Resazurin to determine the minimum inhibitory concentration on antifungal susceptibility assays for Fonsecaeasp. using a modified EUCAST protocol

Autor: Herman, Tatiana Sobianski, da Silva Goersch, Camila, Bocca, Anamelia Lorenzetti, Fernandes, Larissa
Zdroj: Brazilian Journal of Microbiology; June 2024, Vol. 55 Issue: 2 p1349-1357, 9p
Abstrakt: Abstract: Chromoblastomycosis is a fungal chronic disease, which affects humans, especially in cutaneous and subcutaneous tissues. There is no standard treatment for Chromoblastomycosis, and it is a therapeutic challenge, due natural resistance of their causative agents, inadequate response of patients and common cases of relapse. Protocols for determination of antifungal drugs susceptibility are not standardized for chromoblastomycosis agents and endpoint definition is usually based on visual inspection, which depends on the analyst, making it sometimes inaccurate. We presented a colorimetric and quantitative methodology based on resazurin reduction to resofurin to determine the metabolic status of viable cells of Fonsecaea sp.Performing antifungal susceptibility assay by a modified EUCAST protocol allied to resazurin, we validated the method to identify the minimum inhibitory concentrations of itraconazole, fluconazole, amphotericin B, and terbinafine for eight Fonsecaeaclinical isolates. According to our data, resazurin is a good indicator of metabolic status of viable cells, including those exposed to antifungal drugs. Lay abstract: This work aimed to test resazurin as an indicator of the metabolic activity of Fonsecaeaspecies in susceptibility assays to antifungal drugs. Species of this genus are the main causative agents of Chromoblastomycosis, which affects humans.
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