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Abstract:
Objective: To investigate the interaction between terbinafine and fluconazole or itraconazole against Candida albicans. Methods: The minimum inhibitory concentrations (MIC) of 36 clinical isolates of Candida albicans from genital locus was determined by broth microdilution method recommended by NCCLS. A checkerboard microdilution method was used to study the in vitro interaction of terbinafine with fluconazole or itraconazole. Results: The incidence of Candida albicans resistant isolates were 8.33% (fluconazole), 11.11% (itraconazole) and 16.67% (terbinalfine). The geometric mean MIC of terbinafine combinated with fluconazole was significantly lower than that of the single agent (t = 3.590, P<0.05; t = 3.25, P<0.05). Forty-two percent (15/36) of interactions were synergy, fifty percent (18/36) additive, and eight percent (3/36) indifferent. Terbinafine in combination with itraconazole significantly reduced the geometric mean MIC than the single agent (t = 3.849, P<0.001; t = 2.409, P<0.05). 39% (14/36) of interactions were synergy, 47% (17/36) were additive, and 14% (5/36) were indifferent. Antagonism was not observed in any drug combination. Conclusions: The combination of terbinafine with either fluconazole or itraconazole can produce synergism and /or addition in most strains of Candida albicans in vitro.
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Chinese Journal of Antibiotics
ISSN: 1001-8689
Year: 2005
Issue: 9
Volume: 30
Page: 568-571
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WoS CC Cited Count: 0
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ESI Highly Cited Papers on the List: 0 Unfold All
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Chinese Cited Count:
30 Days PV: 4
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