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体外研究 15 种抗真菌药物对大量临床分离的犬小孢子菌的活性。

In vitro activities of 15 antifungal drugs against a large collection of clinical isolates of Microsporum canis.

机构信息

Invasive Fungi Research Center, School of Medicine, Mazandaran University of Medical Sciences.

Department of Medical Mycology, Mazandaran University of Medical Sciences.

出版信息

Mycoses. 2019 Nov;62(11):1069-1078. doi: 10.1111/myc.12986. Epub 2019 Oct 1.

Abstract

BACKGROUND

Microsporum canis is a zoophilic species, found to be the most frequently isolated species in animals. M. canis causes sporadic outbreaks of infections in humans, such as the one that occurred in Canada, where more than 1000 human cases were detected over an 8-year period. Despite the medical importance of M. canis infections, there are limited in vitro data on the antifungal susceptibility to antifungal drugs, including new generation triazoles and imidazoles.

OBJECTIVE

The aim of the current study was to comprehensively evaluate the in vitro activity of new azoles and comparator drugs against a large panel of M. canis isolates using a microdilution assay.

METHODS

The in vitro susceptibility to novel triazoles and imidazoles was compared to that of other antifungal drugs using a large collection of M. canis clinical isolates (n = 208) obtained from patients and animals with dermatophytosis in Iran, France and Turkey.

RESULTS

All isolates exhibited high susceptibility to the majority of the tested antifungal agents. However, luliconazole, lanoconazole and efinaconazole, as well as econazole, demonstrated superior activity against all strains in comparis on with the other drugs.

CONCLUSION

FDA-approved antifungal drugs, that is luliconazole, efinaconazole and lanoconazole, showed the highest antifungal activity and should be promising candidates for the treatment of dermatophytosis caused by M canis. However, their therapeutic effectiveness remains to be determined in clinical settings.

摘要

背景

犬小孢子菌是一种亲动物性真菌,是动物中最常分离到的真菌。犬小孢子菌可引起人类散发性感染,例如在加拿大,8 年间共发现 1000 多例人类感染病例。尽管犬小孢子菌感染具有重要的医学意义,但关于抗真菌药物(包括新一代三唑类和咪唑类)的体外药敏数据有限。

目的

本研究旨在使用微量稀释法全面评估新型唑类药物和对照药物对大量犬小孢子菌分离株的体外活性。

方法

使用从伊朗、法国和土耳其患有皮肤癣菌病的患者和动物中获得的大量犬小孢子菌临床分离株(n=208),比较新型三唑类和咪唑类药物与其他抗真菌药物的体外敏感性。

结果

所有分离株对大多数测试的抗真菌药物均表现出高度敏感性。然而,与其他药物相比,卢立康唑、拉康唑和依氟康唑以及酮康唑对所有菌株均表现出更好的活性。

结论

已获得 FDA 批准的抗真菌药物,即卢立康唑、依氟康唑和拉康唑,显示出最高的抗真菌活性,有望成为治疗犬小孢子菌引起的皮肤癣菌病的候选药物。然而,它们在临床环境中的治疗效果仍有待确定。

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