2020
DOI: 10.1007/s42770-020-00354-6
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Factors influencing susceptibility testing of antifungal drugs: a critical review of document M27-A4 from the Clinical and Laboratory Standards Institute (CLSI)

Abstract: Due to the increasing numbers of fungal infections and the emergence of drug-resistant fungi, optimization and standardization of diagnostic methods for the measurement of antifungal susceptibility are ongoing. The M27-A4 document by the US Clinical and Laboratory Standards Institute (CLSI) is presently used for the interpretation of minimum inhibitory concentrations of major opportunistic yeast species as measured by broth microdilution testing in many countries. Although microdilution is considered a benchma… Show more

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Cited by 18 publications
(12 citation statements)
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“…The antifungal activity was evaluated according to the method used by Khalil et al [ 45 ], with modifications. Additionally, the minimum inhibitory concentration (MIC) for each extract was determined using the broth micro-dilution method [ 105 ]. Initially, 100 μL of broth medium was added in a 96-well plate.…”
Section: Methodsmentioning
confidence: 99%
“…The antifungal activity was evaluated according to the method used by Khalil et al [ 45 ], with modifications. Additionally, the minimum inhibitory concentration (MIC) for each extract was determined using the broth micro-dilution method [ 105 ]. Initially, 100 μL of broth medium was added in a 96-well plate.…”
Section: Methodsmentioning
confidence: 99%
“…The determination of the minimum inhibitory concentration (MIC) was performed following the Clinical and Laboratory Standards Institute guidelines for yeast broth dilution antifungal susceptibility testing [ 11 , 12 ]. The fungal growth was assessed by measuring the absorbance data at 620 nm using a spectrophotometer (Multiscan GO, Thermo Fisher Scientific, Waltham, MA, USA).…”
Section: Methodsmentioning
confidence: 99%
“…Determination of minimal inhibitory concentration (MIC) was performed following the Clinical and Laboratory Standards Institute guidelines for broth dilution antifungal susceptibility testing of yeasts (de Sousa et al 2020; CLSI M27 document). The MIC was determined as the lowest concentration of antibiotic for which no visible fungal growth could be observed after 24 h of incubation.…”
Section: Methodsmentioning
confidence: 99%