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Antimicrobial Agents and Chemotherapy, November 2004, p. 4453-4456, Vol. 48, No. 11
0066-4804/04/$08.00+0 DOI: 10.1128/AAC.48.11.4453-4456.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
In Vitro Pharmacodynamic Characteristics of Amphotericin B, Caspofungin, Fluconazole, and Voriconazole against Bloodstream Isolates of Infrequent Candida Species from Patients with Hematologic Malignancies
Giovanni Di Bonaventura,1,2
Ilaria Spedicato,1,2
Carla Picciani,1,2
Domenico D'Antonio,3 and
Raffaele Piccolomini1,2*
Department of Biomedical Sciences, Laboratory of Clinical Microbiology"G. dAnnunzio" University,1
Aging Research Center, Ce.S.I., "G. D'Annunzio" University Foundation, Chieti-Pescara,2
Clinical Microbiology Service, Department of Hematology and Oncology, "Spirito Santo" Hospital, Pescara, Italy3
Received 27 February 2004/
Returned for modification 24 May 2004/
Accepted 25 July 2004
Time-kill and postantifungal effect (PAFE) of amphotericin B, caspofungin, fluconazole, and voriconazole were determined against clinical isolates of Candida guilliermondii, Candida kefyr, and Candida lusitaniae. Azoles displayed fungistatic activity and no measurable PAFE, regardless of the concentration tested. Amphotericin B and caspofungin demonstrated concentration-dependent fungicidal activity, although amphotericin B only produced a significant dose-dependent PAFE against all isolates tested.
* Corresponding author. Mailing address: Center of Excellence on Aging, Room 27, 5th level, "G. D'Annunzio" University, Via Colle dell'Ara, 66100 Chieti, Italy. Phone: (39) 0871 54 15 19. Fax: (39) 0871 355 52 82. E-mail:
r.piccolomini{at}dsb.unich.it.
Antimicrobial Agents and Chemotherapy, November 2004, p. 4453-4456, Vol. 48, No. 11
0066-4804/04/$08.00+0 DOI: 10.1128/AAC.48.11.4453-4456.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
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