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呼吸道模拟培养基对抗真菌药敏试验的影响。

The impact of respiratory tract mimicking media on antifungal susceptibility testing.

作者信息

Vahedi-Shahandashti Roya, Hofer Isabella, Leighton Hollie, Fothergill Joanne L, Neill Daniel R, Lass-Flörl Cornelia

机构信息

Institute of Hygiene and Medical Microbiology, Medical University of Innsbruck, Innsbruck, Austria.

Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, , Liverpool, United Kingdom.

出版信息

Antimicrob Agents Chemother. 2025 Aug 6;69(8):e0022525. doi: 10.1128/aac.00225-25. Epub 2025 Jun 17.

DOI:10.1128/aac.00225-25
PMID:40525409
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12327005/
Abstract

The rise in antifungal resistance and changing epidemiology underscores the need to improve antifungal susceptibility testing. This study tested the standard medium RPMI and healthy lung and sinus media against , , and species. showed greater variability in minimum inhibitory concentrations (MICs) compared with molds, with higher MICs in respiratory tract-mimicking media than in RPMI. was the most affected mold, showing higher MICs for certain antifungals in these media.

摘要

抗真菌耐药性的上升和流行病学的变化凸显了改进抗真菌药敏试验的必要性。本研究针对[具体菌种1]、[具体菌种2]和[具体菌种3],对标准培养基RPMI以及健康肺组织和鼻窦组织培养基进行了测试。与霉菌相比,[具体菌种1]在最低抑菌浓度(MICs)方面表现出更大的变异性,在模拟呼吸道的培养基中的MICs高于在RPMI中的。[具体菌种2]是受影响最大的霉菌,在这些培养基中对某些抗真菌药物表现出较高的MICs。

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本文引用的文献

1
The Influence of Medium Composition on EUCAST and Etest Antifungal Susceptibility Testing.培养基成分对欧洲抗菌药物敏感性试验委员会(EUCAST)和Etest法抗真菌药敏试验的影响
J Fungi (Basel). 2023 Sep 27;9(10):973. doi: 10.3390/jof9100973.
2
Phase-Dependent Differential In Vitro and Ex Vivo Susceptibility of and to Azole Antifungals.烟曲霉和黄曲霉对唑类抗真菌药物的阶段依赖性体外和离体敏感性差异
J Fungi (Basel). 2023 Sep 26;9(10):966. doi: 10.3390/jof9100966.
3
Development of liquid culture media mimicking the conditions of sinuses and lungs in cystic fibrosis and health.模拟囊性纤维化和健康人群鼻窦和肺部条件的液体培养基的开发。
F1000Res. 2022 Sep 7;11:1007. doi: 10.12688/f1000research.125074.2. eCollection 2022.
4
and the Interplay with Amphotericin B: from Resistance to Tolerance?与两性霉素 B 的相互作用:从耐药到耐受?
Antimicrob Agents Chemother. 2022 Apr 19;66(4):e0227421. doi: 10.1128/aac.02274-21. Epub 2022 Mar 7.
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Glutamine metabolism modulates azole susceptibility in amastigotes.谷氨酰胺代谢调节无鞭毛体对唑类药物的敏感性。
Elife. 2020 Dec 1;9:e60226. doi: 10.7554/eLife.60226.
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Factors influencing susceptibility testing of antifungal drugs: a critical review of document M27-A4 from the Clinical and Laboratory Standards Institute (CLSI).影响抗真菌药物敏感性试验的因素:对临床和实验室标准协会(CLSI)文件M27 - A4的批判性综述
Braz J Microbiol. 2020 Dec;51(4):1791-1800. doi: 10.1007/s42770-020-00354-6. Epub 2020 Aug 5.
7
Antifungal Susceptibility Testing: Current Approaches.抗真菌药物敏感性测试:当前方法。
Clin Microbiol Rev. 2020 Apr 29;33(3). doi: 10.1128/CMR.00069-19. Print 2020 Jun 17.
8
Opportunistic bacterial, viral and fungal infections of the lung.肺部的机会性细菌、病毒和真菌感染。
Medicine (Abingdon). 2016 Jun;44(6):378-383. doi: 10.1016/j.mpmed.2016.03.015. Epub 2016 May 5.
9
Do we need to adopt antifungal stewardship programmes?我们是否需要采用抗真菌药物管理计划?
Eur J Hosp Pharm. 2020 Jan;27(1):14-18. doi: 10.1136/ejhpharm-2017-001467. Epub 2018 Jun 28.
10
Treatment of invasive aspergillosis: Polyenes, echinocandins, or azoles?侵袭性曲霉病的治疗:多烯类、棘白菌素类还是唑类?
Med Mycol. 2006 Sep 1;44(Supplement_1):S357-S362. doi: 10.1080/13693780600826715.