In vitro synergy with fluconazole plus doxycycline or tigecycline against clinical Candida glabrata isolates Article

Full Text via DOI: 10.1093/mmy/myy008 PMID: 29618039 Web of Science: 000460630700014

Cited authors

  • Hooper, Randol W.; Ashcraft, Deborah S.; Pankey, George A.

Abstract

  • Candida species, traditionally viewed as opportunistic agents, are increasingly seen as a cause of infection in hospitalized patients. Treatment options are limited to a few classes of drugs. Increased resistance, especially by Candida glabrata, is problematic. We investigated the interaction between fluconazole and doxycycline or tigecycline, using clinically unique blood culture C. glabrata isolates. Eighteen isolates were screened using an Etest((R)) MIC:MIC synergy method. With the doxycycline plus fluconazole combination, 28% of isolates showed synergy; tigecycline plus fluconazole showed 94% synergy. No antagonism was seen. The mechanisms of these interactions are unclear. Further research is warranted to assess clinical utility.

Publication date

  • 2019

Published in

Category

International Standard Serial Number (ISSN)

  • 1369-3786

Start page

  • 122

End page

  • 126

Volume

  • 57

Issue

  • 1