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1.
Braz. j. infect. dis ; 22(1): 30-36, Jan.-feb. 2018. tab, graf
Article in English | LILACS | ID: biblio-951621

ABSTRACT

ABSTRACT The in vitro susceptibility of 105 clinical and environmental strains of Aspergillus fumigatus and Aspergillus flavus to antifungal drugs, such as amphotericin B, azoles, and echinocandins was evaluated by the broth microdilution method proposed by the European Committee on Antimicrobial Susceptibility Testing (EUCAST). Following the EUCAST-proposed breakpoints, 20% and 25% of the clinical and environmental isolates of A. fumigatus, respectively, were found to be resistant to itraconazole (Minimal Inhibitory Concentration, MIC > 2.0 mg/L). Voriconazole showed good activity against A. fumigatus and A. flavus strains, except for one clinical strain of A. fumigatus whose MIC was 4.0 mg/L. Posaconazole (≤0.25 mg/L) also showed appreciable activity against both species of Aspergillus, except for six A. fumigatus strains with relatively higher MICs (0.5 mg/L). The MICs for Amphotericin B ranged from 0.06 to 1.0 mg/L for A. fumigatus, but were much higher (0.5-8.0 mg/L) for A. flavus. Among the echinocandins, caspofungin showed a geometric mean of 0.078 and 0.113 against the clinical and environmental strains of A. flavus, respectively, but had elevated minimal effective concentrations (MECs) for seven of the A. fumigatus strains. Anidulafungin and micafungin exhibited considerable activity against both A. fumigatus and A. flavus isolates, except for one environmental isolate of A. fumigatus that showed an MEC of 1 mg/L to micafungin. Our study proposes that a detailed investigation of the antifungal susceptibility of the genus Aspergillus from different regions of Brazil is necessary for establishing a response profile against the different classes of antifungal agents used in the treatment of aspergillosis.


Subject(s)
Humans , Aspergillus flavus/drug effects , Aspergillus fumigatus/drug effects , Antifungal Agents/pharmacology , Aspergillus flavus/isolation & purification , Aspergillus fumigatus/isolation & purification , Reference Values , Brazil , Microbial Sensitivity Tests , Polymerase Chain Reaction , Drug Resistance, Multiple, Fungal
2.
Rev. Soc. Bras. Med. Trop ; 50(4): 554-557, July-Aug. 2017. graf
Article in English | LILACS | ID: biblio-1041421

ABSTRACT

Abstract INTRODUCTION: We compared indicators of oxidative stress in the tissue of mice infected with strains from Sporothrix schenckii complex. METHODS: Mice were inoculated with Sporothrix brasiliensis, Sporothrix schenckii sensu stricto, Sporothrix globosa, Sporothrix mexicana or Sporothrix albicans. The activity of catalase and glutathione were accessed in the liver and spleen. RESULTS: Animals infected with S. brasiliensis exhibited splenomegaly and significant decrease in catalase activity, and protein and non-protein thiol content compared to animals infected with the other species. CONCLUSIONS: Sporothrix brasiliensis exhibits higher pathogenicity compared to other species of the Sporothrix schenckii complex by increasing oxidative stress in animal tissue.


Subject(s)
Humans , Animals , Spleen/microbiology , Sporotrichosis/physiopathology , Oxidative Stress/physiology , Liver/microbiology , Spleen/metabolism , Sporotrichosis/metabolism , Disease Models, Animal , Liver/metabolism , Mice , Mice, Inbred BALB C
3.
Rev. Soc. Bras. Med. Trop ; 50(1): 75-79, Jan.-Feb. 2017. tab
Article in English | LILACS | ID: biblio-842827

ABSTRACT

ABSTRACT INTRODUCTION: This study evaluated the susceptibilities of oral candidiasis-derived Candida albicans, fluconazole-resistant (FR) Candida dubliniensis, and fluconazole-susceptible (FS) C. dubliniensis to synthetic antiseptics [chlorhexidine gluconate (CHX), cetylpyridinium chloride (CPC), and triclosan (TRC)] and natural compounds (carvacrol, eugenol and thymol). METHODS: Susceptibility tests were performed based on the M27-A3 reference method. The fluconazole-resistant C. dubliniensis strains were obtained after prolonged in vitro exposure to increasing fluconazole concentrations. The geometric mean values for minimum inhibitory concentrations and minimum fungicidal concentrations were compared among the groups. RESULTS: Fluconazole-susceptible C. dubliniensis was more sensitive to CPC and TRC than FR C. dubliniensis and C. albicans were. However, eugenol and thymol were more active against FR C. dubliniensis. The fungicidal activities of CHX and TRC were similar for the three groups, and FR C. dubliniensis and C. albicans had similar sensitivities to CPC. CONCLUSIONS: The resistance of C. dubliniensis to fluconazole affects its sensitivity the synthetic antiseptics and natural compounds that were tested.


