Effect of increasing inoculum sizes of Aspergillus hyphae on MICs and MFCs of antifungal agents by broth microdilution method

Int J Antimicrob Agents. 2003 Mar;21(3):229-33. doi: 10.1016/s0924-8579(02)00189-9.

Abstract

In order to investigate the influence of different hyphal inoculum sizes on minimal inhibition concentrations (MICs) and minimum fungicidal concentrations (MFCs) of amphotericin B (AMB), voriconazole and itraconazole, five isolates each of Aspergillus fumigatus, Aspergillus flavus, Aspergillus niger and Aspergillus terreus were studied using a broth microdilution method. Three inoculum sizes were used: 1 x 10(3)-5 x 10(3), 1 x 10(4)-5 x 10(4) and 1 x 10(5)-5 x 10(5) cfu/ml. MICs and MFCs were read at 24 and 48 h at 35 degrees C. For all species tested, AMB MICs and MFCs were minimally affected by inoculum size on. However inoculum size significantly affected MICs and MFCs of voriconazole and itraconazole; there was an increase of up to 6-fold in MICs and MFCs for the various aspergilli when the inoculum increased from 10(3) to 10(5) cfu/ml (P<0.05). Thus azoles showed significant inoculum effects, while AMB showed comparatively minimum inoculum effects against Aspergillus spp.

MeSH terms

  • Amphotericin B / administration & dosage
  • Antifungal Agents / administration & dosage*
  • Aspergillus / drug effects*
  • Aspergillus / growth & development
  • Aspergillus / isolation & purification
  • Aspergillus / pathogenicity
  • Aspergillus flavus / drug effects
  • Aspergillus flavus / growth & development
  • Aspergillus fumigatus / drug effects
  • Aspergillus fumigatus / growth & development
  • Aspergillus niger / drug effects
  • Aspergillus niger / growth & development
  • Colony Count, Microbial
  • Dose-Response Relationship, Drug
  • Drug Resistance, Fungal
  • Humans
  • In Vitro Techniques
  • Itraconazole / administration & dosage
  • Pyrimidines / administration & dosage
  • Triazoles / administration & dosage
  • Voriconazole

Substances

  • Antifungal Agents
  • Pyrimidines
  • Triazoles
  • Itraconazole
  • Amphotericin B
  • Voriconazole