Journal of the Korean Ophthalmological Society 2000;41(5):1054-1061.
Published online May 1, 2000.
The Minimal Inhibitory Concentrations of Antifungal Agents for Clinical Isolates in Fungal Keratitis.
Seung Wan Sohn, Young Ho Hahn
Department of Ophthalmology, Gospel Hospital, The Kosin University, Pusan, Korea.
진균각막염의 원인균주에 대한 항진균제감수성검사
한영호(Young Ho Hahn),손승완(Seung Wan Sohn)
Abstract
This study was performed for the standardization and proper selection of effective antifungal agents by measuring the minimal inhibitory concentra-tions[MICs]of antifungals to fungi, separated from keratitis patients.Two strains of A.fumigatus and single strain of F.solani, A.falciforme, and A . alternata were used for this test.Standard powders of miconazole, itraconazole, clotrimazole, ketoconazole, and amphotericin B were used as antifungal agents. Microscopic and macroscopic measurements of MIC after 24, 48 and 72 hours of inoculation[105 conidia /ml]into YNB broth with culture temperature of 25 degrees C were performed by use of broth microdilution method.The results are as follows : itraconazole, amphotericin B, and clotrimazole were effective against A.fumigatus.F.solani showed resistance to all kinds of antifungal agents.A.falciforme and A.alternata were sensitive to amphotericin B and itraconazole, respectively. Further studies may be needed for the standardized measurement of MIC against filamentous fungi and also for in Vitro-in Vivo correlations for the treatment of fungal keratitis.
Key Words: Antifungal agent;Fungal keratitis;Microscopic minimal inhibitory concentration[MIC];Susceptibility test
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