ABSTRACT ORIGINAL ARTICLE
|
|
- Osborn Bates
- 5 years ago
- Views:
Transcription
1 Microbiol Immunol 2014; 58: 1 8 doi: / ORIGINAL ARTICLE In vitro susceptibility of dermatomycoses agents to six antifungal drugs and evaluation by fractional inhibitory concentration index of combined effects of amorolfine and itraconazole in dermatophytes Takashi Tamura 1,2, Miwa Asahara 1, Mikachi Yamamoto 3, Mariko Yamaura 3, Mitsuru Matsumura 1, Kazuo Goto 1, Ali Rezaei Matehkolaei 4, Hossein Mirhendi 5, Miho Makimura 6 and Koichi Makimura 1,3,6,7,8 1 Department of Clinical Laboratory Science, Graduate School of Medical Technology, 2 Eiken Chemical, Taito, Taito ku, Tokyo , Japan, 3 Laboratory of Space and Environmental Medicine, Graduate School of Medicine, 4 Department of Medical Mycology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Golestan Avenue, Ahvaz, 5 Department of Medical Parasitology and Mycology, School of Public Health and National Institute of Health Research, Tehran University of Medical Sciences, Tehran , Iran, 6 Teikyo University Institute of Medical Mycology, 7 Department of Biomedicine, General Medical Education Center and 8 Asia International Institute of Infectious Disease Control, Teikyo University, , Kaga, Itabashi, Tokyo ABSTRACT To investigate the antifungal drug susceptibility of fungi responsible for dermatomycoses, minimum inhibition concentration (MIC) tests were performed in 44 strains of dermatophytes, including Trichophyton rubrum, Trichophyton mentagrophytes, Trichophyton verrucosum, Trichophyton tonsurans, Microsporum canis, Microsporum gypseum and Epidermophyton floccosum, with six antifungal drugs (amorolfine, terbinafine, butenafine, ketoconazole, itraconazole and bifonazole) by broth microdilution assay according to Clinical Laboratory Standard Institute protocols. Six possible dermatomycosis causing non dermatophytic fungi were also tested. The two major causes of tinea, T. rubrum and T. mentagrophytes, showed significantly different sensitivities to ketoconazole and bifonazole. Clinically derived dermatophytes were sensitive to the six antifungal drugs tested. However, non dermatophytes, especially Fusarium spp., tended to be resistant to these antifungal drugs. In Trichophyton spp., the MICs of non azole drugs had narrower distributions than those of azoles. To evaluate the effects of antifungal drug combinations, the fractional inhibitory concentration index was calculated for the combination of amorolfine and itraconazole as representative external and internal drugs for dermatophytes. It was found that this combination had synergistic or additive effects on most dermatophytes, and had no antagonistic effects. The variation in susceptibility of clinically derived fungal isolates indicates that identification of causative fungi is indispensable for appropriately choosing effective antifungal drugs in the early stages of infection. The results of combination assay suggest that multiple drugs with different antifungal mechanisms against growth of dermatophytes should be used to treat refractory dermatomycoses, especially onychomycosis. Key words antifungal combination, fractional inhibitory concentration index, Trichophyton mentagrophytes, Trichophyton rubrum. Correspondence Koich Makimura, Laboratory of Space and Environmental Medicine, Graduate School of Medicine, Teikyo University, Kaga, Itabashi ku, Tokyo , Japan. Tel: þ ; fax: þ ; makimura@med.teikyo-u.ac.jp Received 2 August 2013; revised 25 October 2013; accepted 28 October List of Abbreviations: CLSI, Clinical Laboratory Standard Institute; FIC, fractional inhibitory concentration; MIC, minimum inhibition concentration The Societies and Wiley Publishing Asia Pty Ltd 1
2 T. Tamura et al. A group of fungi that infect keratinized tissues (skin, hair, and nails) of humans and animals cause dermatomycoses, including tinea. The major dermatophytes that cause tinea are Trichophyton rubrum, Trichophyton mentagrophytes, Trichophyton verrucosum, Microsporum canis, Microsporum gypseum and Epidermophyton floccosum. In addition, Candida spp. and non dermatophytic molds have also been reported as causes of dermatomycosis (1). Several antifungal agents have been developed and used for internal and/or external treatment of dermatomycoses. Azole antifungal agents, such as ketoconazole, itraconazole and bifonazole, inhibit lanosterol 14a demethylase and block fungal membrane ergosterol biosynthesis in the cell (1, 2). The non azole antifungal agent, amorolfine, blocks other pathways of D14 sterol reductase and D7 D8 steroid isomerase in fungal cells (3). Terbinafine, an allylamine, inhibits fungal squalene epoxidase (1). Itraconazole and terbinafine have been approved in the USA and amorolfine and fluconazole have been approved in Europe for treatment of onychomycoses (2). Onychomycoses are often recurrent, chronic, and generally require long term treatment with antifungal agents (4). It is desirable to choose appropriate antifungal drugs in the early stages of infection. In addition, it is practical to consider appropriate combinations of internal and external antifungal drugs with different pharmacological effects to treat refractory fungal infection, especially onychomycosis. There have been many previous studies of double or triple drug combination therapy (3 17). These reports suggest the usefulness of combinations of external and internal antifungal agents; however, there have been few reports presenting quantitative data regarding drug combinations in vitro (6, 7, 9). Here, we investigated the susceptibility of major dermatophytes and non dermatophytic fungi responsible for superficial fungal infection to six antifungal agents: amorolfine, terbinafine, butenafine, ketoconazole, itraconazole and bifonazole. We also investigated the synergistic or additive effect of an antifungal combination. We choose two antifungals in common use, amorolfine and itraconazole, which have different mechanisms of actions and administration routes (amorolfine is an external agent for topical use and itraconazole an internal agent for systemic use). We used the FIC index to quantify the efficacy of a combination of amorolfine and itraconazole in 27 strains of dermatophytes. MATERIALS AND METHODS Strains The strains investigated in this study are shown in Table 1 (Cl I and Sz k were clinical isolates). One standard strain (TIMM2789, T. mentagrophytes (Arthroderma vanbreuseghemii)) and 43 clinical isolates of major pathogenic dermatophytes were used; namely, 14 strains of T. rubrum, 14 strains of T. mentagrophytes human type (18) (synonym, Trichophyton interdigitale (anthropophilic)) (19), three strains of Trichophyton tonsurans, one strain of T. verrucosum, two strains of M. canis,four strains of M. gypseum and five strains of E. floccosum. In addition, 10 strains of non dermatophytes were also used; namely, two strains of Aspergillus fumigatus, two strains of Geotrichum candidum, two strains of Scopulariopsis brevicaulis, two strains of Fusarium oxysporum, one strain of Fusarium verticillioides and one strain of Fusarium solani. All isolates were identified using a molecular basedmethodreportedpreviously(18 21). Preparation of isolates The test isolates were subcultured onto 1/10 Sabouraud dextrose agar (peptone, 1 g; glucose, 4 g; distilled water, 1 L; agar, 15 g; ph 6.0) plates and incubated at 30 C for 7 days. Some poor growth strains were cultivated for extended times of up to 14 days. Antifungal agents The following six antifungal agents were assessed: amorolfine, terbinafine, butenafine, ketoconazole, itraconazole, and