Subject(s)
Humans , Candida/drug effects , Fluconazole/pharmacology , Anti-Infective Agents, Local/pharmacology , Antifungal Agents/pharmacology , Thymol/pharmacology , Triclosan/pharmacology , Candida/isolation & purification , Candida/classification , Candida albicans/drug effects , Eugenol/pharmacology , Microbial Sensitivity Tests , Cetylpyridinium/pharmacology , Chlorhexidine/pharmacology
4.
Braz. j. infect. dis ; 20(6): 539-545, Nov.-Dec. 2016. tab
Article in English | LILACS | ID: biblio-828164

ABSTRACT

ABSTRACT The antifungal activity of tacrolimus in combination with antifungal agents against different fungal species has been previously reported. Here we report the in vitro interactions between tacrolimus and amphotericin B, fluconazole, itraconazole, and caspofungin against 30 clinical isolates of both fluconazole-susceptible and fluconazole-resistant Trichosporon asahii. For these analyses, we used the broth microdilution method based on the M27-A3 technique and checkerboard microdilution method. Tacrolimus showed no activity against T. asahii strains (minimal inhibitory concentrations, MICs > 64.0 µg mL−1). However, a larger synergistic interaction was observed by the combinations tacrolimus + amphotericin B (96.67%) and tacrolimus + caspofungin (73.33%) against fluconazole-susceptible isolates. Combinations with azole antifungal agents resulted in low rates of synergism for this group (fluconazole + tacrolimus = 40% and itraconazole + tacrolimus = 10%). Antagonistic interactions were not observed. For the fluconazole-resistant T. asahii group, all tested combinations showed indifferent interactions. The synergism showed against fluconazole-susceptible T. asahii isolates suggests that the potential antifungal activity of tacrolimus deserves in vivo experimental investigation, notably, the combination of tacrolimus with amphotericin B or caspofungin.


Subject(s)
Humans , Trichosporon/drug effects , Tacrolimus/pharmacology , Calcineurin Inhibitors/pharmacology , Antifungal Agents/pharmacology , Microbial Sensitivity Tests , Fluconazole/pharmacology , Amphotericin B/pharmacology , Itraconazole/pharmacology , Drug Interactions , Drug Synergism , Echinocandins/pharmacology , Lipopeptides/pharmacology , Caspofungin
5.
Clin. biomed. res ; 36(4): 230-241, 2016. tab
Article in Portuguese | LILACS | ID: biblio-831587

ABSTRACT

As dermatofitoses têm ocorrência mundial, sendo mais prevalentes em países de clima tropical e subtropical. Dados epidemiológicos indicam que essas micoses estão entre as infecções fúngicas de maior ocorrência. O quadro clínico mais comum de dermatofitose inclui despigmentação, placas anulares, prurido e perda de cabelo, com lesões tipicamente conhecidas como tineas, ocasionadas por fungos filamentosos dermatofíticos de três gêneros anamórficos: Microsporum, Trichophyton e Epidermophyton. O tratamento das dermatofitoses, em geral, está relacionado ao uso de antifúngicos tópicos e/ou sistêmicos, apresentando como problemática o surgimento de espécies multirresistentes. Esta revisão aborda as dermatofitoses e seus agentes etiológicos de forma aprofundada em aspectos epidemiológicos, apresentando a importância clínica do tema, com ênfase na causa, prevenção, tratamento e prognóstico dessa micose cutânea (AU)


Dermatophytoses have worldwide occurrence with higher prevalence in tropical and subtropical countries. Epidemiological data show that these mycoses are among the most frequent fungal infections. The most common symptoms of dermatophytoses include depigmentation, annular plaques, itching and hair loss, with lesions such as tinea, caused by dermatophytic filamentous fungi of three anamorphic genera: Microsporum, Trichophyton and Epidermophyton. Topical and/or systemic antifungalmedications are used in the treatment of dermatophytoses in general, resulting in problems such as the emergence of multidrug-resistant species. This review discusses dermatophytoses and their etiological agents with a focus on epidemiological aspects, presenting the clinical importance of the issue, with emphasis on cause, prevention, treatment and prognosis of this skin mycosis (AU)


Subject(s)
Humans , Antifungal Agents/therapeutic use , Arthrodermataceae/classification , Tinea , Coinfection , Tinea/classification , Tinea/diagnosis , Tinea/drug therapy , Tinea/epidemiology , Tinea/etiology , Tinea/microbiology , Tinea/prevention & control
6.
Rev. Inst. Med. Trop. Säo Paulo ; 57(4): 289-294, July-Aug. 2015. tab
Article in English | LILACS | ID: lil-761166

