Ketoconazole (KCZ), a recently synthesized water-soluble imidazole derivative, showed a broad antifungal spectrum
in vitro. In the case that inoculum size were 10
6cells/ml, KCZ inhibited the wide range of pathogenic fungi with geometric mean MIC values of 71.6μg/ml against
Candida albicans, 0.62-80μg/ml against another
Candida species, 1.76-7.94μg/ml against yeasts and yeast like fungi except
Candida, 0.63-20μg/ml against dermatophytes, 1.25-2.5μg/ml against dematiaceous fungi, 1.25-20μg/ml against
Aspergillus, 8.41μg/ml against
Sporothrix schenckii, 0.62-5μg/ml against
Trichosporon and 80μg/ml against
Fusarium solani. KCZ was less active against bacteria with the MIC value of over than 100μg/ml against most of the bacteria including
Staphylococcus aureus, Streptococcus pyogenes and anaerobic bacteria. The influences of various factors such as component of assay medium, incubation period, inoculum size, addition of serum and pH of assay medium affecting on MIC values for KCZ were investigated. On Sabouraud's glucose agar medium, the anti-
Candida activity of KCZ were increased about 1, 000 times with the shift of pH of the medium from pH 3 to pH 8.
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