Otcenásek M, Péc J, Moravcík P
Cas Lek Cesk. 1993 Jun 28;132(13):406-9.
The authors evaluated the effectiveness of naftifin on a broad spectrum of 42 types of agents causing mycoses. Using the microdilution method, the authors assessed minimal inhibiting concentrations (MIC) of this antimycotic agent in 107 clinical isolates. Naftifin displayed a selective antifungal activity: excellent sensitivity was found in dermatophytes (MIC 90% = 0.39 mg.l-1), Aspergillae were medium sensitive (MIC = 0.09-12.5 mg.l-1). The majority of yeasts and filamentous fungi from the group of Zygomycetes was resistant to naftifin. The therapeutic results in 57 subjects with dermatomycoses corresponded to the results of in vitro tests of the antimycotic agent. Most successful as treatment of dermatophytoses at extra-intertriginous sites and treatment of pityriasis versicolor; manifestation of candidoses were not affected. The commercial preparation used--Fetimin cream--is considered by the authors a suitable alternative of hitherto used local antimycotics, in particular preparations from the azole series.
作者评估了萘替芬对42种引起真菌病的病原体的疗效。作者采用微量稀释法,评估了该抗真菌药物在107株临床分离株中的最低抑菌浓度(MIC)。萘替芬表现出选择性抗真菌活性:在皮肤癣菌中敏感性极佳(MIC 90% = 0.39 mg.l-1),曲霉菌属中度敏感(MIC = 0.09 - 12.5 mg.l-1)。接合菌纲中的大多数酵母菌和丝状真菌对萘替芬耐药。57例皮肤真菌病患者的治疗结果与该抗真菌药物的体外试验结果相符。在治疗非间擦部位的皮肤癣菌病和花斑糠疹方面最为成功;念珠菌病的表现未受影响。作者认为所使用的商业制剂——Fetimin乳膏——是迄今使用的局部抗真菌药物,特别是唑类制剂的合适替代品。