Clinical relevance of mechanisms of antifungal drug resistance in yeasts

Détails

ID Serval
serval:BIB_1DE6CD105B5D
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Clinical relevance of mechanisms of antifungal drug resistance in yeasts
Périodique
Enfermedades Infecciosas y Microbiologia Clinica
Auteur⸱e⸱s
Sanglard  D.
ISSN
0213-005X (Print)
Statut éditorial
Publié
Date de publication
11/2002
Volume
20
Numéro
9
Pages
462-9; quiz 470, 479
Langue
anglais
Notes
Journal Article
Research Support, Non-U.S. Gov't
Review --- Old month value: Nov
Résumé
A limited number of antifungal agents including azoles, polyenes, pyrimidine analogues are used today to combat infections caused by yeast pathogens. While clinical factors can contribute to failures to antifungal treatments, yeast pathogens exposed to these agents can still limit their action either because they are intrinsically resistant or because they acquire specific resistance mechanisms. Microbiological methods are available to measure the susceptibility of yeast pathogens against the existing antifungal agents and to distinguish between antifungal susceptible and antifungal resistant organisms. This distinction can ideally predict the success or failure of a treatment in clinical situations and is available only for a limited number of antifungal agents, i.e. the azole antifungals fluconazole and itraconazole and the pyrimidine analogue 5-fluorocytosine. Cases of antifungal resistance have been reported for almost all classes of antifungal agents, but they have been mainly documented for the pyrimidine analogue 5-fluorocytosine and azole antifungals mainly in Candida species and less frequently in Cryptococcus species. This review summarizes the current knowledge on the different mechanisms of resistance to these agents in these yeast pathogens.
Mots-clé
Antifungal Agents/classification/*pharmacology/therapeutic use Azoles/pharmacology Biological Transport Candidiasis/drug therapy *Drug Resistance, Fungal Drug Utilization Ergosterol/biosynthesis Flucytosine/pharmacology Humans Methylation/drug effects Mycoses/*drug therapy Polyenes/pharmacology Sterols/metabolism Treatment Outcome Yeasts/*drug effects
Pubmed
Web of science
Création de la notice
25/01/2008 15:40
Dernière modification de la notice
20/08/2019 13:54
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