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Chinese Journal of Mycology 2016, Vol. 11  Issue (3): 156-159.

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Synergistic effect of rifapentine with fluconazole against FLC-resistance Candida albicans

WANG Yu-lian1, ZHANG Lu-lu2, QIN Yu-lin2, CAO Yong-bing2, WU Jian-hua1   

  1. 1. Department of Dermatology, Changhai Hospital, Second Military Medical University, Shanghai 200433, China;
    2. New Drug Research and Development Center, School of Pharmacology, Second Military Medical University, Shanghai 200433, China
  • Received:2015-10-16 Online:2016-06-28 Published:2016-06-28

Abstract:

Objective To explore the in vitro synergistic effect of rifapentine with fluconazole on FLC-resistance Candida albicans.Methods The minimal inhibitory concentrations (MIC) of rifapentine and fluconazole against Candida albicans were detected by method of Clinical and Laboratory Standards Institute (CLSI) M27-A2 microdilution.The effects of rifapentine and fluconazole against Candida albicans in vitro were valued by broth microdilution checkerboard technique system.Results In the antifungal susceptibility assay,there was no antimicrobial activity of rifapentine single used against the 12 strains of Candida albicans (MIC>1 024 μg/mL).The combined of rifapentine and fluconazole didn't display synergistic effect on the FLC-sensitive Candida albicans (FICI>0.5),however,it had a significant synergistic effect on the FLC-resistance Candida albicans (FICI<0.1).Conclusion Rifapentine alone demonstrated no antifungal activity,but rifapentine can significantly enhance the effect of fluconazole against FLC-resistance Candida albicans.

Key words: Canidia albicans, rifapentine, fluconazole, synergism

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