Vitale Roxana G, Afeltra Javier, Dannaoui Eric
Consejo Nacional de Investigaciones Cientifícas y Tecnológocas and Departmento de Micología, Instituto Nacional de Engermedades Infecciosas, Dr Carlos Malbrán Buenos Aires, Argentina.
Methods Mol Med. 2005;118:143-52. doi: 10.1385/1-59259-943-5:143.
The increase in fungal infections and the change in fungal epidemiology is caused by the extensive use of antifungal agents to treat fungal infections that are being diagnosed in severly immunocompromised hosts. In addition, opportunistic fungal infections resistant to antifungal drugs have become increasingly common, and the armamentarium for treatment remains limited. A possible approach to overcoming these problems is to combine antifungal drugs, especially if the mechanisms of action are different. The in vitro test is the first step to evaluate possible antifungal combinations. In this chapter, the three most frequently used metholodologies are described: checkerboard, E-test, and time-kill curves. The description of each technique and intrepretaion of the results are addressed in detail.
真菌感染的增加以及真菌流行病学的变化是由于在严重免疫功能低下的宿主中广泛使用抗真菌药物来治疗已诊断出的真菌感染所致。此外,对抗真菌药物耐药的机会性真菌感染变得越来越普遍,而治疗手段仍然有限。克服这些问题的一种可能方法是联合使用抗真菌药物,特别是如果作用机制不同的话。体外试验是评估可能的抗真菌联合用药的第一步。在本章中,将描述三种最常用的方法:棋盘法、E试验和时间杀菌曲线。将详细介绍每种技术的描述及结果解读。
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