A Silent Threat of Emerging Resistance Based on Antifungal Susceptibility Pattern of Filamentous Fungi by Microdilution, E Test and, Disc Diffusion Method: A Critical Constructive Analysis

Uneza Husain, K. Priyadarshi
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Abstract

Abstract For more than two decades, antifungal susceptibility testing and interpretation haunted the medical professionals in diagnostics and management. This article mainly focuses on the three most widely used methods: broth microdilution, E test, and disc diffusion. It also focuses on the fact that clinicians should switch from empirical treatment to susceptible drugs as early as possible to combat antifungal resistance and newer mutations that horrify us every single day with poor patient outcomes. Many factors need to be taken into account during the interpretation of results but the positive side of the story is that they have been well documented in the literature. Though many methods have come up in testing antifungal susceptibility, still there is a scope for a rapid yet accurate testing modality to flourish and take the lead.
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基于丝状真菌微稀释、E试验和盘片扩散法抗真菌药敏模式的新兴耐药性无声威胁:关键建设性分析
摘要二十多年来,抗真菌药敏试验和解释一直困扰着诊断和管理领域的医学专业人员。本文主要介绍了三种最常用的方法:肉汤微量稀释法、E检验法和圆盘扩散法。它还关注这样一个事实,即临床医生应该尽早从经验性治疗转向易感药物,以对抗抗真菌耐药性和新的突变,这些突变每天都让我们感到恐惧,患者结果不佳。在解释结果时需要考虑许多因素,但故事的积极一面是,它们在文献中得到了很好的记录。尽管已经出现了许多检测抗真菌易感性的方法,但快速准确的检测模式仍有发展和领先的空间。
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审稿时长
12 weeks
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