bifonazole (Wako Pure Chemical Industries, Osaka, Japan). The antifungal drugs were dissolved in dimethylsulfoxide. According to CLSI protocol M38 A2 (22), serial twofold dilutions were prepared with powdered RPMI 1640 medium (Gibco, Grand Island, NY, USA) and buffered with 3 (N morpholino)propanesulfonic acid at ph 7.0. to reach final concentrations of mg/ml for amorolfine, mg/ml for terbinafine, mg/ml for butenafine, mg/ml for ketoconazole, mg/ml for itraconazole and mg/ml for bifonazole with RPMI 1640 test medium. To calculate the FIC index, a checkerboard was designed with amorolfine ( mg/ml) and itraconazole ( mg/ml). Inoculum preparation The subcultured isolates were collected with sterile swabs and suspended in 2 ml of sterile 0.85% saline. Conidia suspensions were filtered with sterile gauze and the concentrations quantified with a hemocytometer to adjust to McFarland No. 1 (10 6 conidia/ml). Minimum inhibitory concentration tests Antifungal susceptibility tests were performed by a broth microdilution method according to modified CLSI protocol M38 A2 (22). Briefly, aliquots of 100 ml ofeach The Societies and Wiley Publishing Asia Pty Ltd
3 Antifungal combination Table 1. Strains assessed Dermatophytes Non dermatophytes Species Strains Species Strains Trichophyton rubrum Cl I 488 Aspergillus fumigatus ATCC Cl I 651 TIMM 3968 Cl I 705 Geotrichum candidum TIMM 0963 Cl I 713 TIMM 0697 Cl I 714 Scopulariopsis brevicaulis TSY 0668 Cl I 724 NBRC 4843 Cl I 725 Fusarium oxysporum TSY 0351 Cl I 726 NBCB Cl I 729 Fusarium solani TSY Cl I 732 Fusarium verticillioides TSY 0219 Cl I 733 Cl I 760 Cl I 772 Cl I 775 Trichophyton mentagrophytes Cl I 90 Cl I 558 Cl I 703 Cl I 706 Cl I 709 Cl I 710 Cl I 723 Cl I 728 Cl I 743 Cl I 744 Cl I 756 Cl I 757 Cl I 763 Cl I 764 TIMM2789 Trichophyton tonsurans Cl I 718 Cl I 747 Cl I 762 Trichophyton verrucosum Cl I 749 Microsporum canis Cl I 755 Cl I 770 Microsporum gypseum Cl I 643 Cl I 727 Sz k 1 Sz k 2 Epidermophyton floccosum Cl I 701 Cl I 711 Cl I 740 Cl I 745 Cl I 746 antifungal agent was poured into the wells of 96 well microplates and stored at 70 C until use. Conidia suspension was diluted tenfold with sterile saline and 2 ml inoculatedinto100ml of RPMI1640 test medium. The microplates were incubated at 30 C for 3 7daysuntil the drug free control well was fully occupied by fungal growth. The MIC was defined as the minimal concentration required to inhibit 80% of the growth in the drug free control well, this assessment being made on a visual basis (22 29). Cumulative percentage curves of dermatophytes Cumulative MIC percentage curves were used to permit visual analysis of MIC distribution (30). Cumulative 2013 The Societies and Wiley Publishing Asia Pty Ltd 3
4 T. Tamura et al. Table 2. MIC ranges of dermatophytes MIC ranges of antifungal agents Strains (number of isolates) Amorolfine Terbinafine Butenafine Ketoconazole Itraconazole Bifonazole T. rubrum (n ¼ 14) T. mentagrophytes (n ¼ 16) T. tonsurans (n ¼ 3) T. verrucosum (n ¼ 1) M. canis (n ¼ 2) M. gypseum (n ¼ 4) E. floccosum (n ¼ 5) percentage curves of six antifungal agents for T. rubrum, T. mentagrophytes and 44 strains of clinically isolated dermatophytes were calculated. Calculation and evaluation of FIC index Reading and interpretation of the results of combination examinations were performed in accordance with the method of Santos et al. (9). The interactions between antifungal agents (drugs A and B) were quantitatively evaluated by the FIC index, which was calculated according to the formula (MIC of A in combination/ MIC of A) þ (MIC of B in combination/mic of B). The interaction was defined as synergistic if the FIC index was 0.5, additive if it was >0.5 but 1, no interaction if it was 2 and antagonistic if it was >2. RESULTS Minimum inhibitory concentrations of antifungal agents in isolates All isolates grew in 1/10 Sabouraud agar after 3 14 days of incubation. Aspergillus spp. and Fusarium spp. Grew relatively quickly (about 3 days) and T. rubrum and Microsorum spp. relatively slowly (7 14 days). After genomic identification, each isolate was subjected to MIC assay. The MIC values of the six assessed antifungal agents for dermatophytes are listed in Table 2 and those for non dermatophytes in Table 3. The six antifungal agents inhibited growth of dermatophytes, but showed markedly higher and wider MIC distribution in nondermatophytes. In particular, Fusarium spp. were insensitive to all anti dermatophytic agents assessed in this study. The cumulative MIC percentage curves of the six antifungal agents for dermatophytes are shown in Figure 1. For two major causes of dermatomycoses, T. rubrum and T. mentagrophytes, MIC ranges of non azole agents were narrower than those of azole agents. The MICs of total dermatophytes showed the same tendency (solid line). Unexpectedly, there were marked differences between T. rubrum and T. mentagrophytes in the MIC ranges of ketoconazole and bifonazole. Results for the combination of amorolfine and itraconazole Table 4 presents a summary of the FIC indexes of 27 clinical dermatophyte isolates. Synergistic interactions were observed in 7 of 27 strains with FIC indexes of 0.5, additive interactions in 16 isolates with FIC indexes >0.5 1 and four isolates had FIC indexes of 2 (no interaction). In total, the combination of amorolfine and itraconazole had synergistic or additive effects in 23 Table 3. MIC ranges of non dermatophytes Species Strains Amorolfine Terbinafine Butenafine Ketoconazole Itraconazole Bifonazole Geotrichum candidum TIMM > >64 TIMM > >64 Scopulariopsis brevicaulis TSY >8 2 NBRC >0.5 2 >8 4 Aspergillus fumigatus ATCC >64 >0.5 > TIMM 3968 >64 >0.5 > Fusarium oxysporum TSY 0351 >64 >0.5 >0.5 >8 >8 >64 NBCB >64 >0.5 >0.5 >8 >8 >64 Fusarium solani TSY >0.5 >0.5 >8 >8 >64 Fusarium verticillioides TSY 0219 >64 >0.5 > > The Societies and Wiley Publishing Asia Pty Ltd
5 Antifungal combination Fig. 1. Cumulative percentage curves of T. rubrum (n ¼ 14) and T. mentagrophytes (n ¼ 15) and 44 clinically isolated dermatophytes showing a clear difference between them in the distribution of MIC. clinical isolates (85%), and no antagonistic effects were detected. DISCUSSION In the present study, we observed differences between T. rubrum and T. mentagrophytes in the MIC ranges of azole agents (ketoconazole and bifonazole), T. rubrum being more sensitive than T. mentagrophytes to these azoles (Fig. 1). Previously, Barros et al. reported that there were no significant differences between T. rubrum and T. mentagrophytes in the efficacies of any of the drugs they tested (fluconazole, itraconazole, griseofulvin and terbinafine) (26). Santos et al. also reported no significant differences between MIC values of various antifungals (fluconazole, itraconazole, griseofulvin, terbinafine, ketoconazole and cyclopiroxamine) in T. rubrum and T. mentagrophytes (9).That our results do not match those previously reported indicates that antifungal susceptibility may differ among populations; further studies of MIC values are therefore required even in these major dermatophytes. The MIC ranges of the non azole agents amorolfine, terbinafine and butenafine against Trichophyton spp. were relatively narrow compared to those of azole agents (Fig. 1; Table 2). One possible explanation for this finding concerns the mechanisms of these drugs. Each azole inhibits one pathway of the ergosterol constructional system, whereas the morpholine agents act on two enzymes involved in ergosterol construction (3). Because the probability that variations in two enzymes will occur simultaneously is low, different positions of action may result in non azoles such as amorolfine having more stable antifungal effects than azoles The Societies and Wiley Publishing Asia Pty Ltd 5
