特比萘芬和伊曲康唑联合应用对暗色孢科真菌的体外药敏试验研究

目的本试验探讨特比萘芬和伊曲康唑单独及联合应用对54株暗色孢科真菌的体外相互作用。方法应用美国国家临床和实验室标准研究所(CLSI)的M38-A方案。菌悬液终浓度为(0.4～5)×106CFU/ml,孵育温度35℃,培养时间5～7d。各药单独和联合应用时的MIC值均为与生长对照孔相比100%生长抑制的最低药物浓度;药物间相互作用用分数抑菌浓度(FIC值)表示;FIC<1认为有协同作用,1≤FIC<2认为有相加作用,FIC=2认为无相关性,FIC>2认为有拮抗作用。结果单独用药时特比萘芬在紧密着色霉、裴氏着色霉、卡氏支孢霉和疣状瓶霉组中MIC的几何均数分别为0.198μg/ml,0.372μg/ml,0.215μg/ml,0.456μg/ml,伊曲康唑在紧密着色霉、裴氏着色霉、卡氏支孢霉和疣状瓶霉组中MIC的几何均数分别为0.232μg/ml,0.323μg/ml,0.186μg/ml和0.315μg/ml。体外联合用药时二者MIC几何均数低于其单独应用时的MIC值。在54株受试菌中,联合用药时协同作用为29.6%(16/54),相加作用为68.5%(37/54),拮抗作用为1.9%(1/54)。结论特比萘芬和伊曲康唑联合应用时表现以协同和相加作用为主,很少菌株表现拮抗现象。     

特比萘芬对24株黑酵母样真菌的体外药敏试验研究

目的 评价特比萘芬对7个属24株刺盾霉目（Chaetothyriales）黑酵母样真菌体外敏感性.方法 应用美国国家临床和实验室标准研究所（CLSI）的M38-A2方案.菌悬液终浓度为（0.4 ～5）＆#215;104 CFU/mL,30℃孵育5～7d,测定最低有效浓度（MEC）和最低抑菌浓度（MIC）.结果 特比萘芬对24株黑酵母样真菌MEC范围：0.125 ～4μg/mL,MEC90∶2μg/mL,MEC50∶0.25 μg/mL,GM∶0.392 9 μg/mL,特比萘芬对5株暗色真菌100％生长抑制,MIC范围：1～4 μg/mL,MIC50∶2μg/mL,MIC90∶4μg/mL.结论 特比萘芬对刺盾霉目（Chaetothyriales）中的黑酵母样真菌有较强的抑制作用,50％抑菌作用明显.     

卢立康唑醇质体体外抗真菌活性研究

目的检测卢立康唑醇质体体外抗菌活性。方法采用微量液基稀释法检测卢立康唑醇质体、脂质体、45%水醇溶液对皮肤癣菌、念珠菌的体外抗菌活性。结果卢立康唑醇质体对皮肤癣菌及念珠菌的MIC值低于脂质体及水醇溶液,且对毛癣菌属较念珠菌属的MIC值更低。结论卢立康唑醇质体的体外抗菌性能优于脂质体及水醇溶液。     

In vitro susceptibility to fungicides by invertebrate-pathogenic and saprobic fungi

The effect of five fungicides, benomyl (1 mg/l), dodine (50 mg/l), manzate (100 mg/l), cupric sulphate (200 mg/l) and thiabendazole (4 mg/l) was tested under in␣vitro conditions on development of 15 isolates of fungi pathogenic for insects and␣other invertebrates (Beauveria brongniartii, Culicinomyces clavisporus, Duddingtonia flagrans, Hirsutella thompsonii, two Metarhizium anisopliae, Nomuraea rileyi, two Isaria/Paecilomyces spp., and Sporothrix insectorum) and 13 isolates of contaminant fungi (five Aspergillus spp., Cladosporium cladosporioides, Cunninghamella echinulata, Fusarium roseum, Gliocladium sp., Mortierella isabellina, Mucor plumbeus, Rhizopus arrhizus and Trichothecium roseum) originating mostly from tree-hole breeding sites of mosquitoes. Most pathogenic and contaminant fungi had clear patterns of susceptibility or resistance to tested concentration of the fungicide. Development of both pathogenic and contaminant fungi on fungicide-supplemented medium varied among fungi and fungicides tested. Minimal inhibition of pathogenic fungi was found for cupric sulphate, benomyl, dodine, thiabendazole < manzate. The highest inhibition of contaminants was obtained with thiabendazole > benomyl and dodine > manzate and cupric sulphate. Thiabendazole was the most appropriate fungicide to isolate fungi pathogenic to invertebrates from substrates with high water contents and rich in organic material. The results underline the importance of adapting both a fungicide and its concentration for a selective medium for isolating specific target fungi and while selecting against possible contaminants.     

