某三级医院分离的皮癣菌抗真菌药敏模式的研究

Vanathi Sabtharishi, R. Katragadda, T. Ravinder
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引用次数: 6

摘要

近年来,由于世界范围内抗真菌治疗的使用增加,抗真菌药物的耐药性也增加了。皮肤真菌感染会引起浅表真菌病,影响皮肤、头发和指甲。这些感染更常见,抗真菌药物被用于治疗这些常见感染。目的:对某三级医院皮肤科门诊患者皮肤真菌分离株的抗真菌药敏模式进行研究。采集毛发、指甲、皮肤刮痕等标本217份,进行皮癣菌分离。采用微肉汤稀释法对皮肤真菌进行药敏试验。抗真菌药物有灰黄霉素、氟康唑、伊曲康唑和酮康唑。对每种药物对真菌分离株的最低抑菌浓度进行了测试并对结果进行了研究。氟康唑的MIC值在1 ~ 8µg/ml范围内较高。微肉汤稀释法对伊曲康唑的MIC值最低。由于标准指南和方案的局限性,必须对抗真菌药物的效果进行细致的研究,并得出普遍可执行的指南。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A study on the antifungal susceptibility pattern of dermatophytes isolated in a tertiary care hospital
Recent years, due to increased usage of antifungal treatment worldwide, there is an increased chance of rising resistance among antifungal drugs too. Dermatophytic infections causes’ superficial mycosis and it affects skin, hair and nail. These infections are more common and antifungal drugs are used everywhere to treat those common infections. To conduct a study by determining the antifungal susceptibility pattern in dermatophytic isolates from patients attending dermatology OPD in a tertiary care hospital. A total of 217 samples like hair, nail and skin scrapings were obtained and isolation of dermatophytes was done. Antifungal susceptibility testing for dermatophytes was performed by micro broth dilution method. Antifungal drugs tested were Griseofulvin, Fluconazole, Itraconazole and Ketoconazole. Minimum inhibitory concentration for each drug for fungal isolates was tested and results studied. Fluconazole showed a higher MIC values in the range of 1-8µg/ml. Itraconazole showed the lowest MIC values by micro broth dilution method. Since there is limitation of standard guidelines and protocol, meticulous research must be conducted on effect of antifungals and derive at universally implementable guidelines.
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