A urea broth microdilution method to assay the susceptibilities of seven Malassezia species was developed. This method indicated the same sensitivities as the agar plate dilution method for isolates of Malassezia furfur, M. pachydermatis, M. slooffiae, and M. sympodialis.Malassezia species may be etiological agents of systemic infection as well as of skin disorders such as pityriasis versicolor and Malassezia folliculitis (2,8,14). The genus Malassezia has been recently revised to include seven species, Malassezia furfur, M. pachydermatis, M. sympodialis, M. globosa, M. obtusa, M. restricta, and M. slooffiae (5, 6). Numerous susceptibility testing methods for determination of the MICs against Candida spp. and other yeast isolates have been developed (1,3,4). In 1992, the National Committee for Clinical Laboratory Standards recommended a broth microdilution method for susceptibility testing of yeasts (11). However, this method was not applicable to Malassezia species other than M. pachydermatis, because the organism could not develop without lipoidal substances in the medium (5, 8). Previously, we devised a urea broth microdilution method for antifungal testing with Cryptococcus neoformans (10). Malassezia species were confirmed to be urease positive, as is C. neoformans (5, 13). We attempted to develop a practical method of susceptibility testing to obtain reliable information on the antifungal activities of various drugs against seven Malassezia species which possesses urease activity.Forty (5) and molecular analysis (7). These isolates were maintained by culturing on modified Dixon agar (5) at 30°C and were subcultured every week more than three times before use. The ivory colonies grown on modified Dixon agar were collected by scraping and were suspended with 0.04% Tween 80 in distilled water (pH 7.4) with a glass homogenizer, and the suspension was adjusted to an absorbance (optical density [OD] at 660 nm) of 1.0 (2.5 ϫ 10 6 cells/ml) with an automatic absorbance meter (UV-160A; Shimadzu, Kyoto, Japan). The antifungal drugs tested were bifonazole, itraconazole, amorolfine, and terbinafine. Every drug was dissolved in dimethyl sulfoxide solution and gradually diluted with distilled water. The highest test concentration of the drug was 50 g/ml, as recommended in previous reports for the other yeasts (1,3,4,15). The urea broth microdilution method of susceptibility testing (urease method) was performed in 96-well microtiter plates. To these wells were added modified Christensen's urea broth (100 l), fungal suspension (50 l), and the test drugs (50 l). The 96-well microtiter plates were arranged in twofold dilution from left to right and in triplicate. They were incubated at 30°C for 48 h. The results were measured by an automatic microtiter plate reader (AUTO READER II; Sanko Junyaku, Tokyo, Japan) at 545 nm (10). The final mean OD obtained for each antifungal concentration was expressed as a percentage of the control growth. The agar plate dilution method for determining colony development was