Abstract
Background&
Objective: Candidal vulvovaginitis
occurs in female genital by the over growth of candida especially candida
albicans. This infection may be resistant to therapy and occasionally becomes
chronic. In some patients, this form of infection is recurrent. Moreover,
discovering new antifungal drugs and the use of these drugs in new methods
encourage mycologists to use these techniques. Therefore, according to the
above methods, this research investigated effects of several common antifungal
drugs with the use of combination methods against candida species isolated from
chronic candidal vulvovaginitis.Materials&
Methods: This study carried out
on 19 strains of candida albicans that were isolated from recurrent
vulvovaginitis. The effects of clotrimazole, miconazole, fluconazole were
assessed separately and in combination with amphotericin B on candida albicans
using micro dilution methods.Results: The mean Minimum Inhibitory Concentration (MIC)
of clotrimazole, miconazole, fluconazole, and amphotericin B were 7.05,
10.7,47, and 0.6 µgr/ml, respectively after 48 hours incubating. Then, the
azole antifungal drugs were evaluated in combination with amphotericin B. The
two combinations of fluconazole + amphotericin and miconazole + amphotericin
with the Fungicidal Inhibitory Concentrations (FIC) of 0.6 and 1, respectively,
attracted the most attentions. In addition, comparing the antifungal effects,
the most effective drug was amphotericin B with the Minimum Fungicidal
Concentration (MFC) of 1.18.Conclusion: In this study, amphotericin B with the least
MIC had the best antifungal effect. The most and the least synergic effects of
combination therapy were for fluconazole + amphotericin B and Miconazole +
amphotericin B, respectively.
Citation
ID:
4921
Ref Key:
shojaei2014effectsjournal