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Author:

Jiang, Wei-Su (Jiang, Wei-Su.) | Chen, Rong (Chen, Rong.) | Tan, Sheng-Shun (Tan, Sheng-Shun.) | Chen, Qing-Xiu (Chen, Qing-Xiu.)

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Scopus CSCD PKU SCOPUS

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.

Keyword:

Candida albicans Fluconazole Itraconazole Terbinafine

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Source :

Chinese Journal of Antibiotics

ISSN: 1001-8689

Year: 2005

Issue: 9

Volume: 30

Page: 568-571

Cited Count:

WoS CC Cited Count: 0

SCOPUS Cited Count:

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 4

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