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[Untitled]
- Source :
- Mycopathologia. 152:135-142
- Publication Year :
- 2000
- Publisher :
- Springer Science and Business Media LLC, 2000.
-
Abstract
- In the last five years, as HAART has become standard therapy in HIV seropositive or AIDS patients, changes have been noted in the numbers and types of opportunistic fungal infections in these cohorts of patients. Particularly, oropharyngeal candidiasis have become rare in HIV infected patients since the introduction of new anti-HIV drugs of the protease inhibitors type. At the Immunology Institute of the Universidad Central de Venezuela the most frequent protease inhibitors (PIs) used for the treatment of these patients have been: Nelfinavir (ViraceptTM, Roche),Indinavir (Crixivan® Merck),Ritonavir (Norvir®, Abbott),Saquinavir (Fortovase®, Roche).Recently, we observed that recurrent candidiasis was less frequent and no Candidacould be isolated in our patients. A direct relation to the PIs was suspected. In order to assess the “in vitro” antifungal activity of the afore mentioned protease inhibitors on Candida sp., we used both the well diffusion test and the NCCLS broth microdilution test to assay 100 Candida sp. isolates from HIV seropositive or AIDS patients with syntomatic oropharyngeal Candida infection. In general, the data obtained with the well diffusion test were in agreement with those obtained by the broth microdilution test. All 100 isolates were susceptible to Saquinavir and 32 were susceptible to Indinavir using the NCCLS microdilution test,while 97 were susceptible to Saquinavir and 52 to Indinavir by the well diffusion test. From 17 C. albicans resistant to fluconazole, all were susceptible to Saquinavir by the NCCLS micro method and 16 by the well diffusion test. Our results showed anticandidal activity “in vitro” of PIs, mainly Saquinavir.
- Subjects :
- viruses
Veterinary (miscellaneous)
Broth microdilution
virus diseases
biochemical phenomena, metabolism, and nutrition
Biology
Applied Microbiology and Biotechnology
Microbiology
Virology
Oropharyngeal Candidiasis
Nelfinavir
Indinavir
medicine
Protease inhibitor (pharmacology)
Ritonavir
Agronomy and Crop Science
Saquinavir
Fluconazole
medicine.drug
Subjects
Details
- ISSN :
- 0301486X
- Volume :
- 152
- Database :
- OpenAIRE
- Journal :
- Mycopathologia
- Accession number :
- edsair.doi...........fd9e87e2b4204d3c4c9c7ebe54aa0dde
- Full Text :
- https://doi.org/10.1023/a:1013175706355