ABSTRACT

SUMMARYSporothrix schenckiiwas reclassified as a complex encompassing six cryptic species, which calls for the reassessment of clinical and epidemiological data of these new species. We evaluated the susceptibility of Sporothrix albicans(n = 1) , S. brasiliensis(n = 6) , S. globosa(n = 1), S. mexicana(n = 1) and S. schenckii(n = 36) to terbinafine (TRB) alone and in combination with itraconazole (ITZ), ketoconazole (KTZ), and voriconazole (VRZ) by a checkerboard microdilution method and determined the enzymatic profile of these species with the API-ZYM kit. Most interactions were additive (27.5%, 32.5% and 5%) or indifferent (70%, 50% and 52.5%) for TRB+KTZ, TRB+ITZ and TRB+VRZ, respectively. Antagonisms were observed in 42.5% of isolates for the TRB+VRZ combination. Based on enzymatic profiling, the Sporothrix schenckiistrains were categorized into 14 biotypes. Leucine arylamidase (LA) activity was observed only for S. albicansand S. mexicana. The species S. globosaand S. mexicanawere the only species without β-glucosidase (GS) activity. Our results may contribute to a better understanding of virulence and resistance among species of the genus Sporothrixin further studies.


RESUMOAvaliou-se a susceptibilidade de Sporothrix albicans(n = 1), S. brasiliensis(n = 1), S. globosa(n = 1), S. mexicana(n = 1) e S. schenckii(n = 36) frente à terbinafina (TRB) e a TRB em combinação com itraconazol (ITZ), cetoconazol (KTZ) e voriconazol (VRZ) pelo método de microdiluição ( checkerboard); o perfil enzimático destas espécies foi também avaliado, com base no kit API-ZYM. A maioria das interações foram aditivas (27,5%, 32,5% e 5%) ou indiferentes (70%, 50% e 52,5%) para TRB+KTZ, TRB+ITZ e TRB+VRZ, respectivamente. Antagonismo foi observado em 42,5% dos isolados para a combinação TRB+VRZ. Com base nos perfis enzimáticos, as cepas de Sporothrix schenckiievidenciaram 14 biotipos distintos. A atividade da leucina arilamidase (LA) só foi observada em S. albicanse S. mexicana.As espécies S. globosae S. mexicanaforam as únicas que não evidenciaram atividade da enzima β-glucosidase (GS). Estes resultados poderão contribuir para um melhor entendimento da virulência e resistência entre as espécies do gênero Sporothrixem futuros estudos.


Subject(s)
Humans , Animals , Cats , Antifungal Agents/pharmacology , Sporothrix/drug effects , Sporothrix/enzymology , Itraconazole/pharmacology , Ketoconazole/pharmacology , Microbial Sensitivity Tests , Naphthalenes/pharmacology , Phylogeny , Voriconazole/pharmacology
7.
Braz. j. microbiol ; 46(1): 125-129, 05/2015. tab
Article in English | LILACS | ID: lil-748244

ABSTRACT

In vitro interaction between tacrolimus (FK506) and four azoles (fluconazole, ketoconazole, itraconazole and voriconazole) against thirty clinical isolates of both fluconazole susceptible and -resistant Candida glabrata were evaluated by the checkerboard microdilution method. Synergistic, indifferent or antagonism interactions were found for combinations of the antifungal agents and FK506. A larger synergistic effect was observed for the combinations of FK506 with itraconazole and voriconazole (43%), followed by that of the combination with ketoconazole (37%), against fluconazole-susceptible isolates. For fluconazole-resistant C. glabrata, a higher synergistic effect was obtained from FK506 combined with ketoconazole (77%), itraconazole (73%), voriconazole (63%) and fluconazole (60%). The synergisms that we observed in vitro, notably against fluconazole-resistant C. glabrata isolates, are promising and warrant further analysis of their applications in experimental in vivo studies.


Subject(s)
Humans , Antifungal Agents/pharmacology , Azoles/pharmacology , Candida glabrata/drug effects , Drug Synergism , Tacrolimus/pharmacology , Candida glabrata/isolation & purification , Candidiasis/microbiology , Drug Resistance, Bacterial , Microbial Sensitivity Tests
8.
Rev. Inst. Med. Trop. Säo Paulo ; 56(6): 477-482, Nov-Dec/2014. tab
Article in English | LILACS | ID: lil-725802

ABSTRACT

The high mortality rates associated with candidemia episodes and the emergence of resistance to antifungal agents necessitate the monitoring of the susceptibility of fungal isolates to antifungal treatments. The new, recently approved, species-specific clinical breakpoints (SS-CBPs)(M27-S4) for evaluating susceptibility require careful interpretation and comparison with the former proposals made using the M27-A3 breakpoints, both from CLSI. This study evaluated the susceptibility of the different species of Candida that were isolated from candidemias based on these two clinical breakpoints. Four hundred and twenty-two isolates were identified and, among them, C. parapsilosis comprised 46.68%, followed by C. albicans (35.78%), C. tropicalis (9.71%), C. glabrata (3.55%), C. lusitaniae (1.65%), C. guilliermondii (1.65%) and C. krusei (0.94%). In accordance with the M27-A3 criteria, 33 (7.81%) non-susceptible isolates were identified, of which 16 (3.79%) were resistant to antifungal agents. According to SS-CBPs, 80 (18.95%) isolates were non-susceptible, and 10 (2.36%) of these were drug resistant. When the total number of non-susceptible isolates was considered, the new SS-CBPs detected 2.4 times the number of isolates that were detected using the M27-A3 interpretative criteria. In conclusion, the detection of an elevated number of non-susceptible species has highlighted the relevance of evaluating susceptibility tests using new, species-specific clinical breakpoints (SS-CBPs), which could impact the profile of non-susceptible Candida spp. to antifungal agents that require continuous susceptibility monitoring.