In vitro sensitivity of environmental isolates of pathogenic dematiaceous fungi to azole compounds and a phenylpropyl-morpholine derivative

The in vitro sensitivity (minimum inhibitory concentrations; MICs) of 42 environmental isolates of pathogenic dematiaceous fungi to 7 azole compounds, viz. thiabendazole, ketoconazole, miconazole, econazole bifonazole, Bay n 7133, Bay 1 9139 and phenylpropyl-morpholine derivative, R_o14-4767/002 was studied by an agar dilution method using Emmon's Sabouraud dextrose agar (ESDA) as the culture medium.The isolates of Fonsecaea pedrosoi, Cladosporium carrionii, Exophiala jeanselmei and Ramichloridium subulatum were most sensitive to bifonazole with mean MICs of 0.06 g/ml or less; Phialophora verrucosa had an MIC of 0.05 g/ml to ketoconazola and R_o14-4767/002, respectively. Ochroconis sp had an MIC of 0.025 g/ml to R_o14-4767/002 and Cladosporium tennuisimum 0.39 g/ml to ketoconazole. Econazole and thiabendazole also showed good antifungal activity. The fungi were relatively resistant to the more recently developed azoles, viz. Bay n 7133 and Bay 1 9139, the later failing to inhibit C. tennuisimum at a concentration of 100 g/ml. The minimum fungicidal concentrations (MFC) of the drugs wree mostly within 2 to 8 fold of the MICs.     

Sensitivity of fungi of the genus Candida to antifungal drugs

Seventy two Candida strains isolated from patients with candidiosis of the oral mucosa were studied with respect to their sensitivity to nystatin, levorin, decamine, ethonium, sanguiritrin and clotrimazole. At concentrations of 0.5 to 5 micrograms/ml all the Candida species i.e. C. albicans, C. tropicalis, C. krusei and C. quilliermondii were highly sensitive to clotrimazole. Fungistatic action of levorin, nystatin and sanguiritrin was observed in 91, 67 and 38 per cent of the strains respectively. The Candida strains were resistant to decamine and ethonium used in the above concentrations.     

Updates in antifungal susceptibility testing of filamentous fungi

The Clinical and Laboratory Standards Institute (CLSI) has standardized broth microdilution and disk diffusion methodology for testing filamentous fungi (molds) that cause invasive disease. Quality control MIC (minimal inhibitory concentration) and MEC (minimal effective concentration; echinocandins only) limits are also available in the recently published CLSI M38-A2 document. Although breakpoints based on correlations of in vitro results and clinical outcome have not been established, MIC or MEC and zone diameter categories for five antifungal agents and various mold species, as well as epidemiologic cutoffs for Aspergillus fumigatus versus the triazoles, have been recently documented. Some insights of the potential clinical value of reference methods also have been reported. During the past few years, the potential utility of various commercial methods has been evaluated by comparing them with reference methodology. This review summarizes and discusses the advantages and disadvantages of these developments.     

硝酸咪康唑和克霉唑对临床常见分离真菌的体外抗真菌活性研究

硝酸咪康唑（Miconazole）和克霉唑（Clotrimazole）均属于咪唑类抗真菌药物,多年来广泛外用治疗皮肤癣菌病、皮肤和黏膜念珠菌病。为了解硝酸咪康唑和克霉唑对临床常见分离真菌的体外抗真菌活性,     