6 T. Tamura et al. Table 4. FIC indexes of dermatophytes Species Strains FIC index Evaluation T. rubrum Cl I Synergistic Cl I Cl I Additive Cl I Cl I Cl I Cl I Cl I Cl I Cl I No interaction Cl I T. mentagrophytes Cl I Synergistic Cl I Cl I Cl I Cl I Additive Cl I Cl I Cl I T. tonsurans Cl I Synergistic T. verrucosum Cl I Additive M. gypseum Sz k Additive Cl I Sz k E. floccosum Cl I Additive Cl I No interaction Cl I FIC index 0.5 is synergistic, >0.5 to 1 additive, 2 no interaction and >2 antagonistic. Minimum inhibitory concentrations varied widely among non dermatophyte strains (Table 3). In particular, all antifungal agents showed high MICs in Fusarium spp. The variation of susceptibility seen in dermatophytic and non dermatophytic fungi indicates the necessity to identify the causative fungi to enable appropriate selection of effective antifungal drugs in each case and to avoid development of resistance (31 33). Several strategies using single or plural antifungals have been reported for treating refractory dermatomycoses, (3 17). Amorolfine is effective in several dermatophytoses, especially tinea unguium (1, 3, 5, 6); however, it is only used topically. For systemic use, itraconazole or terbinafine is generally available. Lecha et al. (3) and Baran et al. (5) described satisfactory results using combinations of amorolfine and terbinafine or itraconazole, respectively, in vivo. We selected amorolfine and itraconazole to investigate combinations of antifungal drugs. The former is a nonazole agent that is used topically (externally) and the latter an azole drug that is used systemically (internally). Both agents are commonly used for dermatomycoses. We observed a synergistic effect in 7 of 27 strains with FIC indexes 0.5. Using a checkerboard method, Santos et al. demonstrated synergistic interactions between azoles and cyclopiroxamine against T. rubrum and T. mentagrophytes (9). Harman et al. alsoreportedasynergisticeffect(1) of a combination of amorolfine and itraconazole in 46% of all organisms tested, including dermatophytes and nondermatophytes(6).inthepresentstudy,weusedastricter criterion for determination of synergy (0.5) and confirmed that a combination of these drugs had a synergistic (0.5) effect in 25.9% of samples and an additive (FIC index 1 and 0.5) effect in 59.3% of samples. In total, these agents showed additive or synergistic effects on more than 85% of the strains examined. In particular, we found additive or synergistic effects in 19 of 21 Trichophyton strains (90%) and in three strains of M. gypseum (100%). We identified no additive or synergistic effects in twoof three strains of E. floccosum and detected no antagonistic effects in any of the 27 dermatophytes. These results suggest that the combination of these two drugs can be expected to act additively or synergistically in the treatment of dermatomycoses. Further investigation is required to examine the effects of antifungal drug combination against these and other clinically important dermatophytes. Although several studies have examined the synergic effects of antifungal agents (34, 35), few have provided explanations for the mechanisms of drug synergy (36). In this study, we found additive or synergistic effects of amorolfine and itraconazole in most of dermatophytes; we do not have an explanation for this. To ascertain the mechanisms of drug synergy between amorolfine and itraconazole, we need to profile changes in cellular environment after drug administration. ACKNOWLEDGMENTS The authors thank the participating laboratories and hospitals for their cooperation and for providing the fungal isolates described in this report. DISCLOSURE K.M. has received research grants from the following companies: Hisamitsu Pharmaceutical (Tokyo, Japan), Seikagaku Biobusiness (Tokyo, Japan), Kaken Pharmaceutical (Tokyo, Japan), Dai Nippon Sumitomo Pharmaceutical (Tokyo, Japan), Sato Pharmaceutical (Tokyo, Japan), Galderma (Tokyo, Japan), and Japan Space Forum. This study was financially supported by Galderma. The authors alone are responsible for the content and writing of the paper and declare no conflicts of interest The Societies and Wiley Publishing Asia Pty Ltd
7 Antifungal combination REFERENCES 1. Singal A., Khanna D. (2011) Onychomycosis: diagnosis and management. Indian J Dermatol Venereol Leprol 77: Siu J.J.W., Tatsumi Y., Senda H., Pillai R., Nakamura T., Sone D., Fothergill A. (2013) Comparison of in vitro antifungal activities of efinaconazole and currently available antifungal agents against a variety of pathogenic fungi associated with onychomycosis. Antimicrobial Agents Ch 57: Lecha M. (2001) Amorolfine and itraconazole combination for severe toenail onychomycosis; results of an open randomized trail in Spain. Brit J Dermatol 145: Elewski B.E. (2000) Onychomycosis. Treatment, quality of life, and economic issues. Am J Clin Dermatol 1: Baran R., Feuilhade M., Datry A., Goettmann S., Pietrini P., Viguie C., Badillet G., Larnier C., Czernielewski J. (2000) A randomized trial of amorolfine 5% solution nail lacquer combined with oral terbinafine compared with terbinafine alone in the treatment of dermatophytic toenail onychomycoses affecting the matrix region. Brit J Dermatol 142: Harman S., Ashbee H.R., Evans E.G. (2004) Testing of antifungal combinations against yeasts and dermatophytes. J Dermatolog Treat 15: Gupta A.K., Kohli Y. (2003) In vitro susceptibility testing of ciclopirox, terbinafine, ketoconazole and itraconazole against dermatophytes, and in vitro evaluation of combination antifungal activity. Brit J Dermatol 149: Sim Y., Shin S. (2008) Combinatorial anti Trichophyton effects of Ligusticum chuanxiong essential oil components with antibiotics. Arch Pharm Res 31: Santos D.A., Hamdan J.S. (2006) In vitro antifungal oral drug and drug combination activity against onychomycosis causative dermatophytes. Med Mycol 44: Silva L.B., de Oliveira D.B., da Silva B.V., de Souza R.A., da Silva P.R., Ferreira Paim K., Andrade Silva L.E., Silva Vergara M.L., Andrade A.A. (2013) Identification and antifungal susceptibility of fungi isolated from dermatomycoses. J Eur Acad Dermatol Venereol doi: /jdv Harada T. (2011) Tinea unguium. Med Mycol J 52: Gupta A.K., Cooper E.A., Paquet M. (2013) Recurrences of dermatophyte toenail onychomycosis during long term follow up after successful treatments with mono and combined therapy of terbinafine and itraconazole. J Cutan Med Surg 17: Welsh O., Vera Cabrera L., Welsh E. (2010) Onychomycosis. Clin Dermatol 28: Lurati M., Baudraz Rosselet F., Vernez M., Spring P., Bontems O., Fratti M., Monod M. (2011) Efficacious treatment of nondermatophyte mould onychomycosis with topical amphotericin B. Dermatology 223: Farwa U., Abbasi S.A., Mirza I.A., Amjad A., Ikram A., Malik N., Hanif F. (2011) Non dermatophyte moulds as pathogens of onychomycosis. J Coll Physicians Surg Pak 21: Jones T., Tavakkol A. (2013) Safety and tolerability of luliconazole solution 10 percent in patients with moderate to severe distal subungual onychomycosis. Antimicrob Agents Ch 57: Ranawaka R.R., Silva N., Ragunathan R.W. (2012) Nondermatophyte mold onychomycosis in Sri Lanka. Dermatol Online J 18: Makimura K., Mochizuki T., Hasegawa A., Uchida K., Saito H., Yamaguchi H. (1998) Phylogenetic classification of Trichophyton mentagrophytes complex strains based on DNA sequences of nuclear ribosomal internal transcribed spacer 1 regions. J Clin Microbiol 36: Graser Y., Scott J., Summerbell R. (2008) The new species concept in dermatophytes a polyphasic approach. Mycopathologia 166: Makimura K., Tamura Y., Mochizuki T., Hasegawa A., Tajiri Y., Hanazawa R., Uchida K., Saito H., Yamaguchi H. (1999) Phylogenetic classification and species identification of dermatophyte strains based on DNA sequences of nuclear ribosomal internal transcribed spacer 1 regions. J Clin Microbiol 37: Sugita C., Makimura K., Murakami A., Murai Y., Yamaguchi H., Nagai A. (2003) A case of pulmonary aspergilloma molecular biological identification and typing of the isolates from antemortem sputa and autopsy fungus ball. Mycoses 246: Rex J.H., Alexander B.D., Andes D., Arthington Skaggs B., Brown S.D., Chaturveli V., Espinel Ingroff A., Ghannoum M.A., Knapp C.C., Motyl M.R., Ostrosky Zeichner L., Pfaller M., Sheehan D.J., Walsh T.J. (2008). Reference Method for Broth Dilution Antifungal Susceptibility Testing of Filamentous Fungi. Approved Standard Second Edition, M38 A2. Wayne: Clinical and Laboratory Standards Institute. 