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用于棘白菌素类药物阿尼芬净、卡泊芬净和米卡芬净抗真菌药敏试验的 Sensititre YeastOne 比色法抗真菌药敏板的临床评估。

Clinical evaluation of the Sensititre YeastOne colorimetric antifungal panel for antifungal susceptibility testing of the echinocandins anidulafungin, caspofungin, and micafungin.

作者信息

Pfaller M A, Chaturvedi V, Diekema D J, Ghannoum M A, Holliday N M, Killian S B, Knapp C C, Messer S A, Miskov A, Ramani R

机构信息

Department of Pathology, Medical Microbiology Division, University of Iowa College of Medicine, Iowa City, IA 52242, USA.

出版信息

J Clin Microbiol. 2008 Jul;46(7):2155-9. doi: 10.1128/JCM.00493-08. Epub 2008 May 7.

Abstract

A commercially prepared, dried colorimetric microdilution panel (Sensititre YeastOne Trek Diagnostic Systems, Cleveland, OH) was compared in three different laboratories with the Clinical and Laboratory Standards Institute (CLSI) reference microdilution method by testing 2 quality control strains, 25 reproducibility strains, and 404 isolates of Candida spp. against anidulafungin, caspofungin, and micafungin. Reference MIC endpoints and YeastOne colorimetric endpoints were read after 24 h of incubation. YeastOne endpoints were determined to be the lowest concentration at which the color in the well changed from red (positive, indicating growth) to blue (negative, indicating no growth). Excellent essential agreement (within 2 dilutions) between the reference and colorimetric MICs was observed. Overall agreement was 100% for all three agents. Categorical agreement ranged from 99.3% (anidulafungin) to 100% (caspofungin, micafungin) and interlaboratory reproducibility was 99%. The YeastOne colorimetric method appears to be comparable to the CLSI reference method for testing the susceptibility of Candida spp. to the echinocandins anidulafungin, caspofungin, and micafungin.

摘要

通过对2株质量控制菌株、25株重复性菌株以及404株念珠菌属分离株进行测试,将一种商业制备的比色微量稀释板(Sensititre YeastOne,Trek诊断系统公司,俄亥俄州克利夫兰)与临床和实验室标准协会(CLSI)的参考微量稀释法在三个不同实验室中进行比较,测试对象为阿尼芬净、卡泊芬净和米卡芬净。孵育24小时后读取参考MIC终点和YeastOne比色终点。YeastOne终点被确定为孔中颜色从红色(阳性,表明生长)变为蓝色(阴性,表明无生长)的最低浓度。在参考MIC和比色MIC之间观察到极好的基本一致性(在2个稀释度范围内)。三种药物的总体一致性均为100%。分类一致性范围为99.3%(阿尼芬净)至100%(卡泊芬净、米卡芬净),实验室间重复性为99%。YeastOne比色法在测试念珠菌属对棘白菌素类药物阿尼芬净、卡泊芬净和米卡芬净的敏感性方面似乎与CLSI参考方法相当。

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