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JAC Advance Access published online on May 9, 2005

Journal of Antimicrobial Chemotherapy, doi:10.1093/jac/dki140
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© The Author 2005. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: journals.permissions@oupjournals.org
Received November 23, 2004
Revised March 5, 2005
Accepted March 31, 2005

Brief report

Effect of media composition and in vitro activity of posaconazole, caspofungin and voriconazole against zygomycetes

Cristina Gil-Lamaignere 1, Regina Hess 1, Stefanie Salvenmoser 1, Kathrin Heyn 1, Reinhard Kappe 2, and Frank-Michael C. Müller 1*

1 Department of Paediatrics III, Paediatric Pulmonology and Infectious Diseases, University of Heidelberg, Im Neuenheimer Feld 153, D-69120 Heidelberg, Germany
2 Haema Institute of Laboratory Medicine at the Helios Medical Center, Erfurt, Germany

* To whom correspondence should be addressed.
Frank-Michael C. Müller, E-mail: Frank-Michael_Mueller{at}med.uni-heidelberg.de


   Abstract

Objectives: The effect of different media and composition on the in vitro activity of posaconazole, caspofungin and voriconazole against 59 zygomycetes species was determined.

Methods: The media tested were RPMI 1640 medium with and without 2% glucose, antibiotic medium 3 (AM3) with and without 2% glucose, and high resolution (HR) medium.

Results: Posaconazole was significantly more active than caspofungin and voriconazole, both in RPMI 1640 medium with 2% glucose and in HR medium. Adding glucose improved the determination of end points, but had only minor influence on the MICs. MICs evaluated in AM3 were lower than in RPMI 1640 medium or HR medium.

Conclusions: The in vivo effect of posaconazole in zygomycosis needs further evaluation.

Keywords: rhizopus; mucor; absidia; rhizomucor; cunninghamella.
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