23. Barchiesi F., Silvestri C., Arzeni D., Ganzetti G., Castelletti S., Simonetti O., Cirioni O., Kamysz W., Kamysz E., Spreghini E., Abruzzetti A., Riva A., Offidani A.M., Giacometti A., Scalise G. (2009) In vitro susceptibility of dermatophytes to conventional and alternative antifungal agents. Med Mycol 47: Atef S., Pranab K., Mahmoud A. (2008) Comparison between Standardized Clinical and Laboratory Standards Institute M38 A2 method and a 2,3 bis(2 methoxy 4 nitro 5 [(sulphenylamino) carbonyl] 2H tetrazolium hydroxide based method for testing antifungal susceptibility of dermatophytes. J Clin Microbiol 46: Schaller M., Borelli C., Berger U., Walker B., Schmidt S., Weindl G., Jäckel A. (2009) Susceptibility testing of amorolfine, bifonazole and ciclopirox olamine against Trichophyton rubrum in an in vitro model of dermatophytes nail infection. Med Mycol 47: Barros M.E.S., Santos A., Hamdam S.J. (2007) Evaluation of susceptibility of Trichophyton mentagrophytes and Trichophyton rubrum clinical isolates to antifungal drugs using a modified CLSI microdilution method (M38 A). J Med Microbiol 56: Singh J., Zaman M., Aditya K. (2007) Evaluation of microdilution and disk diffusion methods for antifungal susceptibility testing of dermatophytes. Med Mycol 45: Castro C., Serrano M.C., Valverde A., Pemán J., Almeida C., Martín Mazuelos E. (2008) Comparison of the Sensititre YeastOne colorimetric antifungal panel with the modified Clinical and Laboratory Standards Institute broth microdilution (M38 A) method for antifungal susceptibility testing of dermatophytes. Chemotherapy 54: Smijs T.G., Bouwstra J.A., Talebi M., Pavel S. (2007) Investigation of conditions involved in the susceptibility of the dermatophyte Trichophyton rubrum to photodynamic treatment. J Antimicrob Chemother 60: Colombo A.L., Barchiesi F., McGough D.A., Rinaldi M.G. (1995) Comparison of Etest and national committee for Clinical Laboratory Standards broth macrodilution method for azole antifungal susceptibility testing. J Clin Microbiol 33: Vanden B.H. (1997) Mechanism of antifungal resistance. Rev Iberoam Micol 14: The Societies and Wiley Publishing Asia Pty Ltd 7
8 T. Tamura et al. 32. Vanden B.H., Dromer F., Dromer F., Improvisi I., Lozano Chiu M., Rex J.H., Sanglard D. (1998) Antifungal drug resistance in pathogenic fungi. Med Mycol 36: Sanglard D., Kuchler K., Kuchler K., Ischer F., Pagani J.L., Monod M., Bille J. (1995) Mechanisms of resistance to azole antifungal agents in Candida albicans isolates from AIDS patients involve specific multidrug transporters. Antimicrob Agents Ch 39: Guembe M., Guinea J., Peláez T., Torres Narbona M., Bouza E. (2007) Synergic effect of posaconazole and caspofungin against clinical zygomycetes. Antimicrob Agents Ch 51: Rogari Apiranthitou M., Mantopoulou F.D., Skiada A., Kanioura L., Grammatikou M., Vrioni G., Mitroussai Ziouva A., Tsakris A., Petrikkos G. (2012) In vitro antifungal susceptibility of filamentous fungi causing rare infections: synergy testing of amphotericin B, posaconazole and anidulafungin in pairs. J Antimicrob Ch 67: Gamarra S., Rocha E.M., Zhang Y.Q., Park S., Rao R., Perlin D.S. (2010) Mechanism of the synergistic effect of amiodarone and fluconazole in Candida albicans. Antimicrob Agents Ch 54: The Societies and Wiley Publishing Asia Pty Ltd
Luliconazole Demonstrates Potent In vitro Activity against the Dermatophytes. Recovered from Patients with Onychomycosis
AAC Accepts, published online ahead of print on 7 April 2014 Antimicrob. Agents Chemother. doi:10.1128/aac.02706-13 Copyright 2014, American Society for Microbiology. All Rights Reserved. 1 2 3 4 5 6 7
More informationActivity of TDT 067 (Terbinafine in Transfersome) against Agents of Onychomycosis, as Determined by Minimum Inhibitory and Fungicidal Concentrations
JOURNAL OF CLINICAL MICROBIOLOGY, May 2011, p. 1716 1720 Vol. 49, No. 5 0095-1137/11/$12.00 doi:10.1128/jcm.00083-11 Copyright 2011, American Society for Microbiology. All Rights Reserved. Activity of
More informationComparison of in vitro antifungal activities of efinaconazole and. currently available antifungal agents against a variety of pathogenic
AAC Accepts, published online ahead of print on 14 January 2013 Antimicrob. Agents Chemother. doi:10.1128/aac.02056-12 Copyright 2013, American Society for Microbiology. All Rights Reserved. 1 2 3 Comparison
More informationVoriconazole. Voriconazole VRCZ ITCZ
7 7 8 7 8 fluconazole itraconazole in vitro in vivo Candida spp. C. glabrata C. krusei Cryptococcus neoformans in vitro Aspergillus spp. in vitro in vivo Aspergillus fumigatus Candida albicans C. krusei
More informationantifungal agents against Trichophyton rubrum.
AAC Accepted Manuscript Posted Online 20 April 2015 Antimicrob. Agents Chemother. doi:10.1128/aac.00244-15 Copyright 2015, American Society for Microbiology. All Rights Reserved. 1 2 Comparison of in vitro
More informationReceived 18 December 2008/Returned for modification 9 February 2009/Accepted 9 April 2009
JOURNAL OF CLINICAL MICROBIOLOGY, June 2009, p. 1942 1946 Vol. 47, No. 6 0095-1137/09/$08.00 0 doi:10.1128/jcm.02434-08 Copyright 2009, American Society for Microbiology. All Rights Reserved. Activity
More informationSusceptibility testing of amorolfine, bifonazole and ciclopiroxolamine against Trichophyton rubrum in an in vitro model of dermatophyte nail infection
Medical Mycology November 2009, 47, 753 758 Susceptibility testing of amorolfine, bifonazole and ciclopiroxolamine against Trichophyton rubrum in an in vitro model of dermatophyte nail infection MARTIN
More informationAntifungal susceptibility pattern of dermatomycosis in a tertiary care hospital of North India
International Journal of Research in Dermatology http://www.ijord.com Original Research Article DOI: http://dx.doi.org/10.18203/issn.2455-4529.intjresdermatol20181827 Antifungal susceptibility pattern
More informationIn vitro antifungal susceptibility of Scopulariopsis brevicaulis isolates
Medical Mycology, 2014, 52, 723 727 doi: 10.1093/mmy/myu039 Advance Access Publication Date: 21 July 2014 Original Article Original Article In vitro antifungal susceptibility of Scopulariopsis brevicaulis
More informationReceived 31 March 2009/Returned for modification 26 May 2009/Accepted 22 June 2009
JOURNAL OF CLINICAL MICROBIOLOGY, Sept. 2009, p. 2766 2771 Vol. 47, No. 9 0095-1137/09/$08.00 0 doi:10.1128/jcm.00654-09 Copyright 2009, American Society for Microbiology. All Rights Reserved. Comparison
More informationAbout the Editor Gerri S. Hall, Ph.D.
