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EUCAST 获得的曲霉属和枝顶孢属及繁茂枝顶孢菌的奥洛氟米 MIC 结果,目测与分光光度读取法之间显示出高度一致性。

EUCAST-Obtained Olorofim MICs against Aspergillus and Scedosporium Species and Lomentospora prolificans Showed High Agreements between Visual Inspection and Spectrophotometric Readings.

机构信息

Clinical Microbiology and Infectious Diseases Department, Hospital General Universitario Gregorio Marañóngrid.410526.4, Madrid, Spain.

Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain.

出版信息

Antimicrob Agents Chemother. 2022 Sep 20;66(9):e0084922. doi: 10.1128/aac.00849-22. Epub 2022 Aug 4.

Abstract

Previous studies show high agreement between MIC spectrophotometric readings and visual inspection of azoles and amphotericin B against Aspergillus fumigatus isolates. Here, we tested and compared the activity of a novel antifungal, olorofim, against Aspergillus spp., spp., and Lomentospora prolificans by visual inspection and spectrophotometric readings. Clinical isolates of Aspergillus ( = 686) and ( = 36) spp. and ( = 13) were tested. Olorofim MICs were evaluated-following the EUCAST E.Def 9.4 procedure-by visual inspection or spectrophotometric readings (combinations of either ≥90% or ≥95% fungal growth inhibition endpoints compared to drug-free control endpoints and different wavelengths [405 nm, 450 nm, 492 nm, 540 nm, and 620 nm]). We observed high activity of olorofim against all tested Aspergillus spp. (MICs up to 0.06 mg/L), except for A. calidoustus, and against and spp. (MICs up to 0.125 mg/L). The combination of ≥90% fungal growth inhibition endpoints at wavelengths of ≥492 nm resulted in high essential agreements with A. fumigatus and lesser agreement with non- Aspergillus, spp., and , although the number of isolates studied was low. This single-center study shows high agreement among olorofim MICs against A. fumigatus by visual inspection and spectrophotometric readings (≥90% fungal growth inhibition endpoints and wavelengths of ≥492 nm) and encouraging results against non- Aspergillus spp., spp., and .

摘要

先前的研究表明,在曲霉菌属和两性霉素 B 的 MIC 分光光度读数与目视检查之间具有高度一致性。在这里,我们通过目视检查和分光光度读数测试并比较了新型抗真菌药奥洛氟米对曲霉菌属、镰刀菌属和旺盛枝孢霉的活性。测试了临床分离的曲霉菌属( = 686)和镰刀菌属( = 36)和枝孢霉属( = 13)。奥洛氟米 MIC 按照 EUCAST E.Def 9.4 程序通过目视检查或分光光度读数(与无药对照终点相比,要么 ≥90%要么 ≥95%的真菌生长抑制终点的组合,以及不同的波长[405nm、450nm、492nm、540nm 和 620nm])进行评估。我们观察到奥洛氟米对所有测试的曲霉菌属均具有高度的活性(MIC 最高可达 0.06mg/L),除了 A. calidoustus 之外,对镰刀菌属和枝孢霉属也具有活性(MIC 最高可达 0.125mg/L)。在 ≥492nm 的波长下, ≥90%的真菌生长抑制终点的组合与烟曲霉具有高度的基本一致性,与非曲霉属、镰刀菌属和枝孢霉属的一致性较差,尽管研究的分离株数量较少。这项单中心研究表明,奥洛氟米对烟曲霉的 MIC 通过目视检查和分光光度读数( ≥90%的真菌生长抑制终点和 ≥492nm 的波长)具有高度一致性,并且对非曲霉属、镰刀菌属和枝孢霉属也有令人鼓舞的结果。

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