Author(s) |
Ku, Tsun Sheng N
Athiappan Palanisamy, Suresh Kumar
Lee, Samuel A
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Publication Date |
2010
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Abstract |
Despite growing data on antimicrobial lock therapy (ALT) in treating bacterial catheter-related bloodstream infections (CR-BSIs), ALT has not been established as a treatment option for CR-BSI caused by 'Candida albicans'. Based on our finding that high-dose doxycycline exhibited antifungal activity against mature 'C. albicans' biofilms, we evaluated additional antibacterial agents with Gram-positive activity [azithromycin, tigecycline (TIG) and vancomycin]. After screening these antibiotics, it was found that TIG had substantial antifungal activity against mature C. albicans biofilms. Therefore, TIG was assayed alone and in combination with fluconazole (FLC), amphotericin B (AmB) or caspofungin (CAS). TIG at 2048 μg/mL resulted in a >50% reduction in the growth of planktonic 'C. albicans' cells. TIG inhibited the formation of biofilms from 128 μg/mL. Against mature biofilms, 2048 μg/mL TIG reduced metabolic activity by 84.2%. Furthermore, addition of 512 μg/mL TIG to FLC at all concentrations tested provided additional reduction in the metabolic activity of mature biofilms. However, this was not superior to 512 μg/mL TIG alone. TIG at 512 μg/mL increased the antifungal effect of lower concentrations of AmB (0.03125-0.25 μg/mL), but at 0.03125 μg/mL and 0.0625 μg/mL this effect was not superior to 512 μg/mL TIG alone. TIG inhibited the antifungal effect of higher concentrations of AmB (≥2 μg/mL). TIG at 512 μg/mL inhibited the antifungal activity of CAS at lower concentrations (0.25'8 μg/mL). These data indicate that high-dose TIG is highly active in vitro against planktonic cells, forming biofilms and mature biofilms of 'C. albicans'.
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Citation |
International Journal of Antimicrobial Agents, 36(5), p. 441-446
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ISSN |
1872-7913
0924-8579
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Link | |
Publisher |
Elsevier BV
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Title |
Susceptibility of 'Candida albicans' biofilms to azithromycin, tigecycline and vancomycin and the interaction between tigecycline and antifungals
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Type of document |
Journal Article
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Entity Type |
Publication
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