Lacassin F, Damond F, Chochillon C, Longuet P, Lebras J, Vilde J L, Leport C
Department of Infectious Tropical Diseases, Bichat-Claude Bernard Hospital, Paris, France.
Antimicrob Agents Chemother. 1996 Aug;40(8):1961-3. doi: 10.1128/AAC.40.8.1961.
The MICs of fluconazole for strains of Candida species and the levels of fluconazole in serum were determined at day 0 and day 14 for 23 human immunodeficiency virus-infected patients with oral candidiasis who were treated orally with 100 mg of fluconazole per day for 14 days. Among the 23 patients, 11 (48%) were not clinically cured and had persistent isolation of Candidiasis albicans (n = 10) and/or presence of non-C. albicans (n = 6). Clinical response could be predicted by the susceptibility of the strain to fluconazole determined at day 0. All 12 patients who were cured were infected with a strain for which the MIC was < 0.78 mg/liter. All four patients who were infected with a strain for which the MIC was > 3.12 mg/liter experienced clinical failure. These data suggest that a C. albicans strain could be defined as being susceptible when the MIC of fluconazole is < 0.78 mg/liter and as being resistant when the MIC is > 3.12 mg/liter.
对23例口腔念珠菌病的人类免疫缺陷病毒感染患者进行了研究,这些患者每天口服100毫克氟康唑,持续14天,在第0天和第14天测定了念珠菌属菌株对氟康唑的最低抑菌浓度(MIC)以及血清中的氟康唑水平。在这23例患者中,11例(48%)未临床治愈,持续分离出白色念珠菌(n = 10)和/或非白色念珠菌(n = 6)。临床反应可通过第0天测定的菌株对氟康唑的敏感性来预测。所有12例治愈的患者感染的菌株MIC均< 0.78毫克/升。所有4例感染的菌株MIC> 3.12毫克/升的患者均出现临床失败。这些数据表明,当氟康唑的MIC< 0.78毫克/升时,白色念珠菌菌株可被定义为敏感,当MIC> 3.12毫克/升时可被定义为耐药。