNGI; AMPHOTERICIN-B; CASPOFUNGIN; ANIDULAFUNGIN; ITRACONAZOLE; POSACONAZOLE; VORICONAZOLE; MICAFUNGIN;
D O I
10.1016/j.diagmicrobio.2012.01.006
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
We tested the susceptibility of caspofungin, micafungin, and anidulafungin against Aspergillus spp. isolates by the new Clinical and Laboratory Standards Institute M51-A disk diffusion (DD) and the broth microdilution methods. A total of 65 clinical isolates of Aspergillus spp. were evaluated. The DD assay was performed on nonsupplemented Mueller-Hinton agar using caspofungin 2-mu g, micafungin 1-mu g, and anidulafungin 2-mu g disks. Echinocandin minimal effective concentrations (MECs) and inhibition zones (IZs) were read after 24 to 48 (A. terreus) h at 35 degrees C. Caspofungin MECs for all Aspergillus spp. strains tested were <= 0.25 mu g/mL; IZs were >= 15 mm for most species except for A. terreus (11-22 mm). Both micafungin and anidulafungin MECs were <= 0.015 mu g/mL, but micafungin IZs were >= 14 mm while anidulafungin IZs were >= 22 mm. As for caspofungin, the DD method could be a useful method for susceptibility testing of micafungin and anidulafungin against Aspergillus spp. Crown Copyright (C) 2012 Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:53 / 56
页数:4
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