About the Editor Gerri S. Hall, Ph.D. Dr. Hall s professional career has been focused on clinical microbiology: direct clinical activities of various areas such as bacteriology, mycobacteria, STD testing,
More informationJ. Hibler, D.O. OhioHealth - O Bleness Memorial Hospital, Athens, Ohio. AOCD Annual Conference Orlando, Florida
J. Hibler, D.O. OhioHealth - O Bleness Memorial Hospital, Athens, Ohio AOCD Annual Conference Orlando, Florida 10.18.15 A) Onychodystrophy B) Onychogryphosis Question dogma Michael Conroy, MD C) Onychomycosis
More informationMolecular Identification and Antifungal Susceptibility Patterns of Clinical Dermatophytes Following CLSI and EUCAST Guidelines
Journal of Fungi Article Molecular Identification and Antifungal Susceptibility Patterns of Clinical Dermatophytes Following CLSI and EUCAST Guidelines Yubhisha Dabas, Immaculata Xess *, Gagandeep Singh,
More informationThe Effect of Dimethyl Sulfoxide DMSO on the Growth of Dermatophytes
Jpn. J. Med. Mycol. Vol. 47, 313 318, 2006 ISSN 0916 4804 Original Article The Effect of Dimethyl Sulfoxide DMSO on the Growth of Dermatophytes Muhammad Akram Randhawa Department of Pharmacology, College
More informationEfinaconazole: low keratin affinity contributes to nail penetration and fungicidal activity
AAC Accepts, published online ahead of print on 21 April 2014 Antimicrob. Agents Chemother. doi:10.1128/aac.00111-14 Copyright 2014, American Society for Microbiology. All Rights Reserved. 1 2 Efinaconazole:
More informationPrevalence of Nondermatophytes in Clinically Diagnosed Taeniasis
ISSN: 2319-7706 Volume 4 Number 7 (2015) pp. 541-549 http://www.ijcmas.com Original Research Article Prevalence of Nondermatophytes in Clinically Diagnosed Taeniasis Sarada Dulla*, Poosapati Ratna kumari
More informationAntifungal Susceptibility Testing
Infect Dis Clin N Am 20 (2006) 699 709 Antifungal Susceptibility Testing Annette W. Fothergill, MA, MBA, MT(ASCP), CLS(NCA) a, Michael G. Rinaldi, PhD a,b, Deanna A. Sutton, PhD, MT, SM(ASCP), SM, RM(NRM)
More informationTable 1. Antifungal Breakpoints for Candida. 2,3. Agent S SDD or I R. Fluconazole < 8.0 mg/ml mg/ml. > 64 mg/ml.
AUSTRALIAN ANTIFUNGAL SUSCEPTIBILITY DATA 2008-2011 Part 1: The Yeasts In this article, an update of recent changes to the CLSI antifungal standards for susceptibility testing of yeasts is presented. We
More informationHigh incidence of onychomycosis due to saprophytic fungi in Yazd, Iran
Original Article High incidence of onychomycosis due to saprophytic fungi in Yazd, Iran Hossein Sadeghi Tafti, MSc 1 Kazem Ahmadikia, PhD Candidate 1 Sara Rashidian, MSc 1 Seyed Hossein Hekmatimoghaddam,
More informationAntifungal drugs Dr. Raz Muhammed
Antifungal drugs 13. 12. 2018 Dr. Raz Muhammed 2. Flucytosine (5-FC) Is fungistatic Is a synthetic pyrimidine antimetabolite Is often used in combination with amphotericin B in the treatment of systemic
More informationFungal Resistance, Biofilm, and Its Impact In the Management of Nail Infection
Fungal Resistance, Biofilm, and Its Impact In the Management of Nail Infection Faculty Raza Aly, PhD, MPH Professor Emeritus University of California Medical Center (MSSF) Professor, Dermatology Faculty
More informationTherapeutics for the Clinician. Efinaconazole Solution 10%: Topical Antifungal Therapy for Toenail Onychomycosis CUTIS
Solution 10%: Topical Antifungal Therapy for Toenail Onychomycosis Antonella Tosti, MD Practice Points Toenail onychomycosis is a common disease with limited treatment options, as treatment failures and
More informationAUSTRALIAN ANTIFUNGAL SUSCEPTIBILITY DATA : PART 2 THE MOULDS ASPERGILLUS, SCEDOSPORIUM AND FUSARIUM.
AUSTRALIAN ANTIFUNGAL SUSCEPTIBILITY DATA 00-0: PART THE MOULDS ASPERGILLUS, SCEDOSPORIUM AND FUSARIUM. AUSTRALIAN Sarah Kidd, Rose Handke and ANTIFUNGAL David Ellis SUSCEPTIBILITY DATA 00-00 David SA
More informationIn Vitro Interactions of Antifungal agents and Tacrolimus against Aspergillus Biofilms
AAC Accepted Manuscript Posted Online 24 August 2015 Antimicrob. Agents Chemother. doi:10.1128/aac.01510-15 Copyright 2015, American Society for Microbiology. All Rights Reserved. 1 In Vitro Interactions
More informationon November 3, 2018 by guest
JOURNAL OF CLINICAL MICROBIOLOGY, June 2007, p. 1811 1820 Vol. 45, No. 6 0095-1137/07/$08.00 0 doi:10.1128/jcm.00134-07 Copyright 2007, American Society for Microbiology. All Rights Reserved. Multicenter
More informationOnychomycosis. Forum micológico. Gillian Midgley and Mary Kathleen Moore
Forum micológico Onychomycosis Gillian Midgley and Mary Kathleen Moore 113 Department of Medical Mycology, St John s Institute of Dermatology, UMDS, St Thomas Hospital, London, UK Onychomycosis is a major
More informationQuantitation of Ergosterol Content: Novel Method for Determination of Fluconazole Susceptibility of Candida albicans
JOURNAL OF CLINICAL MICROBIOLOGY, Oct. 1999, p. 3332 3337 Vol. 37, No. 10 0095-1137/99/$04.00 0 Copyright 1999, American Society for Microbiology. All Rights Reserved. Quantitation of Ergosterol Content:
More informationComparison of diagnostic methods in the diagnosis of dermatomycoses and onychomycoses
Original article Comparison of diagnostic methods in the diagnosis of dermatomycoses and onychomycoses V. Panasiti, 1 R. G. Borroni, 1 V. Devirgiliis, 1 M. Rossi, 1 L. Fabbrizio, 1 R. Masciangelo, 2 U.