As elevadas taxas de mortalidade associadas com episódios de candidemia e a emergência da resistência aos antifúngicos, requerem o monitoramento da suscetibilidade de Candida spp., isoladas das candidemias, frente aos agentes antifúngicos. Os novos breakpoints, chamados “espécie-específicos,” foram recentemente aprovados (M27-S4) requerendo, pois, cuidadosa interpretação e comparações com aqueles até agora utilizados (M27-A3); ambos são propostos pelo Clinical Laboratory Standard Institute (CLSI). O presente estudo avaliou a suscetibilidade de espécies de Candida isoladas de candidemias baseando-se nestes dois breakpoints. Quatrocentos e vinte e dois isolados de Candida foram identificados e assim distribuídos: C. parapsilosis (48,68%), C. albicans (35,78%), C. tropicalis (9,71%), C. glabrata (3,55%), C. lusitaniae (1,65%), C. guilliermondii (1,65%), C. krusei (0,94%). Com base nos critérios do M27-A3, um total de 33 (7,81%) isolados foram julgados não-sensíveis, dos quais 16 (3,79%) como resistentes aos antifúngicos. De acordo com os breakpoints espécie-específicos (M27-S4) um total de 80 (18,95%) isolados foram considerados não-sensíveis, dos quais 10 (2,36%) resistentes a algum dos antifúngicos testados. Com base nos novos breakpoints espécie-específicos, o número de isolados não-sensíveis foi 2,4 vezes maior do que o número de não-sensíveis detectado pelos breakpoints do documento M27-A3. A detecção de um elevado número de isolados não-sensíveis através dos breakpoints propostos pelo M27-S4 destaca a importância dos testes de suscetibilidade, os quais trarão impactos no reconhecimento de isolados de Candida spp. não-sensíveis em episódios de candidemias, requerendo, portanto, continua avaliação.


Subject(s)
Humans , Antifungal Agents/pharmacology , Candida/drug effects , Microbial Sensitivity Tests/methods , Candida/classification , Candidemia/microbiology
9.
Rev. Inst. Med. Trop. Säo Paulo ; 56(6): 483-485, Nov-Dec/2014. tab
Article in English | LILACS | ID: lil-725804

ABSTRACT

Candida albicans is often isolated from clinical samples, thus its presumptive differentiation from other species of the same genus can be based on its ability to form the germ tube in human serum. Nevertheless, there are two other species that share this characteristic: C. dubliniensis and C. africana. The aim of this study was to compare four different substrates to perform the germ tube (GT) test. The Candida spp. isolates were identified using a manual system (135 C. albicans, 24 C. tropicalis and one C. dubliniensis). The germ tube test was performed with fresh, previously frozen serum and Mueller-Hinton (MH) broth and agar. GT was observed in 96% (130/136) of the isolates through the fresh serum technique, 94% (128/136) through previously frozen serum, 92% (125/136) in MH agar, and 90% (122/136) in MH broth. The sensitivity of each test was higher than 90%, with 100% specificity. Both the MH agar and broth were able to identify the true positives, and false positives were not found. However, some C. albicans isolates were not identified. MH agar and broth may be used in laboratory for the rapid presumptive identification of C. albicans, as an alternative method for germ tube test.


Candida albicans é frequentemente isolada em amostras clínicas, assim a sua diferenciação presuntiva de outras espécies do gênero pode ser baseada na habilidade em formar o tubo germinativo em soro humano. Entretanto, existem outras duas espécies que também possuem essa característica, C. dubliniensis e C. africana. O objetivo foi comparar quatro diferentes substratos para a realização da prova do tubo germinativo (TG). Utilizou-se isolados de Candida spp. identificados através de meio manual (135 C. albicans, 24 C. tropicalis e um C. dubliniensis). A prova do tubo germinativo foi realizada utilizando soro previamente congelado e fresco, caldo e ágar Mueller-Hinton (MH). O TG através da técnica do soro a fresco foi observado em 96% (130/136), 94% (128/136) através do soro previamente congelado, 92% (125/136) no ágar e 90% (122/136) no caldo MH. A sensibilidade de cada teste foi maior que 90% e especificidade de 100%. Tanto o caldo quanto o ágar MH foram capazes de identificar apenas os verdadeiros positivos e não ocorrendo falsos positivos, porém deixaram de identificar alguns isolados de C. albicans. O ágar e o caldo MH podem ser utilizados na rápida e presuntiva identificação laboratorial de C. albicans, como uma alternativa para o teste do tubo germinativo.


