Pfaller M A, Arikan S, Lozano-Chiu M, Chen Y, Coffman S, Messer S A, Rennie R, Sand C, Heffner T, Rex J H, Wang J, Yamane N
Department of Pathology, University of Iowa, Iowa City, Iowa 52242, USA.
J Clin Microbiol. 1998 Sep;36(9):2609-12. doi: 10.1128/JCM.36.9.2609-2612.1998.
A method using a commercially prepared colorimetric microdilution panel (ASTY; Kyokuto Pharmaceutical Industrial Co., Ltd.) was compared in four different laboratories with the National Committee for Clinical Laboratory Standards (NCCLS) reference microdilution method by testing 802 clinical isolates of Candida spp. (C. albicans, C. glabrata, C. tropicalis, C. parapsilosis, C. krusei, C. lusitaniae, C. guilliermondii, C. lipolytica, C. rugosa, and C. zeylanoides) against amphotericin B, 5-fluorocytosine (5FC), fluconazole, and itraconazole. Reference MIC endpoints were established after 48 h of incubation, and ASTY endpoints were established after 24 and 48 h of incubation. ASTY endpoints were determined to be the time at which the color of the first well changed from red (indicating growth) to purple (indicating growth inhibition) or blue (indicating no growth). Excellent agreement (within 2 dilutions) between the reference and colorimetric MICs was observed. Overall agreement was 93% at 24 h and 96% at 48 h. Agreement ranged from 90% with itraconazole and 5FC to 96% with amphotericin B at 24 h and from 92% with itraconazole to 99% with amphotericin B and 5FC at 48 h. The ASTY colorimetric microdilution panel method appears to be comparable to the NCCLS reference method for testing the susceptibilities of Candida spp. to a variety of antifungal agents.
通过使用市售比色微量稀释板(ASTY;日本协和发酵麒麟株式会社)的方法,在四个不同实验室中,对802株念珠菌属临床分离株(白色念珠菌、光滑念珠菌、热带念珠菌、近平滑念珠菌、克柔念珠菌、葡萄牙念珠菌、季也蒙念珠菌、解脂念珠菌、皱落念珠菌和锡兰念珠菌)进行了测试,以比较该方法与美国国家临床实验室标准委员会(NCCLS)参考微量稀释法对两性霉素B、5-氟胞嘧啶(5FC)、氟康唑和伊曲康唑的药敏情况。孵育48小时后确定参考最小抑菌浓度(MIC)终点,孵育24小时和48小时后确定ASTY终点。ASTY终点被确定为第一个孔的颜色从红色(表明生长)变为紫色(表明生长抑制)或蓝色(表明无生长)的时间。观察到参考MIC和比色MIC之间具有极佳的一致性(在2个稀释度范围内)。24小时时总体一致性为93%,48小时时为96%。24小时时,一致性范围从伊曲康唑和5FC的90%到两性霉素B的96%;48小时时,从伊曲康唑的92%到两性霉素B和5FC的99%。ASTY比色微量稀释板法在检测念珠菌属对多种抗真菌药物的敏感性方面似乎与NCCLS参考方法相当。