Hantschke D, Götz H
Z Hautkr. 1981 Oct 15;56(20):1326-33.
The antibiotic griseofulvin has been used for more than two decades in the treatment of dermatophyte-induced mycoses. During the first 10 years of use griseofulvin-resistant dermatophytes were demonstrated only in a few cases. During the seventies we did not find an increase in these strains. During this period of time the total number of dermatophytes studied by us was 489 of which 5 proved resistant, that is 4 strains of Trichophyton rubrum and one strain of Trichophyton mentagrophytes, which were still growing at a concentration of 100 gamma griseofulvin per ml culture medium. We consider these strains to have a secondary resistance and did not observe dermatophytes with a primary resistance. Accordingly, the number of non-responders cannot generally be explained by the presence of resistant dermatophytes, but rather by other reasons which have already been discussed. For the time being the problem of an increasing incidence of griseofulvin-resistant dermatophytes does not exist.
抗生素灰黄霉素已用于治疗皮肤癣菌引起的真菌病二十多年。在使用的最初10年里,仅在少数病例中发现了对灰黄霉素耐药的皮肤癣菌。在七十年代,我们未发现这些菌株有所增加。在此期间,我们研究的皮肤癣菌总数为489株,其中5株被证明耐药,即4株红色毛癣菌和1株须癣毛癣菌,它们在每毫升培养基含100微克灰黄霉素的浓度下仍能生长。我们认为这些菌株具有继发性耐药性,未观察到原发性耐药的皮肤癣菌。因此,一般不能用耐药皮肤癣菌的存在来解释无反应者的数量,而应归因于已讨论过的其他原因。目前不存在灰黄霉素耐药皮肤癣菌发病率增加的问题。