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妊娠期霉菌性阴道炎:对分离菌株对主要抗真菌药物敏感性的双重评估

Mycotic vaginitis in pregnancy: a double evaluation of the susceptibility to the main antimycotic drugs of isolated species.

作者信息

Guaschino S, Michelone G, Stola E, Lombardi G, Spinillo A, Viale P

出版信息

Biol Res Pregnancy Perinatol. 1986;7(1):20-2.

PMID:3513850
Abstract

The authors examined 160 non-selected patients between the 28th and 40th weeks of gestational age with mycotic vaginitis. The chemosusceptibility of the isolated yeast to the main antimycotic drugs was evaluated through the Kirby-Bauer method as well as the determination of MIC. The antimycotic drugs tested were Nystatin, Miconazole, Ketoconazole, Clotrimazole, Amphotericin B, Econazole and 5-Fluorocytosine. The obtained data indicate a lacking effectiveness of Clotrimazole in contrast with the high percentage of therapeutical success reported in the literature. Better results were found with Econazole and the other antimycotic drugs tested. Nystatin is the most effective drug "in vitro". The authors furthermore highlight the utility of MIC determination, above all in the cases of recurrent vaginitis and when systemic therapy is undertaken.

摘要

作者对160例孕28至40周患有霉菌性阴道炎的未经过挑选的患者进行了研究。通过 Kirby-Bauer 方法以及最小抑菌浓度(MIC)的测定来评估分离出的酵母菌对主要抗真菌药物的化学敏感性。所测试的抗真菌药物有制霉菌素、咪康唑、酮康唑、克霉唑、两性霉素B、益康唑和5-氟胞嘧啶。所得数据表明,与文献中报道的高治疗成功率相比,克霉唑的有效性不足。使用益康唑和其他所测试的抗真菌药物取得了更好的结果。制霉菌素是“体外”最有效的药物。作者还强调了测定MIC的实用性,尤其是在复发性阴道炎病例以及进行全身治疗时。

相似文献

1
Mycotic vaginitis in pregnancy: a double evaluation of the susceptibility to the main antimycotic drugs of isolated species.妊娠期霉菌性阴道炎:对分离菌株对主要抗真菌药物敏感性的双重评估
Biol Res Pregnancy Perinatol. 1986;7(1):20-2.
2
Routine application of the evaluation of yeasts susceptibility to the main antimycotic drugs.常规开展酵母菌对主要抗真菌药物敏感性的评估。
Microbiologica. 1987 Apr;10(2):189-96.
3
Comparative in vitro activity of antimycotic agents against pathogenic vaginal yeast isolates.抗真菌药物对致病性阴道酵母菌分离株的体外比较活性
J Med Vet Mycol. 1994;32(4):267-74.
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[Vaginal candidiasis: etiology and sensitivity profile to antifungal agents in clinical use].[阴道念珠菌病:临床使用抗真菌药物的病因及敏感性分析]
Rev Argent Microbiol. 2001 Oct-Dec;33(4):217-22.
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The influence of antifungal drugs on adherence of Candida albicans to buccal epithelial cells.抗真菌药物对白色念珠菌黏附颊黏膜上皮细胞的影响。
Chemioterapia. 1986 Jun;5(3):200-3.
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Susceptibility to 5-fluorocytosine, miconazole and amphotericin B of Candida albicans strains isolated from the throat of non-AIDS patients.从非艾滋病患者咽喉部分离出的白色念珠菌菌株对5-氟胞嘧啶、咪康唑和两性霉素B的敏感性
Rev Latinoam Microbiol. 2002 Apr-Jun;44(2):65-8.
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[Assessment of the sensitivity to antifungal agents of clinical isolates of Candida albicans serotype A and B by the ATB Fungus method].[采用ATB真菌法评估A型和B型白色念珠菌临床分离株对抗真菌药物的敏感性]
Enferm Infecc Microbiol Clin. 1995 Apr;13(4):209-12.
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Treatment of candidal vaginitis with miconazole, a new broad-spectrum antimycotic. Changes in microbiology, vaginal pH and cytology.用新型广谱抗真菌药咪康唑治疗念珠菌性阴道炎。微生物学、阴道pH值及细胞学的变化
Arzneimittelforschung. 1973 Aug;23(8):1107-11.
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Genotyping and drug resistance profile of Candida spp. in recurrent and one-off vaginitis, and high association of non-albicans species with non-pregnant status.复发性和一次性阴道炎中念珠菌属的基因分型及耐药谱,以及非白念珠菌与非妊娠状态的高度相关性。
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In vitro activity of 6 antifungal agents on candida species isolated as causative agents from vaginal and other clinical specimens.
Saudi Med J. 2001 Oct;22(10):860-3.

引用本文的文献

1
Activity of liposomal nystatin against disseminated Aspergillus fumigatus infection in neutropenic mice.脂质体制霉菌素对中性粒细胞减少小鼠播散性烟曲霉感染的活性。
Antimicrob Agents Chemother. 1997 Oct;41(10):2238-43. doi: 10.1128/AAC.41.10.2238.
2
Overview of medically important antifungal azole derivatives.医学上重要的抗真菌唑类衍生物概述。
Clin Microbiol Rev. 1988 Apr;1(2):187-217. doi: 10.1128/CMR.1.2.187.