Subject(s)
Humans , Agar/pharmacology , Candida/classification , Culture Media/chemistry , Mycological Typing Techniques/methods , Candida/growth & development , Sensitivity and Specificity , Species Specificity
10.
Rev. Soc. Bras. Med. Trop ; 46(6): 752-758, Nov-Dec/2013. tab
Article in English | LILACS | ID: lil-698057

ABSTRACT

Introduction Candida dubliniensis, a new species of Candida that has been recovered from several sites in healthy people, has been associated with recurrent episodes of oral candidiasis in AIDS and HIV-positive patients. This species is closely related to C. albicans. The enzymatic activity of C. dubliniensis in response to oxidative stress is of interest for the development of drugs to combat C. dubliniensis. Methods Fluconazole- and amphotericin B-resistant strains were generated as described by Fekete-Forgács et al. (2000). Superoxide dismutase (SOD) and catalase assays were performed as described by McCord and Fridovich (1969) and Aebi (1984), respectively. Results We demonstrated that superoxide dismutase (SOD) and catalase activities were significantly higher (p<0.05) in the fluconazole- and amphotericin B-resistant strains of C. dubliniensis and C. albicans than in the sensitive strains. The catalase and SOD activities were also significantly (p<0.01) higher in the sensitive and resistant C. albicans strains than in the respective C. dubliniensis strains. Conclusions These data suggest that C. albicans is better protected from oxidative stress than C. dubliniensis and that fluconazole, like amphotericin B, can induce oxidative stress in Candida; oxidative stress induces an adaptive response that results in a coordinated increase in catalase and SOD activities. .


Subject(s)
Amphotericin B/pharmacology , Antifungal Agents/pharmacology , Candida/drug effects , Candida/enzymology , Catalase/metabolism , Drug Resistance, Fungal , Fluconazole/pharmacology , Superoxide Dismutase/metabolism , Candida albicans/drug effects , Candida albicans/enzymology , Candida/classification , Microbial Sensitivity Tests
11.
Article in English | IMSEAR | ID: sea-151854

ABSTRACT

With the emergence of antimicrobial resistance, it becomes necessary to search for new alternatives for the treatment of infectious diseases. Solanum guaraniticum is a shrub known as jurubeba or false jurubeba that has hepatoprotective and antioxidant activities, used in popular medicine for the treatment of various diseases. The aim of this study was to evaluate the in vitro antimicrobial and antimycobacterial activities of crude extract, chloroforn, ethyl acetate and butanol fractions from its leaves. Good activities were observed for the ethyl acetate fraction against Staphylococcus intermedius and Listeria monocytogenes (MIC = 64 μg/mL) and for the crude extract against Micrococcus luteus (MIC = 32 μg/mL). In general, the extracts showed moderate activity against Gram-positive bacteria, and were inactive against Gram-negative bacteria and fungi. It was also verified considerable activity against Mycobacterium smegmatis, mainly by chloroform fraction (MIC = 156 μg/mL). These results are probably due to the good antioxidant activity and to the presence of high contents of polyphenols, tannins and alkaloids, metabolites known to possess antimicrobial activity. Studies aiming the isolation of compounds are necessary in order to know the main component involved in these activities, since the plant has an antimicrobial potential.

12.
Rev. Soc. Bras. Med. Trop ; 46(3): 340-342, May-Jun/2013. tab
Article in English | LILACS | ID: lil-679510

ABSTRACT

Introduction Candida albicans is a commensal and opportunistic agent that causes infection in immunocompromised individuals. Several attributes contribute to the virulence and pathogenicity of this yeast, including the production of germ tubes (GTs) and extracellular hydrolytic enzymes, particularly phospholipase and proteinase. This study aimed to investigate GT production and phospholipase and proteinase activities in bloodstream isolates of C. albicans. Methods One hundred fifty-three C. albicans isolates were obtained from blood samples and analyzed for GT, phospholipase, and proteinase production. The assays were performed in duplicate in egg yolk medium containing bovine serum albumin and human serum. Results Detectable amounts of proteinase were produced by 97% of the isolates, and 78% of the isolates produced phospholipase. GTs were produced by 95% of the isolates. A majority of the isolates exhibited low levels of phospholipase production and high levels of proteinase production. Conclusions Bloodstream isolates of C. albicans produce virulence factors such as GT and hydrolytic enzymes that enable them to cause infection under favorable conditions. .


