Document Detail


In vitro susceptibility of Pythium insidiosum and a Lagenidium sp to itraconazole, posaconazole, voriconazole, terbinafine, caspofungin, and mefenoxam.
MedLine Citation:
PMID:  18980428     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the radial growth assay for use in in vitro susceptibility testing of Pythium insidiosum and a Lagenidium sp and to assess susceptibility of representative isolates to itraconazole, posaconazole, voriconazole, terbinafine, caspofungin, and mefenoxam. SAMPLE POPULATION: 6 isolates each of P insidiosum and Lagenidium sp. PROCEDURES: Isolates were plated in triplicate onto agar supplemented with antifungal compounds at concentrations of 0.025 to 8 microg/mL. Isolates on dimethyl sulfoxide- and water-supplemented agar served as control samples. Effect of antifungal concentration on colony diameter was assessed with a mixed linear model. Assay variability was assessed with the coefficient of variation. RESULTS: Colony growth was uniform (mean intra-assay and interassay coefficients of variation were < 5%). Minimal inhibition was evident with voriconazole and posaconazole at 8 microg/mL. Terbinafine at 8 microg/mL significantly reduced growth of P insidiosum and at > or = 1 microg/mL significantly reduced growth of the Lagenidium sp. Caspofungin and mefenoxam (concentrations > or = 1 microg/mL and > or = 0.025 microg/mL, respectively) significantly reduced growth of both pathogens. Mefenoxam at 0.1 microg/mL caused > 50% growth inhibition in 11 of 12 isolates and at 1 microg/mL caused > 90% inhibition in all isolates. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggested that the radial growth assay was a simple, reproducible technique for susceptibility testing of P insidiosum and a Lagenidium sp. Azoles had limited activity, whereas terbinafine and caspofungin caused significant but minimal to moderate inhibition. Only mefenoxam had a profound effect on both pathogens at concentrations likely to be achievable in tissues.
Authors:
Tina A Brown; Amy M Grooters; Giselle L Hosgood
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Publication Detail:
Type:  Comparative Study; In Vitro; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of veterinary research     Volume:  69     ISSN:  0002-9645     ISO Abbreviation:  Am. J. Vet. Res.     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-11-04     Completed Date:  2008-12-16     Revised Date:  2009-03-31    
Medline Journal Info:
Nlm Unique ID:  0375011     Medline TA:  Am J Vet Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1463-8     Citation Subset:  IM    
Affiliation:
Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA 70803, USA.
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MeSH Terms
Descriptor/Qualifier:
Alanine / analogs & derivatives,  pharmacology
Anti-Infective Agents / pharmacology*
Echinocandins / pharmacology
Itraconazole / pharmacology
Lagenidium / drug effects*,  growth & development
Microbial Sensitivity Tests
Naphthalenes / pharmacology
Pyrimidines / pharmacology
Pythium / drug effects*,  growth & development
Triazoles / pharmacology
Chemical
Reg. No./Substance:
0/Anti-Infective Agents; 0/Echinocandins; 0/Naphthalenes; 0/Pyrimidines; 0/Triazoles; 0/caspofungin; 0/mefenoxam; 0/posaconazole; 0/voriconazole; 56-41-7/Alanine; 84625-61-6/Itraconazole; 91161-71-6/terbinafine
Comments/Corrections
Comment In:
Am J Vet Res. 2009 Feb;70(2):163; author reply 163   [PMID:  19231944 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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