生殖道念珠菌病病原真菌的调查及药敏试验

目的了解本地区生殖道念珠菌病病原真菌构成及其体外药敏试验情况。方法采用科玛嘉念珠菌显色培养基和YBC鉴定卡对患者1164份生殖道标本的致病真菌进行分离和鉴定,并用ROSCO纸片扩散法检测分离菌株对制霉菌素、酮康唑、氟康唑、伊曲康唑、咪康唑和特比萘芬的药敏情况。结果共分离9种295株念珠菌,其中自念珠菌为85．76％,近平滑念珠菌为7．46％,光滑念珠菌为3．39％,其他念珠菌为3．39％。295株念珠菌对制霉菌素、酮康唑、氟康唑、伊曲康唑、咪康唑和特比萘芬的敏感性分别为99．66％、97．29％、89．83％、72．22％、46．44％和36．61％。结论本地区生殖道念珠菌病患者致病菌分布以白念珠菌为主,体外药敏显示制霉菌素、酮康唑和氟康唑有较好的敏感性。     

In Vitro susceptibility of 137 Candida sp. Isolates from HIV positive patients to several antifungal drugs

Oropharyngeal candidiasis caused by various species of Candida is one of the most common infections in HIV seropositive or AIDS patients. Drug resistance among these yeasts is an increasing problem. We studied the frequency of resistance profile to fluconazole, itraconazole, ketoconazole, amphotericin B and terbinafine of 137 isolates of Candida sp. From HIV positive or AIDS patients with oropharyngeal candidiasis at Instituto de Inmunología, U.C.V. and the Hospital “Jose Ignacio Baldó”, Caracas Venezuela, using the well diffusion susceptibility test (Magaldi et al.). We found that nearly 10% of C. albicans isolates were primarily fluconazole resistant, 45% of C. albicans isolates from patients with previous treatment were resistant to fluconazole, of which 93% showed cross-resistance to itraconazole, and even about 30% of C. tropicalis (n = 13) were resistant to fluconazole and/or itraconazole. To this respect, several recent reports have been described antifungal cross-resistance among azoles. Therefore, we consider that C. tropicalis should be added to the growing list of yeast in which antifungal drug resistance is common. This report could be useful for therapeutic aspect in AIDS patients with oral candidiasis. This revised version was published online in July 2006 with corrections to the Cover Date.     

In vitro susceptibility to 9 antifungal agents of 14 strains of Zygomycetes isolated from clinical specimens

Fourteen clinical isolates of Zygomycetes were tested for their in vitro susceptibility to nine antifungal agents. Susceptibility assessment was performed using a microtiter broth dilution method. Synthetic broth with YNB and glucose was used for 5-fluorocytosine and BHI broth for all the other antimycotics. Amphotericin B exhibited the strongest activity against all isolates tested. MIC values of other two polyenes — nystatin and pimaricin — ranged within the susceptibility limits, with a little pronounced higher activity of pimaricin. The isolates of the genusAbsidia andSyncephalastrum were well sensitive to all antimycotics with the exception of 5-fluorocytosine and naftifine. A very weak or zero growth inhibitory effect against all members of the generaMucor andRhizopus was found in azoles, 5-fluorocytosine and naftifine.     

In vitro resistance test of human leprosy bacilli to anti-leprous drugs.

Sensitivity to anti-leprous drugs of M. leprae isolated from an L-type leprosy patient was tested using M--Y 14b liquid medium by direct and indirect methods. The results revealed that the strain, SR61-L74, was almost completely resistant to DDS, and responded only to the long-term administration of Streptomycin and Isoniazid. However, the strain was completely sensitive to rifampicin which had never been administered previously. The subsequent administration of rifampicin resulted in a rapid improvement of the patient's clinical symptoms. It can be concluded that the in vitro method, both direct and indirect, to test the sensitivity of M. leprae to anti-leprous drugs is economic, and accordingly available practically as one of the routine examinations in the laboratory of ordinary leprosaria. This must be very beneficial to the treatment of leprosy patients.     

