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耐氟康唑念珠菌和耐伊曲康唑烟曲霉对泊沙康唑的敏感性测定

Antifungal susceptibility testing of clinical isolates of fluconazole-resistant Candida spp. and itraconazoleresistant Aspergillus funmigates to posaconazole

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【作者】 王雪洁万喆李若瑜刘伟

【Author】 WANG Xue-jie;WAN Zhe;LI Ruo-yu;LIU Wei;Department of Dermatology and Venereology,Peking University First Hospital,Research Center for Medical Mycology,Peking University;

【机构】 北京大学第一医院皮肤科北京大学真菌和真菌病研究中心皮肤病分子诊断北京市重点实验室

【摘要】 目的测定耐氟康唑念珠菌和耐伊曲康唑烟曲霉临床分离株对泊沙康唑的敏感性。方法参照美国临床实验室标准化研究所制定的M27-A3和M38-A2方案,测定从临床获得的11株耐氟康唑的念珠菌和3株耐伊曲康唑烟曲霉对泊沙康唑的MIC值。结果对于氟康唑耐药的念珠菌,泊沙康唑的MIC范围是0.125~1μg/mL。对于伊曲康唑耐药烟曲霉,泊沙康唑的MIC范围是0.06~0.5μg/mL。结论 11株耐氟康唑的念珠菌和3株耐伊曲康唑烟曲霉均对泊沙康唑有效。

【Abstract】 Objective To determine the in vitro susceptibility of fluconazole( FLU)-resistant Candida spp. and itraconazole( ITC)-resistant Aspergillus spp. to posaconazole( POS). Methods The MICs of FLU,ITC,voriconazole( VRC) and POS were determined according to CLSI M27-A3 and M38-A2 methods in eleven isolates of Candida spp. and three isolates of Aspergillus spp. Results MICs of FLU,ITC,VRC and POS against FLU-resistant Candida spp. were 64 μg / mL,0. 5 ~ 16 μg / mL,0. 25 ~ 2 μg / mL and 0. 125 ~ 1 μg / mL. And MICs of ITC,VRC and POS against ITC-resistant Aspergillus spp. were > 16 μg / mL,1 ~ 2 μg / mL and 0. 25 ~ 0. 5 μg / mL. Conclusion POS is effective to FLU-resistant Candida spp. and ITC-resistant Aspergillus spp. in vitro.

【关键词】 耐药性念珠菌烟曲霉泊沙康唑
【Key words】 drug resistanceCandidaAspergillus fumigatusposaconazole
【基金】 教育部“新世纪优秀人才支持计划”(NCET-10-0198)
  • 【文献出处】 中国真菌学杂志 ,Chinese Journal of Mycology , 编辑部邮箱 ,2014年02期
  • 【分类号】R96
  • 【被引频次】5
  • 【下载频次】199
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