title: [Comparison of seven methods of in vitro susceptibility testing of clinical yeast isolates against fluconazole].
abstract: Four commercially available in vitro test systems (Candifast, E-test, Mycototal, Spiral-Gradient Endpoint Method), agardiffusion with 25 micrograms fluconazole paper test discs and 15 micrograms test tablets, and agardilution were compared to the microbroth dilution method by fluconazole susceptibility testing of 145 clinical isolates. In addition, the culture media provided or recommended by the manufacturers of the test systems were compared to the high resolution (HR) antifungal test medium. With all currently available culture media growth problems (inhibition or delayed growth of the clinical isolates) occurred with solid or semi-solid media. With minor improvements, HR medium demonstrated the most reproducible and comparable results (supplementation with asparagine and deletion of sodium hydrogen carbonate). Best correlation to microdilution was obtained by the agardilution method > (95% concordance) followed by the spiral gradient endpoint method (85%), Candifast (83%), Mycototal (81%) and the E-test (78%). Regression analysis demonstrated good correlation between agardiffusion and micro-/agardilution(r > 0.9).
authors.affiliation: Microbiology R&D, Pfizer/Mack Laboratories, Illertissen, BR Deutschland.
authors.forename: A F
authors.initials: AF
authors.lastname: Schmalreck
authors.forename: I
authors.initials: I
authors.lastname: Kottmann
authors.forename: A
authors.initials: A
authors.lastname: Reiser
authors.forename: U
authors.initials: U
authors.lastname: Ruffer
authors.forename: E
authors.initials: E
authors.lastname: Scharr
authors.forename: E
authors.initials: E
authors.lastname: Vanca
mesh_terms: D002175:Candida / Q000187:drug effects / Q000302:isolation & purification; D015725:Fluconazole / Q000633:toxicity*; D005658:Fungi / Q000187:drug effects* / Q000254:growth & development / Q000302:isolation & purification; D006801:Humans; D008826:Microbial Sensitivity Tests / Q000379:methods*; D009181:Mycoses / Q000382:microbiology*
chemical_list: D015725:Fluconazole
vernacular_title: Ein Vergleich von sieben Methoden zur In-vitro-Empfindlichkeitsprüfung von klinischen Hefe-Isolaten gegenüber Fluconazol.