参照CLSIM38-A方案测定皮肤癣菌临床株对4种抗真菌药物的敏感性

目的测定并比较临床分离的皮肤癣菌对4种常用抗真菌药物的敏感性,探讨CLSIM38-A方案用于皮肤癣菌药敏试验的可行性。方法实验菌株为31株临床近期分离的皮肤癣菌。其中红色毛癣菌14株,须癣毛癣菌14株,犬小孢子菌1株,铁锈色小孢子菌1株,絮状表皮癣菌1株。4种抗真菌药物为益康唑、伊曲康唑、特比萘芬、伏立康唑。采用M38-A方案微量稀释法,并适当调整试验参数进行体外抗真菌药物敏感性试验。结果红色毛癣菌和须癣毛癣菌对以上4种药物的敏感性无明显差异。犬小孢子菌、铁锈色小孢子菌、絮状表皮癣菌对所有4种抗真菌药物的敏感性都低于红色毛癣菌和须癣毛癣菌。结论M38-A方案经过调整适用于皮肤癣菌药敏试验。     

浅部真菌病病原酵母菌构成调查及药敏研究

目的了解本地区浅部真菌病病原酵母菌感染菌种的构成及其耐药性特点,为临床提供病原学诊断和合理使用抗真菌药物的依据。方法采用改良沙氏培养基对1354份临床标本进行酵母菌培养和菌株分离,用科玛嘉念珠菌显色培养基和YBC鉴定卡对所分离的酵母菌进行鉴定,用ROSCO纸片扩散法检测分离菌株对6种常见抗真菌药物的耐药性。结果共分离出10种219株酵母菌,甲真菌病检出率最高(43.80%),其次是股癣(16.70%)、体癣(13.00%)、足癣(11.11%),手癣最低(9.40%)。其中白念珠菌为63.47%;近平滑念珠菌为17.81%;热带念珠菌为6.85%;季也蒙念珠菌为5.94%;无名念珠菌为2.28%,其他酵母菌为3.65%。219株酵母菌对特比萘芬(TBE)、伊曲康唑(ITC)、氟康唑(FLC)、制霉菌素(NYS)、咪康唑(MIC)和酮康唑(KTC)的敏感性分别为53.42%、87.21%、97.26%、100%、80.35%和100%,耐药性分别为20.55%、11.11%、2.28%、0.0、12.72%和0.0。结论本地区浅部真菌病酵母菌感染菌谱以白念珠菌为主,其次是近平滑念珠菌和热带念珠菌,体外药敏显示对制霉菌素、酮康唑和氟康唑有很好的敏感性,对特比萘芬、伊曲康唑和咪康唑产生了较高的耐药性。     

NCCLSM 38-P方案对致病性毛霉菌的体外药敏实验研究

近几年来,毛霉病的感染率明显增加,绝大多数毛霉病都发生在免疫功能异常的情况下,而根霉属、犁头霉属、根毛霉属、毛霉属是最常见的致病属。由于丝状真菌的药敏方法一直没有规范化,临床选择抗真菌药物缺乏有效的指导。随着真菌感染日益增多和新的抗真菌药物的相继问世,临床分离的致病菌对一种或多种抗真菌药物耐药现象时有发生。抗真菌药物敏感性实验的重要性日益凸显。本实验参照NCCLSM38-P对18株临床分离的致病性毛霉菌进行MIC测定。     

In vitro antifungal activity of lactic acid bacteria low molecular peptides against spoilage fungi of bakery products

Bio-preservation, a promising preservation method that involves the use of “friendly” microorganisms such as lactic acid bacteria, has recently become a topic of considerable interest. In the present study, 16 lactic acid bacteria isolates were evaluated for antifungal activity against six fungi commonly associated with bread spoilage. The antifungal compounds were heat stable at 121 °C, and only four isolates, DU15, IT10, TE10, and IS10, showed partial loss of activity when supernatants were treated with proteolytic enzymes. The four isolates showed high inhibition activity at pH 3 and were identified using 16S rDNA sequencing as belonging to Leuconostoc mesenteroides DU15, Lactobacillus plantarum TE10, Lactobacillus plantarum IT10, and Lactobacillus plantarum IS10. The minimum germination inhibitions were 30 mg, 50 mg, 40 mg, and 50 mg for TE10, IT10, DU15, and IS10 respectively. The optimum conditions for the strains to produce antifungal compounds were 37 °C for 48 h for IT10, IS10, and TE10, and 30 °C for 24 h for DU15. Antifungal activity was increased threefold when supernatants were filtered using 10 KDa membranes. These findings demonstrate the potential of using lactic acid bacteria antifungal peptides as natural preservatives in bakery products to control the growth of spoilage fungi.