Modified colorimetric assay for susceptibility testing of azole antifungal drugs against Candida species

J Clin Microbiol. 2004 Apr;42(4):1790-3. doi: 10.1128/JCM.42.4.1790-1793.2004.

Abstract

We modified a rapid susceptibility assay (RSA) for antifungal susceptibility testing of azoles based upon glucose utilization. This modified RSA method provides quantitative endpoint readings in 6 h. In this study, the modified RSA and the National Committee for Clinical Laboratory Standards M27-A methods were used to determine the MICs of fluconazole and itraconazole for 118 Candida isolates. Yeast nitrogen base containing 0.12 g of glucose per liter was used for the modified RSA method. For fluconazole, agreement among assays within one or two twofold dilutions was 72.9 and 88.1%, respectively; for itraconazole, agreement within one or two twofold dilutions was 82.2 and 89.8%, respectively. These data suggest that the modified RSA method is a reliable and rapid method for azole antifungal susceptibility testing against Candida species.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antifungal Agents / pharmacology
  • Azoles / pharmacology*
  • Candida / classification
  • Candida / drug effects*
  • Candida / metabolism
  • Colorimetry
  • Culture Media
  • Fluconazole / pharmacology
  • Glucose / metabolism*
  • Humans
  • Itraconazole / pharmacology
  • Microbial Sensitivity Tests / methods
  • Microbial Sensitivity Tests / standards

Substances

  • Antifungal Agents
  • Azoles
  • Culture Media
  • Itraconazole
  • Fluconazole
  • Glucose