More informationTINEA (FUNGAL) INFECTION
1 Medical Topics - Tinea TINEA (FUNGAL) INFECTION Tinea infection There are 3 main groups of fungal organisms that can cause skin infections. They include dermatophytes, yeast and moulds. Dermatophytes
More informationIN VITRO ANTIFUNGAL ACTIVITY OF Ixora brachita ROXB AGAINST DERMATOPHTES
J. Res. Educ. Indian Med., Jan.-March, 2007; 13 (1): 57-62 IN VITRO ANTIFUNGAL ACTIVITY OF Ixora brachita ROXB AGAINST DERMATOPHTES B. SADEGHI-NEJAD AND S.S DEOKULE Department of Botany, University of
More informationReceived 13 September 2006/Returned for modification 6 November 2006/Accepted 26 December 2006
JOURNAL OF CLINICAL MICROBIOLOGY, Mar. 2007, p. 858 864 Vol. 45, No. 3 0095-1137/07/$08.00 0 doi:10.1128/jcm.01900-06 Copyright 2007, American Society for Microbiology. All Rights Reserved. Correlation
More informationReceived 22 November 2007/Returned for modification 29 December 2007/Accepted 12 January 2008
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, Apr. 2008, p. 1396 1400 Vol. 52, No. 4 0066-4804/08/$08.00 0 doi:10.1128/aac.01512-07 Copyright 2008, American Society for Microbiology. All Rights Reserved. In Vitro
More informationReceived 12 December 2010/Returned for modification 5 January 2011/Accepted 16 March 2011
JOURNAL OF CLINICAL MICROBIOLOGY, May 2011, p. 1765 1771 Vol. 49, No. 5 0095-1137/11/$12.00 doi:10.1128/jcm.02517-10 Copyright 2011, American Society for Microbiology. All Rights Reserved. Multicenter
More informationANTIMYCOTIC DRUGS Modes of Action
ANTIMYCOTIC DRUGS Modes of Action Prapasarakul Nuvee, D.V.M., Ph.D. Department of Veterinary Microbiology, Faculty of Veterinary Science, Chulalongkorn University 1 What drugs act as antifungal agents?
More informationMultilaboratory Testing of Two-Drug Combinations of Antifungals against Candida albicans, Candida glabrata, and Candida parapsilosis
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, Apr. 2011, p. 1543 1548 Vol. 55, No. 4 0066-4804/11/$12.00 doi:10.1128/aac.01510-09 Copyright 2011, American Society for Microbiology. All Rights Reserved. Multilaboratory
More informationPrevalence and Risk Factors of Tinea Unguium and Tinea Pedis in the General Population in Spain
JOURNAL OF CLINICAL MICROBIOLOGY, Sept. 2000, p. 3226 3230 Vol. 38, No. 9 0095-1137/00/$04.00 0 Copyright 2000, American Society for Microbiology. All Rights Reserved. Prevalence and Risk Factors of Tinea
More informationANTIMICROBIAL AGENTS AND CHEMOTHERAPY, Aug. 2000, p Vol. 44, No. 8
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, Aug. 2000, p. 2081 2085 Vol. 44, No. 8 0066-4804/00/$04.00 0 Quantitation of Candida albicans Ergosterol Content Improves the Correlation between In Vitro Antifungal
More informationIn Vitro additive effect on griseofulvin and terbinafine combinations against multidrug-resistant dermatophytes
Brazilian Journal of Pharmaceutical Sciences http://dx.doi.org/10.1590/s2175-97902018000217149 Article In Vitro additive effect on griseofulvin and terbinafine combinations against multidrug-resistant
More informationSYNERGISTIC ACTIVITIES OF TWO PROPOLIS WITH AMPHOTERICIN B AGAINST SOME AZOLE-RESISTANT CANDIDA STRAINS. PART II
SYNERGISTIC ACTIVITIES OF TWO PROPOLIS WITH AMPHOTERICIN B AGAINST SOME AZOLE-RESISTANT CANDIDA STRAINS. PART II DURAN NIZAMI 1, MUZ MUSTAFA 2, DURAN GULAY GULBOL 3, OZER BURCIN 1, ONLEN YUSUF 4 1 Mustafa
More informationSumyuktha J., Murali Narasimhan*, Parveen Basher Ahamed
International Journal of Research in Dermatology Sumyuktha J et al. Int J Res Dermatol. 2017 Mar;3(1):59-63 http://www.ijord.com Original Research Article DOI: http://dx.doi.org/10.18203/issn.2455-4529.intjresdermatol20170082
More informationFungi are eukaryotic With rigid cell walls composed largely of chitin rather than peptidoglycan (a characteristic component of most bacterial cell
Antifungal Drugs Fungal infections (Mycoses) Often chronic in nature. Mycotic infections may be superficial and involve only the skin (cutaneous mycoses extending into the epidermis) Others may penetrate
More informationA class IIa medical device intended for mild-to-moderate fungal nail infection PRODUCT MONOGRAPH
A class IIa medical device intended for mild-to-moderate fungal nail infection PRODUCT MONOGRAPH AWB-2052628721 Date of Preparation March 2017 Introduction to Bayer Bayer is a Life Science company with
More informationA COMPARATIVE STUDY OF EFFICACY OF TERBINAFINE AND FLUCONAZOLE IN PATIENTS OF TINEA CORPORIS
Int. J. Pharm. Med. & Bio. Sc. 2013 Kumar Amit et al., 2013 Research Paper ISSN 2278 5221 www.ijpmbs.com Vol. 2, No. 4, October 2013 2013 IJPMBS. All Rights Reserved A COMPARATIVE STUDY OF EFFICACY OF
More informationTRANSPARENCY COMMITTEE OPINION. 27 January 2010
The legally binding text is the original French version TRAPARENCY COMMITTEE OPINION 27 January 2010 80 mg/g, medicated nail lacquer B/1 glass vial of 3.3 ml (CIP: 395 010-4) B/1 glass vial of 6.6 ml (CIP:
More informationMiltefosine is effective against Candida albicans and Fusarium oxysporum nail biofilms in vitro
Journal of Medical Microbiology (2015), 64, 1436 1449 DOI 10.1099/jmm.0.000175 Miltefosine is effective against Candida albicans and Fusarium oxysporum nail biofilms in vitro Taissa Vieira Machado Vila,
More informationDynamic interaction between fluconazole and amphotericin B against
AAC Accepts, published online ahead of print on 30 January 2012 Antimicrob. Agents Chemother. doi:10.1128/aac.06098-11 Copyright 2012, American Society for Microbiology. All Rights Reserved. 1 2 Dynamic
More informationInternational Journal of Scientific Research and Reviews
Research article Available online www.ijsrr.org ISSN: 2279 0543 International Journal of Scientific Research and Reviews Evaluation of antidermatophytic property of lichen: Flavoparmelia caperata (L) Hale
More informationAntifungal Agents. Polyenes Azoles Allyl and Benzyl Amines Other antifungals
OPTO 6434 General Pharmacology Antifungal Agents Dr. Alison McDermott Room 254 HBSB, Phone 713-743 1974 Email amcdermott@optometry.uh.edu Fall 2015 Reading: Chapter 50 Brody s Human Pharmacology by Wecker
More informationyour lab focus susceptibility testing of yeasts and moulds as well as the clinical implications of in vitro antifungal testing.
626 CE update [microbiology and virology] Antifungal Susceptibility Methods and Their Potential Clinical Relevance Ana Espinel-Ingroff, PhD Medical College of Virginia, Virginia Commonwealth University,
More informationfosravuconazole, onychomycosis, oral antifungal agents, randomized controlled trial, ravuconazole.