Subject(s)
Animals , Cattle , Humans , Candida albicans/enzymology , Candida albicans/growth & development , Peptide Hydrolases/biosynthesis , Phospholipases/biosynthesis , Virulence Factors/biosynthesis , Candida albicans/pathogenicity , Serum Albumin, Bovine
13.
Braz. j. microbiol ; 44(1): 175-178, 2013. tab
Article in English | LILACS | ID: lil-676898

ABSTRACT

Malassezia pachydermatisis associated with dermatomycoses and otomycosis in dogs and cats. This study compared the susceptibility of M. pachydermatis isolates from sick (G1) and healthy (G2) animals to azole and polyene antifungals using the M27-A3 protocol. Isolates from G1 animals were less sensitive to amphotericin B, nystatin, fluconazole, clotrimazole and miconazole.


Subject(s)
Cats , Dogs , Antifungal Agents , Dermatomycoses , Drug Resistance, Fungal , Microbial Sensitivity Tests , Malassezia/isolation & purification , Disease Susceptibility/diagnosis , Methods , Prevalence
14.
Mem. Inst. Oswaldo Cruz ; 107(3): 433-436, May 2012. tab
Article in English | LILACS | ID: lil-624029

ABSTRACT

The extensive use of azole antifungal agents has promoted the resistance of Candida spp to these drugs. Candida glabrata is a problematic yeast because it presents a high degree of primary or secondary resistance to fluconazole. In Brazil, C. glabrata has been less studied than other species. In this paper, we compared the activity of three major classes of antifungal agents (azoles, echinocandins and polyenes) against fluconazole-susceptible (FS) and fluconazole-resistant (FR) C. glabrata strains. Cross-resistance between fluconazole and voriconazole was remarkable. Among the antifungal agents, the echinocandins were the most effective against FS and FR C. glabrata and micafungin showed the lowest minimal inhibitory concentrations.


Subject(s)
Humans , Amphotericin B/pharmacology , Antifungal Agents/pharmacology , Candida glabrata/drug effects , Echinocandins/pharmacology , Fluconazole/pharmacology , Pyrimidines/pharmacology , Triazoles/pharmacology , Candida glabrata/isolation & purification , Drug Resistance, Fungal/drug effects , Lipopeptides/pharmacology , Microbial Sensitivity Tests
15.
Article in Portuguese | LILACS | ID: lil-655417

ABSTRACT

O presente trabalho avaliou a atividade antimicrobiana in vitro do extrato hidroetanólico e frações hexânica, clorofórmica, acetato de etila e butanólica das folhas de Morus alba L. A concentração inibitória mínima (CIM) foi determinada frente à Escherichia coli, Staphylococcus aureus, Pseudomonas aeruginosa, Candida albicans, Aspergillus fumigatus e Prothoteca zophii. As frações que apresentaram melhores respostas para a atividade antimicrobiana foram acetato de etila e clorofórmica com CIM de 256 ?g/mL. Não foi possível detectar atividade antimicrobiana para Aspergillus fumigatus em nenhuma das concentrações testadas. A citotoxidade do extrato hidroetanólico foi avaliada através de culturas de células de ovário de hamster chinês (CHO) e células do tecido conectivo de camundongo (NCTC) clone 929, determinando o índice de citotoxidade (IC50). O IC50 foi de 0,34 mg/mL para as células CHO e 3,24 mg/mL para as células NCTC 929. De modo geral, as frações acetato de etila e clorofórmica das folhas de M. alba L. apresentaram moderada atividade antimicrobiana e o extrato bruto demonstrou ação citotóxica in vitro frente as células CHO e NCTC 929.


This study evaluated the in vitro antimicrobial activity of hydroethanolic extract and hexane, chloroform, ethyl acetate and butanol fractions from Morus alba L. leaves. The minimum inhibitory concentration (MIC) was determined using Escherichia coli, Staphylococcus aureus, Pseudomonas aeruginosa, Candida albicans, Aspergillus fumigatus and Prothoteca zophii. The fractions that better responded the antimicrobial activity were ethyl acetate and chloroform with CIM of 256 ?g/mL. It was unable to detect antimicrobial activity for Aspergillus fumigatus in the tested concentrations. The cytotoxicity of the hydroethanolic extract was evaluated by cell cultures of chinese hamster ovary (CHO) and connective tissue of mouse clone 929 (NCTC), determining the level of cytotoxicity (IC50). The IC50 obtained was 0.34 mg/mL for CHO and 3.24 mg/ml for NCTC 929 cells. In general, ethyl acetate and chloroform fractions from M. alba L. leaves showed moderate antimicrobial activity and its extract presented in vitro cytotoxicity against CHO and NCTC 929 cells.


