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Journal of Clinical Microbiology, April 2004, p. 1790-1793, Vol. 42, No. 4
0095-1137/04/$08.00+0 DOI: 10.1128/JCM.42.4.1790-1793.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Research Center for Medical Mycology, Peking University, and Department of Dermatology, Peking University First Hospital, Beijing, People's Republic of China
Received 14 May 2003/ Returned for modification 15 July 2003/ Accepted 18 December 2003
We modified a rapid susceptibility assay (RSA) for antifungal susceptibility testing of azoles based upon glucose utilization. This modified RSA method provides quantitative endpoint readings in 6 h. In this study, the modified RSA and the National Committee for Clinical Laboratory Standards M27-A methods were used to determine the MICs of fluconazole and itraconazole for 118 Candida isolates. Yeast nitrogen base containing 0.12 g of glucose per liter was used for the modified RSA method. For fluconazole, agreement among assays within one or two twofold dilutions was 72.9 and 88.1%, respectively; for itraconazole, agreement within one or two twofold dilutions was 82.2 and 89.8%, respectively. These data suggest that the modified RSA method is a reliable and rapid method for azole antifungal susceptibility testing against Candida species.
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