THE IN VITRO ANTIFUNGAL ACTIVITIES OF FLLJCONAZOLE AGAINST PATHOGENIC YEASTS RECENTLY ISOLATED FROM CLINICAL SPECIMENS

Abstract

The emergence of Candida albicans resistance to azole antifungal agents have been reported in the U.S. and Europe. We examined the in vitro antifungal activities of fluconazole against clinical isolates collected by seven investigators in three years to examine if a tendency existed toward the development of azole-resistance among fungal isolates in Japan. The following results were obtained:
1. Sensitivities to fluconazole (FLCZ) were determined for yeast-like fungi, including 113 strains isolated in 1993, 149 strains isolated in 1994 and 205 strains isolated in 1995. No significant differences in sensitivities in the three years were detected.
2. Minimum inhibitory concentrations of FLCZ were 0.1-0.78 μg/ml for C. albicans and 3.13-25μg/ml for C. glabrata. Strains with 25 μg/ml of FLCZ's MIC were detected; two strains of C. krusei and one strain each of C. krusei, Trichospron beigelii and Hansenula anomala. No strains with higher than 50 μg/ml MIC of FLCZ were detected.
3.In vitro activities of FLCZ were compared between clinical strains isolated between 1993 and 1995 and clinical strains isolated before the marketing of FLCZ (up to December 1987) or clinical yeasts isolated between 1991 and 1992. No significant differences were observed, suggesting that no tendency existed toward azole resistance among fungal strains examined.