In vitro activity of new azoles luliconazole and lanoconazole compared with ten other antifungal drugs against clinical dermatophyte isolates

作者:Baghi Nesa; Shokohi Tahereh; Badali Hamid; Makimura Koichi; Rezaei Matehkolaei Ali; Abdollahi Maryam; Didehdar Mojtaba; Haghani Iman; Abastabar Mahdi
来源:Medical Mycology, 2016, 54(7): 757-763.
DOI:10.1093/mmy/myw016

摘要

In vitro susceptibilities of 100 clinical dermatophyte isolates belonging to five species from Iran toward lanoconazole and luliconazole were compared with ten other antifungal agents including econazole, itraconazole, miconazole, fluconazole, griseofulvin, butenafine, terbinafine, caspofungin, anidulafungin and tolnaftate. MIC and MEC values were analyzed according to CLSI M38-A2 The isolates were previously identified to the species level using PCR-RFLP on ITS rDNA region. The range of luliconazole and lanoconazole minimum inhibitory concentrations (MICs) was 0.016-0.032 and 0.063-1 mu g/ml, respectively for dermatophyte species. Luliconazole and lanoconazole revealed potent activity against all dermatophyte isolates. Anidulafungin, caspofungin, and luliconazole showed the best activity with the lowest geometric mean 0.01, 0.016, and 0.018 mu g/ml, respectively, followed by tolnaftate (0.06 mu g/ml), terbinafine (0.07 mu g/ml), itraconazole (0.183 mu g/ml), butenafine (0.188 mu g/ml), econazole (0.20 mu g/ml), lanoconazole (0.24 mu g/ml), griseofulvin (1.28 mu g/ml), miconazole (2.34 mu g/ml) and fluconazole (15.34 mu g/ml). The current study demonstrated luliconazole and lanoconazole displayed excellent activity against all dermatophyte isolates, although the majority of dermatophyte isolates showed low susceptibility to griseofulvin and very low to miconazole, and fluconazole.