2012, Number 2
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Rev Salud Publica Nutr 2012; 13 (2)
Differences between agar dilution, broth macrodilution (clsi m27-a3) and e test (ab biodisk) for fluconazole resistance in clinical candida albicans isolates
Robledo-Leal E, Adame-Rodriguez JM, González GM, Aréchiga-Carvajal ET
Language: English
References: 15
Page:
PDF size: 54.35 Kb.
ABSTRACT
Susceptibility assays performed by agar dilution (AD) were compared to M27-A3 broth macrodilution (BMD)
methodology (Clinical Laboratory and Standards Institute) and E test (AB BIODISK) in order to determine the
feasibility and reliability of agar dilution as an unexpensive test for fluconazole (FLC) susceptibility assays against
Candida albicans. A total of 40 strains were used. All of the isolates resulted in agreement for BMD and E test. 19
isolates showed agreement between all three methods. Of the 21 divergent results, 20 resulted in higher MIC for AD
and 15 of those were =64 μg/ml. Cell density due to proportional contact of cells with the drug in medium may be
responsible for the results obtained and the divergence of AD compared to the other tests. AD can’t reliably substitute
neither BMD nor E test, but it may be helpful as a preliminary resistance test for strain susceptibility classification in
laboratory research.
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