Pathogens (Jul 2023)

In Vitro Activity of Isavuconazole and Amphotericin B in Association against Mucorales

  • Gaia Ortalli,
  • Ester Oliva,
  • Giuliana Lo Cascio,
  • on behalf of the Medical Mycology Committee (CoSM)—Italian Association of Clinical Microbiologists (AMCLI),
  • Claudio Farina

DOI
https://doi.org/10.3390/pathogens12070948
Journal volume & issue
Vol. 12, no. 7
p. 948

Abstract

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Mucormycoses can be treated with the combination of Amphotericin B and Isavuconazole. This study evaluates the effects of these drugs in vitro against 59 strains representing 12 Mucorales. In vitro testing of the two drugs together and alone was performed using the MIC Test strip “Epsilon test synergy-method” (ETSM), which is more standard in clinical practice than microbroth dilution testing. Amphotericin B and Isavuconazole have synergistic/additive effects against L. corymbifera, R. arrhizus and M. circinelloides. Different effects have been shown for other Mucorales. ETSM can help the clinical management of mucormycosis from a practical point of view, due to its feasibility in the laboratory.

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