doi: 10.1111/1346-8138.14607 Journal of Dermatology 2018; 45: 1151 1159 ORIGINAL ARTICLE Efficacy and safety of fosravuconazole L-lysine ethanolate, a novel oral triazole antifungal agent, for the treatment
More informationAntifungal Activity of Voriconazole on Local Isolates: an In-vitro Study
Original Article Philippine Journal of OPHTHALMOLOGY Antifungal Activity of Voriconazole on Local Isolates: an In-vitro Study Karina Q. De Sagun-Bella, MD, 1 Archimedes Lee D. Agahan, MD, 1 Leo DP. Cubillan,
More informationReceived 25 September 2006/Returned for modification 4 December 2006/Accepted 26 December 2006
JOURNAL OF CLINICAL MICROBIOLOGY, Mar. 2007, p. 796 802 Vol. 45, No. 3 0095-1137/07/$08.00 0 doi:10.1128/jcm.01986-06 Copyright 2007, American Society for Microbiology. All Rights Reserved. Multicenter
More informationORIGINAL INVESTIGATION. Boni E. Elewski, MD; James Leyden, MD; Michael G. Rinaldi, PhD; Ercem Atillasoy, MD
Office Practice Based Confirmation of Onychomycosis A US Nationwide Prospective Survey ORIGINAL INVESTIGATION Boni E. Elewski, MD; James Leyden, MD; Michael G. Rinaldi, PhD; Ercem Atillasoy, MD Background:
More informationEchinocandin Susceptibility Testing of Candida Isolates Collected during a 1-Year Period in Sweden
JOURNAL OF CLINICAL MICROBIOLOGY, July 2011, p. 2516 2521 Vol. 49, No. 7 0095-1137/11/$12.00 doi:10.1128/jcm.00201-11 Copyright 2011, American Society for Microbiology. All Rights Reserved. Echinocandin
More informationVISHALKSHI VISHWANATH AND NITI KHUNGER
Indian J.Sci.Res. 6(1) : 11-15, 2015 AN OBSERVATIONAL, COMPARATIVE STUDY TO ASSESS THE EFFICACY AND SAFETY OF TOPICAL CLOTRIMAZOLE CREAM 1% AND MICONAZOLE GEL 2% IN DERMATOPHYTOSES IN REAL LIFE CLINICAL
More informationoverview of current strategies for monotherapy and combination therapy
ORIGINAL ARTICLE JEADV (2005) 19, 21 29 DOI: 10.1111/j.1468-3083.2004.00988.x Topical antifungal drugs for the treatment of onychomycosis: an Blackwell Publishing, Ltd. overview of current strategies for
More informationAntimycotics. November 14, Jan Strojil. Ústav farmakologie LF UP
Ústav farmakologie LF UP November 14, 2005 Introduction Polyens Azoles Alylamines Other Outline Introduction Polyens Azoles Alylamines and morfolines Other Introduction Polyens Azoles Alylamines Other
More information1* 1. Vijaya S. Rajmane, Shivaji T. Mohite
ISSN 2231-4261 ORIGINAL ARTICLE Comparison of the VITEK 2 Yeast Antifungal Susceptibility ing with CLSI Broth Microdilution Reference for ing Four Antifungal Drugs against Candida species Isolated from
More informationAntifungal Pharmacotherapy
Interpreting Antifungal Susceptibility Testing: Science or Smoke and Mirrors A. W. F O T H E R G I L L, M A, M B A U N I V E R S I T Y O F T E X A S H E A L T H S C I E N C E C E N T E R S A N A N T O
More informationClinico-etiological Study of Tinea Corporis: Emergence of Trichophyton mentagrophytes
Original Article Print ISSN: 2321-6379 Online ISSN: 2321-595X DOI: 10.17354/ijss/2017/180 Clinico-etiological Study of Tinea Corporis: Emergence of Trichophyton mentagrophytes Muhilan Jegadeesan 1, Sheela
More informationQualitative Assessment of In Vitro Proteolytic Activity and Antifungal Susceptibility of Dermatophytes Recovered from Tinea capitis Patients
Available online on www.ijcpr.com International Journal of Current Pharmaceutical Review and Research; 7(4); 204-209 Research Article ISSN: 0976 822X Qualitative Assessment of In Vitro Proteolytic Activity
More informationUpdate zu EUCAST 2012 Cornelia Lass-Flörl
Update zu EUCAST 2012 Cornelia Lass-Flörl Frühjahrstagung 2012 Paul-Ehrlich-Gesellschaft Sektion Antimykotische Chemotherapie Bonn, 4./5. Mai 2012 Agenda 1. Breakpoints 2. Rationale documents and technical
More informationManagement of fungal infection
Management of fungal infection HKDU symposium 17 th May 2015 Speaker: Dr. Thomas Chan MBBS (Hons), MRCP, FHKCP, FHKAM Synopsis Infection caused by fungus mycoses Skin infection by fungus is common in general
More informationJEADV REVIEW ARTICLE. Abstract. Conflicts of interest. Funding sources
DOI: 10.1111/jdv.12458 JEADV REVIEW ARTICLE Opportunistic toenail onychomycosis. The fungal colonization of an available nail unit space by non-dermatophytes is produced by the trauma of the closed shoe
More informationAn Update in the Management of Candidiasis
An Update in the Management of Candidiasis Daniel B. Chastain, Pharm.D., AAHIVP Infectious Diseases Pharmacy Specialist Phoebe Putney Memorial Hospital Adjunct Clinical Assistant Professor UGA College
More informationLUZU (luliconazole) external cream
LUZU (luliconazole) external cream Coverage for services, procedures, medical devices and drugs are dependent upon benefit eligibility as outlined in the member's specific benefit plan. This Pharmacy Coverage
More informationOriginal Article ABSTRACT
Original Article Epidemiological survey of dermatophytosis in Tehran, Iran, from 2000 to 2005 Shahindokht Bassiri-Jahromi, Ali Asghar Khaksari ABSTRACT Medical Mycology Department Pasteur Institute of
More informationIsolation and Identification of Dermatophytes from Clinical Samples One Year Study
International Journal of Current Microbiology and Applied Sciences ISSN: 2319-7706 Volume 6 Number 11 (2017) pp. 1276-1281 Journal homepage: http://www.ijcmas.com Original Research Article https://doi.org/10.20546/ijcmas.2017.611.152
More informationDermatophyte infections in patients attending a tertiary care hospital in northern Italy
NEW MICROBIOLOGICA, 31, 543-548, 2008 Dermatophyte infections in patients attending a tertiary care hospital in northern Italy Sara Asticcioli 1, Adriano Di Silverio 2, Laura Sacco 3, Ilaria Fusi 4, Luca
More informationAntifungal susceptibility testing using the E test: comparison with the broth macrodilution technique
Journal of Antimicrobial Chemotherapy (996) 7, 65-7 Antifungal susceptibility testing using the E test: comparison with the broth macrodilution technique Sharon C. A. Chen, Maryann L. O'Donnell, Suzannah
More informationAAC Accepts, published online ahead of print on 21 March 2011 Antimicrob. Agents Chemother. doi: /aac
AAC Accepts, published online ahead of print on 1 March 0 Antimicrob. Agents Chemother. doi:./aac.010- Copyright 0, American Society for Microbiology and/or the Listed Authors/Institutions. All Rights
More informationReceived 21 July 2008/Accepted 3 September 2008
JOURNAL OF CLINICAL MICROBIOLOGY, Nov. 2008, p. 3585 3590 Vol. 46, No. 11 0095-1137/08/$08.00 0 doi:10.1128/jcm.01391-08 Copyright 2008, American Society for Microbiology. All Rights Reserved. Validation
More informationNursing college, Second stage Microbiology Dr.Nada Khazal K. Hendi Medical Microbiology
1 Nursing college, Second stage Microbiology Medical Microbiology Lecture-1- Fungi (Mycosis) They are a diverse group of saprophytic and parasitic eukaryotic organisms. Human fungal diseases (mycoses)
More informationFull Paper Design, Synthesis and Antifungal Activity of Some New Imidazole and Triazole Derivatives
658 Arch. Pharm. Chem. Life Sci. 2011, 344, 658 665 Full Paper Design, Synthesis and Antifungal Activity of Some ew Imidazole and Triazole Derivatives Zahra Rezaei 1, Soghra Khabnadideh 1, Kamiar Zomorodian
More informationComparison of microdilution method and E-test procedure in susceptibility testing of caspofungin against Candida non-albicans species
NEW MICROBIOLOGICA, 31, 257-262, 2008 Comparison of microdilution method and E-test procedure in susceptibility testing of caspofungin against Candida non-albicans species Anna Serefko, Renata Los, Anna
More informationTitle. Establishment of a novel model of onychomycosis in the rabbit. for evaluation of antifungal agents. Running title
AAC Accepts, published online ahead of print on May 0 Antimicrob. Agents Chemother. doi:./aac.00- Copyright 0, American Society for Microbiology and/or the Listed Authors/Institutions. All Rights Reserved.
