Postantifungal effects of echinocandin, azole, and polyene antifungal agents against Candida albicans and Cryptococcus neoformans

Antimicrob Agents Chemother. 2000 Apr;44(4):1108-11. doi: 10.1128/AAC.44.4.1108-1111.2000.

Abstract

The postantifungal effect (PAFE) of fluconazole, MK-0991, LY303366, and amphotericin B was determined against isolates of Candida albicans and Cryptococcus neoformans. Concentrations ranging from 0. 125 to 4 times the MIC were tested following exposure to the antifungal for 0.25 to 1 h. Combinations of azole and echinocandin antifungals (MK-0991 and LY303366) were tested against C. neoformans. Fluconazole displayed no measurable PAFE against Candida albicans or Cryptococcus neoformans, either alone or in combination with either echinocandin antifungal. MK-0991, LY303366, and amphotericin B displayed a prolonged PAFE of greater than 12 h against Candida spp. when tested at concentrations above the MIC for the organism and 0 to 2 h when tested at concentrations below the MIC for the organism.

MeSH terms

  • Amphotericin B / pharmacology
  • Anidulafungin
  • Anti-Bacterial Agents / pharmacology*
  • Antifungal Agents / pharmacology*
  • Azoles / pharmacology*
  • Candida albicans / drug effects*
  • Candida albicans / genetics
  • Caspofungin
  • Cryptococcus neoformans / drug effects*
  • Cryptococcus neoformans / genetics
  • Echinocandins
  • Fluconazole / pharmacology
  • Lipopeptides
  • Microbial Sensitivity Tests
  • Peptides*
  • Peptides, Cyclic / pharmacology*
  • Polyenes / pharmacology*

Substances

  • Anti-Bacterial Agents
  • Antifungal Agents
  • Azoles
  • Echinocandins
  • Lipopeptides
  • Peptides
  • Peptides, Cyclic
  • Polyenes
  • Amphotericin B
  • Fluconazole
  • Anidulafungin
  • Caspofungin