A Silent Threat of Emerging Resistance Based on Antifungal Susceptibility Pattern of Filamentous Fungi by Microdilution, E Test and, Disc Diffusion Method: A Critical Constructive Analysis

Author:

Husain Uneza1,Priyadarshi Ketan2

Affiliation:

1. Department of Microbiology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India

2. Department of Microbiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India

Abstract

AbstractFor more than two decades, antifungal susceptibility testing and interpretation haunted the medical professionals in diagnostics and management. This article mainly focuses on the three most widely used methods: broth microdilution, E test, and disc diffusion. It also focuses on the fact that clinicians should switch from empirical treatment to susceptible drugs as early as possible to combat antifungal resistance and newer mutations that horrify us every single day with poor patient outcomes. Many factors need to be taken into account during the interpretation of results but the positive side of the story is that they have been well documented in the literature. Though many methods have come up in testing antifungal susceptibility, still there is a scope for a rapid yet accurate testing modality to flourish and take the lead.

Publisher

Georg Thieme Verlag KG

Subject

General Medicine

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2. Antifungal susceptibility patterns of opportunistic fungi in the genera Verruconis and Ochroconis;S Seyedmousavi;Antimicrob Agents Chemother,2014

3. Comparative evaluation of disc diffusion and E-test with broth micro-dilution in susceptibility testing of amphotericin b, voriconazole and caspofungin against clinical Aspergillus isolates;P Gupta;J Clin Diagn Res,2015

4. Susceptibility of filamentous fungi to voriconazole tested by two microdilution methods;M J Linares;J Clin Microbiol,2005

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