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[临床皮肤癣菌属菌株对唑类化合物的耐药性]

[Resistance to azolic compounds in clinical Trichophyton spp. strains].

作者信息

Méndez-Tovar Luis Javier, Manzano-Gayosso Patricia, Velásquez-Hernández Verónica, Millan-Chiu Blanca, Hernández-Hernández Francisca, Mondragón-González Rafael, López-Martínez Rubén

机构信息

Laboratorio de Investigación Médica en Dermatología y Micología "Dr. Ernesto Macotela", Hospital de Especialidades "Dr. Bernardo Sepúlveda", UMAE Centro Médico Nacional Siglo XXI, IMSS, México D.F., México.

出版信息

Rev Iberoam Micol. 2007 Dec 31;24(4):320-2. doi: 10.1016/s1130-1406(07)70065-7.

Abstract

The increase of dermathophytosis in patients with poor therapeutic response leads us to study the antifungal susceptibility of 36 clinical isolates to itraconazole, ketoconazole and fluconazole by the E-test method. According to established parameters by the Clinical Laboratory Standards Institute, the resistance to one or more antifungal drugs was demonstrated in seven isolates (19.4%) as follows: three Trichophyton rubrum, three T. mentagrophytes and one T. tonsurans. A T. rubrum isolate was resistant to the three azolic drugs; the other six only to fluconazole. It is important to establish the antifungal susceptibility as part of the study procedures in patients with dermatophytosis and a poor antifungal response.

摘要

治疗反应不佳的皮肤癣菌病患者数量增加,促使我们通过E试验法研究36株临床分离株对伊曲康唑、酮康唑和氟康唑的抗真菌药敏情况。根据临床实验室标准协会制定的参数,7株分离株(19.4%)显示对一种或多种抗真菌药物耐药,具体如下:3株红色毛癣菌、3株须癣毛癣菌和1株断发毛癣菌。1株红色毛癣菌分离株对三种唑类药物耐药;其他6株仅对氟康唑耐药。在皮肤癣菌病且抗真菌反应不佳的患者中,确定抗真菌药敏情况作为研究程序的一部分很重要。

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