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北京协和医院检验科徐英春 氟康唑 5-氟胞嘧啶 伊曲康唑#两性霉素B*伏立康唑 v S 8 4 0.125 0.5 1 SDD 16-32 -0.25-0.5 -2 I -8-16 -R 64 32 1 1 4 17 SSusceptible SDD=Susceptible-Dose Dependent R=Resistant ATCC90028白念珠菌体外抗真菌药敏试验指导用药体外抗真菌药敏试验指导用药以氟康唑为例:以氟康唑为例:MIC 剂量剂量 4g/ml 100mg/d 4-8g/ml 200mg/d 8-16g/ml 400mg/d 16-32g/ml 800mg/d Hopenthal et al,Diagn Microb Infect Dis,2004,48:153-160 氟康唑的氟康唑的MICMIC折点与临床的关系折点与临床的关系 (n)(n)8 77(533)76(460)16-32 8(58)12(72)64 15(101)12(71)Pfaller M,Diekema D,Sheehan D.Clin Micro REV,In Press,2006 氟康唑的敏感性与念珠菌感染治疗的临床有效率氟康唑的敏感性与念珠菌感染治疗的临床有效率 例数 SSDDR 粘膜 692 926241 (488/533)(36/58)(41/101)侵袭性 603 777144 (353/460)(51/72)(31/71)合计 1295 856742 (841/993)(87/130)(72/172)Pfaller M,Diekema D,Sheehan D.Clin Micro REV,In Press,2006真菌真菌氟康唑氟康唑伏立康唑伏立康唑泊沙康唑泊沙康唑棘白菌素类棘白菌素类多烯类多烯类白念珠菌+光滑念珠菌+/-+热带念珠菌+近平滑念珠菌+(高MIC)+克柔念珠菌+季也蒙念珠菌+(高MIC)+新型隐球菌+热病 37th Edition 2007Lass FlorIC,JAC 1998真菌真菌氟康唑氟康唑伏立康唑伏立康唑泊沙康唑泊沙康唑棘白菌素类棘白菌素类多烯类多烯类烟曲霉+黄曲霉+(高MIC)土曲霉+镰刀霉+(脂质)尖端赛多孢+/+/多育赛多孢+/+/+/犁头霉毛霉根霉+(脂质)热病 37th Edition 2007真菌真菌氟康唑氟康唑伏立康唑伏立康唑泊沙康唑泊沙康唑棘白菌素类棘白菌素类多烯类多烯类暗色真菌:链格孢、离蠕孢、+弯孢霉属、外瓶霉 等+/+双相真菌:皮炎芽生菌+粗球孢子菌+荚膜组织胞浆菌+申克孢子丝菌+热病 37th Edition 2007
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