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JAC Advance Access originally published online on November 16, 2004
Journal of Antimicrobial Chemotherapy 2005 55(1):102-105; doi:10.1093/jac/dkh489
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JAC vol.55 no.1 © The British Society for Antimicrobial Chemotherapy 2004; all rights reserved

Determination of antifungal drug susceptibilities of Aspergillus species by a fluorescence-based microplate assay

S. Arunmozhi Balajee1,*, Alexander Imhof1, Jennifer L. Gribskov1 and Kieren A. Marr1,2

1 Program in Infectious Diseases, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N. D3-100, Seattle, WA 98109; 2 Department of Medicine, University of Washington, Seattle, WA, USA

* Corresponding author. Tel: +1-206-667-1806; Fax: +1-206-667-4411; Email: abalajee{at}fhcrc.org

Objectives: We have investigated the use of a viability dye, chloromethylfluorescein di-acetate (CMFDA), for antifungal susceptibility testing in a fluorescence microplate (FM) assay format.

Methods: For this FM assay, conidia were incubated in increasing concentrations of antifungal drug for 16 h and stained with CMFDA. Fluorescence, measured as mean fluorescence units (MFU) in a fluorescence microplate reader, was graphed relative to that of a drug-free control, and the MIC was defined as the lowest concentration of the drug that resulted in complete reduction (100%) in MFU for amphotericin B, or 90% reduction in MFU for itraconazole and voriconazole. Susceptibilities of 10 clinical isolates of Aspergillus fumigatus, Aspergillus terreus and Aspergillus niger to amphotericin B, itraconazole and voriconazole were tested in a blinded fashion using the FM and the NCCLS methods.

Results and conclusions: Reproducibility of the FM assay was excellent, and results correlated with those of the NCCLS microdilution method. The FM assay appears to be a rapid, objective method for testing fungal susceptibilities to itraconazole, voriconazole and amphotericin B.

Keywords: MICS , susceptibility testing , fluorescent dyes , Aspergillus spp.


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