Abstract
Time-kill and postantifungal effect (PAFE) of amphotericin B, caspofungin, fluconazole, and voriconazole were determined against clinical isolates of Candida guilliermondii, Candida kefyr, and Candida lusitaniae. Azoles displayed fungistatic activity and no measurable PAFE, regardless of the concentration tested. Amphotericin B and caspofungin demonstrated concentration-dependent fungicidal activity, although amphotericin B only produced a significant dose-dependent PAFE against all isolates tested.
MeSH Terms
Amphotericin B/pharmacology
Antifungal Agents/pharmacology
Candida/drug effects
Candidiasis/complications,microbiology
Caspofungin
Colony Count, Microbial
Echinocandins
Fluconazole/pharmacology
Hematologic Neoplasms/complications
Humans
Kinetics
Lipopeptides
Microbial Sensitivity Tests
Models, Biological
Peptides, Cyclic/pharmacology
Pyrimidines/pharmacology
Triazoles/pharmacology
Voriconazole
Chemicals
Antifungal Agents
Echinocandins
Lipopeptides
Peptides, Cyclic
Pyrimidines
Triazoles
Amphotericin B
Fluconazole
Caspofungin
Voriconazole
Authors & Affiliations
5 authors, click to expand affiliations / ORCID
Di Bonaventura Giovanni
Center of Excellence on Aging, Room 27, 5th level, "G. D'Annunzio" University, Via Colle dell'Ara, 66100 Chieti, Italy.
Spedicato Ilaria
Picciani Carla
D'Antonio Domenico
Piccolomini Raffaele
References (22)
22 references, click to expand
-
Antifungal susceptibility survey of 2,000 bloodstream Candida isolates in the United States.
Antimicrob Agents Chemother. 2003 Oct;47(10):3149-54
PMID: 14506023
-
Non-albicans Candida spp. causing fungaemia: pathogenicity and antifungal resistance.
J Hosp Infect. 2002 Apr;50(4):243-60
PMID: 12014897
-
New and emerging yeast pathogens.
Clin Microbiol Rev. 1995 Oct;8(4):462-78
PMID: 8665465
-
In vitro susceptibilities of rare Candida bloodstream isolates to ravuconazole and three comparative antifungal agents.
Diagn Microbiol Infect Dis. 2004 Feb;48(2):101-5
PMID: 14972378
-
Successful treatment of cerebral aspergillosis with a novel triazole (voriconazole) in a patient with acute leukaemia.
Br J Haematol. 1997 Jun;97(3):663-5
PMID: 9207418
-
Organism-dependent fungicidal activities of azoles.
Antimicrob Agents Chemother. 1998 Nov;42(11):3018-21
PMID: 9797246
-
Rates and extents of antifungal activities of amphotericin B, flucytosine, fluconazole, and voriconazole against Candida lusitaniae determined by microdilution, Etest, and time-kill methods.
Antimicrob Agents Chemother. 2002 Feb;46(2):578-81
PMID: 11796383
-
Fatal disseminated candidiasis due to amphotericin-B-resistant Candida guilliermondii.
Ann Intern Med. 1985 Jan;102(1):67-8
PMID: 3966747
-
Susceptibility of clinical isolates of Candida lusitaniae to five systemic antifungal agents.
J Antimicrob Chemother. 2004 Mar;53(3):526-9
PMID: 14963064
-
Mycoses caused by Candida lusitaniae.
Rev Infect Dis. 1987 Sep-Oct;9(5):1006-12
PMID: 3317728
-
New automated method for determining postantifungal effect of amphotericin B against Candida species: effects of concentration, exposure time, and area under the curve.
Antimicrob Agents Chemother. 2002 Dec;46(12):4016-8
PMID: 12435715
-
Postantifungal effects of echinocandin, azole, and polyene antifungal agents against Candida albicans and Cryptococcus neoformans.
Antimicrob Agents Chemother. 2000 Apr;44(4):1108-11
PMID: 10722525
-
Distribution and antifungal susceptibility of Candida species causing candidemia from 1996 to 1999.
Diagn Microbiol Infect Dis. 2004 Jan;48(1):33-7
PMID: 14761719
-
Therapeutic drug monitoring of systemic antifungal therapy.
J Antimicrob Chemother. 1997 Dec;40(6):753-64
PMID: 9462426
-
Caspofungin activity against clinical isolates of fluconazole-resistant Candida.
J Clin Microbiol. 2003 Dec;41(12):5729-31
PMID: 14662968
-
Antifungal resistance in non- albicans Candida species.
Drug Resist Updat. 1999 Feb;2(1):9-14
PMID: 11504464
-
Multicenter comparison of the Sensititre YeastOne colorimetric antifungal panel with the NCCLS M27-A2 reference method for testing new antifungal agents against clinical isolates of Candida spp.
J Clin Microbiol. 2004 Feb;42(2):718-21
PMID: 14766842
-
In vitro activities of caspofungin compared with those of fluconazole and itraconazole against 3,959 clinical isolates of Candida spp., including 157 fluconazole-resistant isolates.
Antimicrob Agents Chemother. 2003 Mar;47(3):1068-71
PMID: 12604543
-
Evaluation of Etest method for determining fluconazole and voriconazole MICs for 279 clinical isolates of Candida species infrequently isolated from blood.
J Clin Microbiol. 2003 Mar;41(3):1087-90
PMID: 12624034
-
Antifungal pharmacodynamic characteristics of fluconazole and amphotericin B tested against Candida albicans.
Antimicrob Agents Chemother. 1997 Jun;41(6):1392-5
PMID: 9174207
-
In vitro activities of voriconazole, posaconazole, and four licensed systemic antifungal agents against Candida species infrequently isolated from blood.
J Clin Microbiol. 2003 Jan;41(1):78-83
PMID: 12517829
-
The postantibiotic effect of antifungal agents against common pathogenic yeasts.
J Antimicrob Chemother. 1994 Jul;34(1):83-92
PMID: 7961219