Summary
The relative efficacies of cilofungin, amphotericin B and fluconazole were compared in the treatment of systemicCandida albicans infection in neutropenic mice. Thirty-one day survival rates were lowest for cilofungin (14.6%), intermediate for amphotericin B (37.6%) and highest for fluconazole (50.5%). Residual tissue infection in surviving animals was observed with all agents, but was heaviest with fluconazole, especially in the kidneys.
Zusammenfassung
Bei der systemischenCandida albicans-Infektion neutropenischer Mäuse wurden die relativen Aktivitäten von Cilofungin, Amphotericin B und Fluconazol verglichen. Die Überlebensraten nach 39 Tagen waren für Cilofungin mit 14,6% am niedrigsten, in einem mittleren Bereich mit Amphotericin B (37,6%) und am höchsten mit Fluconazol (50,5%). Residualinfektionen der Gewebe bei überlebenden Tieren waren bei allen Substanzen zu beobachten, sie waren bei Fluconazol-Anwendung am stärksten ausgeprägt und fanden sich vor allem in den Nieren.
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Rivera, G. K., Raimondi, S. C., Hancock, M. L., Behm, F. G., Pui, C. H., Abromowitch, M., Mirro Jr., J., Ochs, J. S., Look, A. T., Williams, D. L., Murphy, S. B., Dahl, G. V., Kalwinsky, D. K., Evans, W. E., Kun, L. E., Simone, J. V., Crist, W. M. Improved outcome in childhood acute lymphoblastic leukaemia with reinforced early treatment and rotational combination therapy. Lancet 337 (1991) 61–66.
Pizzo, P. A. Granulocytopenia and cancer therapy: past problems, current solutions, future challenges. Cancer 65 (1984) 2649–2661.
Odds, F. C. Problems in the laboratory assessment of antifungal activity. Postgrad. Med. J. 55 (1979) 677–680.
Kobayashi, G. S., Spitzer, E. D. Testing of organisms for susceptibility to triazoles: is it justified? Eur. J. Clin. Microbiol. Infect. Dis. 8 (1989) 387–388.
Chin, T., Fong, I. W., Vanderbrouke, A. Pharmacokinetics of fluconazole in serum and cerebrospinal fluid in a patient with AIDS and cryptococcal meningitis. Pharmacotherapy 10 (1990) 305–307.
Black, H. R., Brier, G. L., Wolny, J. D., Dorrbecker, S. H. Pharmacology and pharmacokinetics of cilofungin. In: Program and abstracts of the twenty-ninth Interscience Conference on Antimicrobial Agents and Chemotherapy, Houston, 1989. American Society for Microbiology, Washington D. C., Abstract 1357.
Godfrey, K. Comparing the means of several groups. In:Bailar III, J. C., Mosteller, F. (eds.): Medical uses of statistics. Massachusetts Medical Society, Waltham, Massachusetts 1986, pp. 205–234.
Smith, K. R., Lank, K. M., Glenn Cobbs, C., Cloud, G. A., Dismukes, W. E. Comparison of cilofungin and amphotericin B for therapy of murine candidiasis. Antimicrob. Agents Chemother. 34 (1990) 1619–1621.
Morrison, C. J., Stevens, D. A. Comparative effects of cilofungin and amphotericin B on experimental murine candidiasis. Antimicrob. Agents Chemother. 34 (1990) 746–750.
Khardori, N., Kalvakuntla, L., Wong, E., Rosenbaum, B., Bodey, G. P. Comparative activities of cilofungin (LY121019) and amphotericin B against disseminatedCandida albicans infection in neutropenic mice. In: Program and abstracts of the twenty-ninth Interscience Conference on Antimicrobial Agents and Chemotherapy, Houston 1989. American Society for Microbiology, Washington D. C., Abstract 817.
McIntyre, K. A., Galgiani, J. N. pH and other effects on the antifungal activity of cilofungin (LY121019). Antimicrob. Agents Chemother. 33 (1989) 731–735.
Padula, A., Chambers, H. F. Evaluation of cilofungin (LY121019) for treatment of experimentalCandida albicans endocarditis in rabbits. Antimicrob. Agents Chemother. 33 (1989) 1822–1823.
Perfect, J. R., Hobbs, M. M., Wright, K. A., Durack, D. T. Treatment of experimental disseminated candidiasis with cilofungin. Antimicrob. Agents Chemother. 33 (1989) 1811–1812.
Rouse, M. S., Tallan, B. M., Iteckelberg, J. M., Henry, N. K., Wilson, W. R. Continuous intravenous infusion (CII) cilofungin(C) is effective treatment (Rx) ofC. albicans experimental candidiasis. In: Program and abstracts of the thirtieth Interscience Conference on Antimicrobial Agents and Chemotherapy, Atlanta, 1990. American Society for Microbiology, Washington D. C., Abstract 287.
Troke, P. F., Andrews, R. J., Brammer, K. W., Marriott, M. S., Richardson, K. Efficacy of UK-49,858 (fluconazole) againstCandida albicans experimental infections in mice. Antimicrob. Agents Chemother. 28 (1985) 815–818.
Richardson, K., Brammer, K. W., Marriott, M. S., Troke, P. F. Activity of UK-49,858, a bio-triazole derivative against experimental infections withCandida albicans andTrichophyton mentagrophytes. Antimicrob. Agents Chemother. 27 (1985) 832–835.
Van't Wout, J. W., Mattie, H., Van Furth, R. Comparison of the efficacies of amphotericin B, fluconazole, and itraconazole against a systemicCandida albicans infection in normal and neutropenic mice. Antimicrob. Agents Chemother. 33 (1989) 147–151.
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Bannatyne, R.M., Cheng, P.C. & Fong, I.W. Comparison of the efficacy of cilofungin, fluconazole and amphotericin B in the treatment of systemicCandida albicans infection in the neutropenic mouse. Infection 20, 168–170 (1992). https://doi.org/10.1007/BF01704614
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DOI: https://doi.org/10.1007/BF01704614