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Enhanced contact activity of fluconazole in association with antioxidants against fluconazole-resistant organisms
Author(s) -
Giovanna Simonetti
Publication year - 2002
Publication title -
journal of antimicrobial chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.124
H-Index - 194
eISSN - 1460-2091
pISSN - 0305-7453
DOI - 10.1093/jac/dkf102
Subject(s) - fluconazole , butylated hydroxyanisole , candida albicans , microbiology and biotechnology , chemistry , escherichia coli , membrane permeability , biology , antifungal , membrane , biochemistry , antioxidant , gene
Fluconazole alone does not demonstrate any contact activity against resistant organisms. Phenolic antioxidants, such as butylated hydroxyanisole, appear to promote fluconazole activity resulting in the killing of 10(4) cfu/mL of 11 resistant Candida albicans strains within 3-15 min and of 10(4) cfu/mL of 10 resistant Escherichia coli strains within 6-15 min. Fluconazole activity was increased by the addition of ethyl alcohol (20%). Antioxidants appear to promote fluconazole activity by increasing cell membrane permeability. This combination has potential advantages in the administration of topical fluconazole.

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