Etest for assessing the susceptibility of filamentous fungi

Acta Microbiol Immunol Hung. 2004;51(3):271-81. doi: 10.1556/AMicr.51.2004.3.5.

Abstract

The purpose of this study was to evaluate the Etest as an in vitro antifungal susceptibility test method for different moulds originating from human samples and from the environment. A total of 50 isolates (1 Acremonium, 18 Aspergillus, 2 Cladosporium, 1 Epicoccum, 15 Penicillium, 2 Scopulariopsis and 11 Trichoderma strains) were tested by the Etest. Forty-six of the tested moulds (92%) were resistant to fluconazole with minimal inhibitory concentrations (MICs) > or = 256 microg ml(-1). There were strains resistant to ketoconazole among Aspergillus niger, A. ochraceus and Cladosporium spp. with MICs > 32 microg ml(-1). For fluconazole, no differences were observed using two different inocula, while for itraconazole, ketoconazole and amphotericin B, a 1 or less step 2-fold dilution difference in MIC was seen for the most of 10 selected strains. The MICs of fluconazole and amphotericin B obtained for Trichoderma strains by the Etest and the agar dilution method were also compared. MICs for fluconazole were in agreement, while MICs for amphotericin B were higher with 1 or 2 steps of 2-fold dilutions for most of Trichoderma strains in the case of the agar dilution method.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antifungal Agents / pharmacology*
  • Culture Media
  • Fluconazole / pharmacology
  • Fungi / drug effects*
  • Itraconazole / pharmacology
  • Ketoconazole / pharmacology
  • Microbial Sensitivity Tests / methods*
  • Microbial Sensitivity Tests / standards
  • Microbial Sensitivity Tests / statistics & numerical data
  • Mycoses / microbiology
  • Quality Control
  • Reproducibility of Results

Substances

  • Antifungal Agents
  • Culture Media
  • Itraconazole
  • Fluconazole
  • Ketoconazole