Subject(s)
Anti-Infective Agents , Moraceae , Morus
16.
Braz. j. infect. dis ; 16(1): 78-81, Jan.-Feb. 2012. tab
Article in English | LILACS | ID: lil-614555

ABSTRACT

In the present study we used two groups of Candida dubliniensis strains: one containing fluconazole-susceptible clinical isolates and another containing fluconazole-resistant laboratory derivative from the former to examine the changes on susceptibility accompanying the development of resistance to fluconazole. Our findings confirmed the ability of C. dubliniensis isolates to become resistant to fluconazole and indicated that this resistance was crossed with ketoconazole, itraconazole, ravuconazole and terbinafine. We also tested combinations of terbinafine, amphotericin B, itraconazole and voriconazole against both groups of isolates in a checkerboard assay. Surprisingly, most combinations evidenced indifferent interactions, and the best synergism appeared when terbinafine and itraconazole were combined against the fluconazole-resistant group.


Subject(s)
Antifungal Agents/pharmacology , Candida/drug effects , Drug Resistance, Fungal/drug effects , Fluconazole/pharmacology , Candida/classification , Drug Synergism , Drug Therapy, Combination , Microbial Sensitivity Tests/methods
17.
Braz. j. microbiol ; 42(4): 1616-1624, Oct.-Dec. 2011. tab
Article in English | LILACS | ID: lil-614628

ABSTRACT

Mexican oregano (Lippia graveolens) is a plant found in Mexico and Central America that is traditionally used as a medicinal herb. In the present study, we investigated the antiviral activity of the essential oil of Mexican oregano and its major component, carvacrol, against different human and animal viruses. The MTT test (3-4,5-dimethythiazol-2yl)-2,5-diphenyl tetrazolium bromide) was conducted to determine the selectivity index (SI) of the essential oil, which was equal to 13.1, 7.4, 10.8, 9.7, and 7.2 for acyclovir-resistant herpes simplex virus type 1 (ACVR-HHV-1), acyclovir-sensitive HHV-1, human respiratory syncytial virus (HRSV), bovine herpesvirus type 2 (BoHV-2), and bovine viral diarrhoea virus (BVDV), respectively. The human rotavirus (RV) and BoHV-1 and 5 were not inhibited by the essential oil. Carvacrol alone exhibited high antiviral activity against RV with a SI of 33, but it was less efficient than the oil for the other viruses. Thus, Mexican oregano oil and its main component, carvacrol, are able to inhibit different human and animal viruses in vitro. Specifically, the antiviral effects of Mexican oregano oil on ACVR-HHV-1 and HRSV and of carvacrol on RV justify more detailed studies.


Subject(s)
Humans , Animals , Antiviral Agents , DNA Viruses , In Vitro Techniques , Lippia mexicana/analysis , Oils, Volatile , Plants, Medicinal , RNA, Viral , Verbenaceae/genetics , Methods , Methods
18.
Rev. Soc. Bras. Med. Trop ; 44(5): 648-650, Sept.-Oct. 2011. ilus, tab
Article in Portuguese | LILACS | ID: lil-602915

ABSTRACT

As infecções causadas por Dipodascus capitatus são raras e de difícil tratamento. Aqui se relata um caso em paciente com leucemia mielocítica aguda. O isolamento fúngico ocorreu a partir de hemocultura e a identificação fenotípica baseou-se em métodos micológicos clássicos; a identificação genotípica foi realizada através do sequenciamento da região D1/D2 do 26 rDNA. Os testes de suscetibilidade foram realizados através do Etest® e microdiluição em caldo. A antifungicoterapia foi ineficaz, registrando-se óbito da paciente no 17° dia após o diagnóstico. Os autores comparam o caso com relatos similares e discutem a emergência destas infecções bem como suas dificuldades diagnósticas e terapêuticas.


The infections caused by Dipodascus capitatus are rare, and the treatment is difficult. We reported a case of a patient with acute myeloid leukemia. The fungus was first isolated from hemocultures, and the phenotypic identification was based on mycological methods. The genotyping was carried out by sequencing the region D1/D2 from 26 rDNA. The susceptibility tests were assayed by Etest® and by the microdilution technique. None of the antifungal treatments employed were effective. The patient died on day 17 after the mycological diagnosis. The authors discussed the emergence of such infections as well as the difficulty regarding the diagnosis and treatment.


Subject(s)
Adolescent , Female , Humans , Dipodascus/isolation & purification , Leukemia, Myeloid, Acute/microbiology , Mycoses/microbiology , DNA, Fungal/analysis , DNA, Ribosomal/analysis , Dipodascus/genetics , Fatal Outcome , Genotype , Microbial Sensitivity Tests
19.
Ciênc. rural ; 41(10): 1800-1806, out. 2011. ilus, tab
Article in Portuguese | LILACS | ID: lil-601944

