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氟康唑治疗孢子丝菌病的临床疗效及体外抗真菌药敏试验研究
引用本文:张晓冬,徐莉,张莉敏.氟康唑治疗孢子丝菌病的临床疗效及体外抗真菌药敏试验研究[J].中国皮肤性病学杂志,2010,24(2).
作者姓名:张晓冬  徐莉  张莉敏
作者单位:北华大学附属医院,吉林,吉林,132011
摘    要:目的观察氟康唑对孢子丝菌病的临床疗效,检测孢子丝菌对氟康唑、伊曲康唑的体外敏感性,探讨孢子丝菌病治疗的新方法。方法对60例孢子丝菌病患者给予氟康唑片口服治疗成人首次100mg,以后50mg,儿童3~5mg/(kg.d)],30例患者给予10%碘化钾溶液10mL口服治疗,并采用E-test法检测其中10株孢子丝菌对氟康唑和伊曲康唑的最小抑菌浓度(MIC)。结果氟康唑组有效率为95.00%,碘化钾组为86.67%。采用E-test法检测10株孢子丝菌对氟康唑和伊曲康唑的MIC值,范围分别为>256μg/mL,0.012~8.0μg/mL。结论氟康唑对孢子丝菌病有较好的临床疗效,但申克氏孢子丝菌对对氟康唑的体外敏感性较低。E-test法可以作为一种孢子丝菌的体外抗真菌药敏试验方法。

关 键 词:孢子丝菌病  氟康唑  抗真菌药敏试  伊曲康唑

Evaluation of the Clinical Efficacy of Fluconazole to Sporotrichosis and the Antifungal Susceptibility in Vitro
ZHANG Xiao-dong,XV Li,ZHANG Li-min.Evaluation of the Clinical Efficacy of Fluconazole to Sporotrichosis and the Antifungal Susceptibility in Vitro[J].The Chinese Journal of Dermatovenereology,2010,24(2).
Authors:ZHANG Xiao-dong  XV Li  ZHANG Li-min
Institution:ZHANG Xiao-dong,XV Li,ZHANG Li-min(Department of Dermatology,Affiliated Hospital of Medical College of Beihua University,Jilin 132011,China)
Abstract:Objective To investigate the clinical efficacy of fluconazole in the treatment of Sporotrichosis and the susceptibility of fluconazole and itraconazole to Sporothrix schenckii in vitro,to study a new method in the treatment of Sporotrichosis.Methods 60 cases of patients with Sporotrichosis were given fluconazole tablets for three months.As a control,30 patients with Sporotrichosis were given 10%KI for three months.The MIC of fluconazole and itraconazole for 10 isolates of Sporothrix schenckii were determine...
Keywords:Sporotrichosis  Fluconazole  Antifungal susceptibility testing  Itraconzole  
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