Simple method for detecting fluconazole-resistant yeasts with chromogenic agar

J Clin Microbiol. 1996 Jul;34(7):1794-7. doi: 10.1128/JCM.34.7.1794-1797.1996.

Abstract

A method for detecting fluconazole-resistant yeasts was developed that uses chromogenic agar containing fluconazole. Yeasts were plated on media with fluconazole at 0, 8, and 16 micrograms/ml. On media without fluconazole, normal growth of susceptible yeasts (defined as those having a fluconazole MIC of < 8 micrograms/ml) was detected, while fluconazole-containing media suppressed susceptible strains and normal colonies of resistant yeasts (fluconazole MICs of > or = 8 micrograms/ml) were detected. This method was used to screen for resistance in oropharyngeal candidiasis. Isolates having fluconazole MICs of > or = 8 micrograms/ml and < 8 micrograms/ml were correctly predicted in 43 of 45 cultures and 115 of 116 cultures, respectively. This screening method appears to be rapid and sensitive for detection of fluconazole-resistant yeasts.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Agar*
  • Antifungal Agents / pharmacology*
  • Candida / drug effects
  • Candida / growth & development
  • Candida / isolation & purification
  • Candida albicans / drug effects
  • Candida albicans / growth & development
  • Candida albicans / isolation & purification
  • Candidiasis, Oral / microbiology
  • Chromogenic Compounds*
  • Culture Media*
  • Drug Resistance, Microbial
  • Evaluation Studies as Topic
  • Fluconazole / pharmacology*
  • Humans
  • Mycology / methods*
  • Mycology / statistics & numerical data
  • Sensitivity and Specificity
  • Yeasts / drug effects*
  • Yeasts / growth & development
  • Yeasts / isolation & purification*

Substances

  • Antifungal Agents
  • Chromogenic Compounds
  • Culture Media
  • Fluconazole
  • Agar