Meinerz Ana Raquel Mano, Nascente Patrícia da Silva, Schuch Luiz Filipe Damé, Cleff Marlete Brum, Santin Rosema, Brum Cristiane da Silva, Nobre Márcia de Oliveira, Meireles Mario Carlos Araújo, Mello João Roberto de Braga
Programa de Pós-Graduação em Ciências Veterinárias, Universidade Federal do Rio Grande do Sul, Pelotas, RS.
Rev Soc Bras Med Trop. 2007 Jan-Feb;40(1):60-2. doi: 10.1590/s0037-86822007000100012.
The study objective was to determine the in vitro activity of terbinafine and itraconazole through the microdilution technique in broth (NCCLSM27-A2), adapted for dimorphic fungus, in relation to 12 isolates of Sporothrix schenckii. Six were from feline sporotrichosis, three from human sporotrichosis, one from a dog and two from human isolates originating from Instituto Oswaldo Cruz. The inoculum and antifungal concentrates were distributed on microplates that were incubated at 35 degrees C for five days. Minimum inhibitory concentration readings were made at the end of this period. The MIC for terbinafine ranged from 0.055 microg/ml to 0.109 microg/ml, and the MIC for itraconazole ranged from 0.219 microg/ml to 1.75 microg/ml. For both drugs, the MIC from the isolates from IOC was 0.875 microg/ml. The present study demonstrates the high susceptibility of Sporothrix schenckii to terbinafine. Further studies to correlate the in vitro susceptibility tests with the clinical response of patients with sporotrichosis are needed.
本研究的目的是通过肉汤微量稀释技术(NCCLSM27 - A2,适用于双相真菌),测定特比萘芬和伊曲康唑对12株申克孢子丝菌的体外活性。其中6株来自猫孢子丝菌病,3株来自人孢子丝菌病,1株来自犬,2株来自奥斯瓦尔多·克鲁兹研究所的人分离株。将接种物和抗真菌浓缩物分布在微孔板上,于35℃孵育5天。在此期间结束时进行最低抑菌浓度读数。特比萘芬的最低抑菌浓度范围为0.055微克/毫升至0.109微克/毫升,伊曲康唑的最低抑菌浓度范围为0.219微克/毫升至1.75微克/毫升。对于这两种药物,来自奥斯瓦尔多·克鲁兹研究所分离株的最低抑菌浓度均为0.875微克/毫升。本研究证明了申克孢子丝菌对特比萘芬高度敏感。需要进一步研究将体外药敏试验与孢子丝菌病患者的临床反应相关联。