ABSTRACT

Dentre as propriedades biológicas da própolis, a atividade antimicrobiana tem merecido destacada atenção. Neste artigo, descreve-se a atividade antiviral de dois extratos etanólicos de própolis (EP1 e EP2) frente aos vírus: calicivírus felino (FCV), adenovírus canino tipo 2 (CAV-2) e vírus da diarréia viral bovina (BVDV). Um dos extratos (EP1) foi obtido por extração etanólica de própolis obtida da região central do Estado do Rio Grande do Sul e o segundo (EP2), obtido comercialmente de uma empresa de Minas Gerais. A análise dos extratos de própolis através da cromatografia líquida de alta eficiência (CLAE) identificou a presença de flavonóides como: rutina, quercetina e ácido gálico. A atividade antiviral bem como a citotoxicidade dos extratos aos cultivos celulares foram avaliadas através do MTT [3- (4,5 dimetiltiazol-2yl)-2-5-difenil-2H tetrazolato de bromo]. Ambos os extratos evidenciaram atividade antiviral frente ao BVDV e CAV-2 quando acrescidos ao cultivo celular anteriormente à inoculação viral. Os extratos foram menos efetivos contra o FCV em comparação aos resultados obtidos com os outros vírus, e a atividade antiviral neste caso foi observada apenas quando a própolis estava presente após a inoculação viral. O extrato obtido no laboratório (EP1) apresentou valores mais altos de índice de seletividade (IS=CC50/ CE50), quando comparado à outra amostra (EP2). Em resumo, a própolis apresentou atividade antiviral frente a três diferentes vírus, o que a torna alvo para o desenvolvimento de novos compostos naturais com atividade antiviral.


Propolis is a resinous substance produced by bees for which several biological activities have been attributed. In this article, the antiviral activity of two propolis extracts was tested against bovine viral diarrhea virus (BVDV), canine adenovirus type 2 (CAV-2), and feline calicivirus (FCV). One of the extracts was obtained by ethanolic extraction of propolis from the Santa Maria (RS) region, while the other was bought from a Minas Gerais industry. The high efficiency liquid cromatography (HPLC) analysis detected the presence of some flavonoids like rutin, quercetin, and gallic acid. The MTT test was applied in order to detect the citotoxicity and also the antiviral activity. Both extracts showed antiviral activity against BVDV and CAV-2 when incubated with the cell cultures before viral inoculation. The extracts were less effective against FCV comparing to the results for the other viruses and, the antiviral activity was observed only when the própolis was present after virus inoculation The extract obtained in the lab showed the highest selectivity index (SI= CC50/ EC50). Thus, propolis showed antiviral activity against three different viruses, making it a target for the development of new natural compounds with antiviral activity.

20.
Ciênc. rural ; 41(6): 1051-1056, jun. 2011. tab
Article in Portuguese | LILACS | ID: lil-592603

ABSTRACT

A discutida questão da substituição do uso de antibacterianos em rações (promotores de crescimento) requer urgentes alternativas. Face às necessidades de inibidores microbianos nesses alimentos, os óleos essenciais (OES) se constituem em alternativa, sob avaliação. Neste estudo, avaliou-se a atividade antimicrobiana dos OES de Origanum vulgare (orégano), Thymus vulgaris (tomilho), Cinnamomum zeylanicum (canela), Lippia graveolens (orégano mexicano), Zingiber officinale (gengibre), Salvia officinalis (sálvia), Rosmarinus officinalis (alecrim) e Ocimum basilicum (manjericão) frente a amostras de Escherichia coli isoladas de fezes de aves (n=43) e de bovinos (n=36). A concentração inibitória mínima (CIM) e a concentração bactericida mínima (CBM) foram determinadas para cada isolado através da técnica de microdiluição em caldo, a partir da máxima concentração de 6400µg mL-1 de cada OE testado. Observou-se atividade antimicrobiana para os OES de orégano, orégano mexicano, tomilho, canela. Para todas as amostras testadas, independente de sua origem, os OES mais e menos efetivos quanto à atividade antimicrobiana foram o orégano e a canela, respectivamente. Esses resultados confirmaram o potencial antibacteriano de alguns OES, os quais merecem novas investigações abordando sua adição na alimentação de aves e bovinos.


The discussed issue about replacing the use of antibiotics in animal feed (growth promoters) requires emerging alternatives. To meet the needs of microbial inhibitors in these foods, the essentials oils (EOS) constitute potential alternatives under evaluation. In this study it was evaluated the antimicrobial activities of EOs from Oreganum vulgare (oregano), Thymus vulgaris (thyme), Lippia graveolens (Mexican oregano), Cinnamomum zeylanicum (cinnamon), Zingiber officinale (ginger), Salvia officinalis (sage), Rosmarinus officinalis (rosemary) and Ocimum basilicum (basil) against Escherichia coli strains isolated from poultry (n=43) and cattle faeces (n=36). The minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) were determined for each isolate by using the broth microdilution technique, from the maximum concentration of 6400µg mL-1 of each OE tested. Antimicrobial activity was observed on the essential oils of oregano, mexican oregano, thymus and cinnamon. For all strains tested, regardless of their origin, the OES more and less effective as antimicrobial activity were oregano and cinnamon, respectively. These results confirm the antimicrobial potential of some EOs, which deserve further research, addressing the addition of essential oils in poultry and cattle feeding.

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