Clinical relevance of mechanisms of antifungal drug resistance in yeasts

Details

Serval ID
serval:BIB_1DE6CD105B5D
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Clinical relevance of mechanisms of antifungal drug resistance in yeasts
Journal
Enfermedades Infecciosas y Microbiologia Clinica
Author(s)
Sanglard  D.
ISSN
0213-005X (Print)
Publication state
Published
Issued date
11/2002
Volume
20
Number
9
Pages
462-9; quiz 470, 479
Language
english
Notes
Journal Article
Research Support, Non-U.S. Gov't
Review --- Old month value: Nov
Abstract
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.
Keywords
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
Create date
25/01/2008 14:40
Last modification date
20/08/2019 12:54
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