More informationAntifungal Resistance in Asia: Mechanisms, Epidemiology, and Consequences
5th MMTN Conference 5-6 November 2016 Bangkok, Thailand 10:20-10:45, 6 Nov, 2016 Antifungal Resistance in Asia: Mechanisms, Epidemiology, and Consequences Yee-Chun Chen, M.D., PhD. Department of Medicine,
More informationTHE TREATMENT OF MYCOSES IN REPTILES: A REVIEW OF ANTIFUNGAL DRUGS
THE TREATMENT OF MYCOSES IN REPTILES: A REVIEW OF ANTIFUNGAL DRUGS Jean A. Paré, DMV, DVSc, Dipl ACZM Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin, 2015 Linden
More informationJ of Evolution of Med and Dent Sci/ eissn , pissn / Vol. 3/ Issue 29/July 21, 2014 Page 8263
CLINICO-MYCOLOGICAL PROFILE OF DERMATOPHYTOSIS IN PATIENTS ATTENDING A TERTIARY CARE HOSPITAL IN EASTERN BIHAR, INDIA Partha Pratim Maity 1, Krishan Nandan 2, Sangeeta Dey 3 HOW TO CITE THIS ARTICLE: Partha
More informationANA ESPINEL-INGROFF* Division of Infectious Diseases, Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia
JOURNAL OF CLINICAL MICROBIOLOGY, Jan. 1998, p. 198 202 Vol. 36, No. 1 0095-1137/98/$04.00 0 Copyright 1998, American Society for Microbiology In Vitro Activity of the New Triazole Voriconazole (UK-109,496)
More informationClinical and Microbiological study of Tinea unguium in a tertiary care centre
ISSN: 2319-7706 Volume 4 Number 4 (2015) pp. 899-905 http://www.ijcmas.com Original Research Article Clinical and Microbiological study of Tinea unguium in a tertiary care centre Arti Agrawal 1 *, Uma
More informationSensitivity of Candida albicans isolates to caspofungin comparison of microdilution method and E-test procedure
Basic research Sensitivity of Candida albicans isolates to caspofungin comparison of microdilution method and E-test procedure Anna Serefko, Anna Malm Department of Pharmaceutical Microbiology, Medical
More informationEvaluation of in Vitro Antifungal Activity of Ketoconazole and Griseofulvin
Evaluation of in Vitro Antifungal Activity of Ketoconazole and Griseofulvin Abstract Pages with reference to book, From 230 To 234 Taj B. Uppal ( Department of Pathology Khyber Medical College, Peshawar.
More informationClinico-mycological correlation in onychomycosis in a tertiary level hospital
Original Article Clinico-mycological correlation in onychomycosis in a tertiary level hospital Abu Noman Md Iftekhar Rafiq*, A S M Zakaria**, Lubna Khondker**, Md Shirajul Islam Khan, Sharmin Doulah, Samaresh
More informationOutline Dermatomycoses Definition: diseases or fungal infections of the skin Transmission of Dermatomycoses Case Report 1 Presentation of Disease
Outline Dermatomycoses Tinea corporis,tinea capitis,tinea pedis, Tinea cruris, Definition: diseases or fungal infections of the skin Dermatophyte infections are caused by Trichophyton, Microsporum, and
More informationReceived 24 September 2001/Returned for modification 2 February 2002/Accepted 31 May 2002
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, Sept. 2002, p. 2982 2989 Vol. 46, No. 9 0066-4804/02/$04.00 0 DOI: 10.1128/AAC.46.9.2982 2989.2002 Copyright 2002, American Society for Microbiology. All Rights Reserved.
More informationOriginal Article Clinico-Mycological study of dermatophytosis in and around Kakinada Parameswari K 1, Prasad Babu KP 2
Original Article Clinico-Mycological study of dermatophytosis in and around Kakinada Parameswari K 1, Prasad Babu KP 2 1 Dr K Parameswari MD, Associate Professor 2 Dr KP Prasad babu Assistant Professor
More informationTween 40-based precipitate production observed on modified chromogenic agar and development of biological identification kit for Malassezia species
Medical Mycology May 2006, 44, 227231 Tween 40-based precipitate production observed on modified chromogenic agar and development of biological identification kit for Malassezia species TAKAMASA KANEKO*$,
More informationAll three dermatophytes contain virulence factors that allow them to invade the skin, hair, and nails. Keratinases. Elastase.
DERMATOPHYTOSIS (=Tinea = Ringworm) Infection of the skin, hair or nails caused by a group of keratinophilic fungi, called dermatophytes Microsporum Epidermophyton Hair, skin Skin, nail Tih Trichophyton
More informationPharmaceutical Chemistry II. Antifungal Agents. = Antimycotics. Tutorial 1
Pharmaceutical Chemistry II Antifungal Agents = Antimycotics Tutorial 1 1) Give examples of some common fungal infections indicating whether they are rather superficial or systemic. Fungal infections Tinea
More informationIn vitro activities of nine antifungal drugs and their. combinations against Phialophora verrucosa
AAC Accepts, published online ahead of print on 30 June 2014 Antimicrob. Agents Chemother. doi:10.1128/aac.02875-14 Copyright 2014, American Society for Microbiology. All Rights Reserved. 1 2 In vitro
More informationStudy and Identification of the Etiological Agents of Onychomycosis in Tehran, Capital of Iran
Iranian J. Publ. Health, Vol. 31, Nos. 3-4, pp.-4, 2 Study and Identification of the Etiological Agents of Onychomycosis in Tehran, Capital of Iran 1 M Gerami shoar, * 1 K Zomorodian, 1 M Emami, 1 B Tarazoei,
More informationTherapeutics for the Clinician
Luliconazole for the Treatment of Interdigital Tinea Pedis: A Double-blind, Vehicle-Controlled Study Michael Jarratt, MD; Terry Jones, MD; Steven Kempers, MD; Phoebe Rich, MD; Katy Morton; Norifumi Nakamura,
More informationEpidemiology of dermatophytoses: retrospective analysis from 2005 to 2010 and comparison with previous data from 1975
NEW MICROBIOLOGICA, 35, 207-213, 2012 Epidemiology of dermatophytoses: retrospective analysis from 2005 to 2010 and comparison with previous data from 1975 Gino A. Vena, Paolo Chieco, Filomena Posa, Annarita
More informationOnychomycosis: Pathogenesis, Diagnosis, and Management
CLINICAL MICROBIOLOGY REVIEWS, July 1998, p. 415 429 Vol. 11, No. 3 0893-8512/98/$04.00 0 Copyright 1998, American Society for Microbiology. All Rights Reserved. Onychomycosis: Pathogenesis, Diagnosis,
More informationMurine Pulmonary Aspergillosis
NAOSITE: Nagasaki University's Ac Title Author(s) Citation Efficacy of SPK-843, a Novel Polyen Amphotericin B, Liposomal Amphoteri Murine Pulmonary Aspergillosis Kakeya, Hiroshi; Miyazaki, Yoshitsu Tsutomu;
More informationIsolates from a Phase 3 Clinical Trial. of Medicine and College of Public Health, Iowa City, Iowa 52242, Wayne, Pennsylvania ,
JCM Accepts, published online ahead of print on 26 May 2010 J. Clin. Microbiol. doi:10.1128/jcm.00806-10 Copyright 2010, American Society for Microbiology and/or the Listed Authors/Institutions. All Rights
More informationMycology. BioV 400. Clinical classification. Clinical classification. Fungi as Infectious Agents. Thermal dimorphism. Handout 6
BioV 400 Mycology Handout 6 Fungi as Infectious Agents True or primary fungal pathogens invades and grows in a healthy, noncompromise d host Most striking adaptation to survival and growth in the human
More information