The postantibiotic effect of antifungal agents against common pathogenic yeasts

J Antimicrob Chemother. 1994 Jul;34(1):83-92. doi: 10.1093/jac/34.1.83.

Abstract

A total of ten strains of Candida spp. and Cryptococcus neoformans were examined for the presence of the postantibiotic effect (PAE) after 0.5-2 h exposure to amphotericin B, 5-fluorocytosine, miconazole and ketoconazole. Significant PAEs were observed for amphotericin B and 5-fluorocytosine, but none for the imidazoles. The duration of the PAEs of amphotericin B ranged from 0.5-10.4 h for the Candida spp. and 2.8-10.6 h for the cryptococcos, while 5-fluorocytosine induced PAEs from 0.8-7.4 h and 2.4-5.4 h, respectively. Even though no PAEs were demonstrated for the imidazoles, the growth rate was persistently reduced by continuous exposure to concentrations as low as 1/1000 of the MIC of these agents. These findings may have implications for dosing antifungal agents in systemic yeast infections.

MeSH terms

  • Amphotericin B / pharmacology*
  • Candida / drug effects*
  • Cryptococcus neoformans / drug effects*
  • Flucytosine / pharmacology*
  • Ketoconazole / pharmacology*
  • Miconazole / pharmacology*
  • Microbial Sensitivity Tests

Substances

  • Miconazole
  • Amphotericin B
  • Flucytosine
  • Ketoconazole