A colorimetric assay for antifungal susceptibility testing of Aspergillus species (Aspergillus fumigatus, Aspergillus flavus, Aspergillus terreus, Aspergillus nidulans, and Aspergillus ustus) is described based on the reduction of the tetrazolium salt 2,3-bis(2-methoxy-4-nitro-5-[(sulphenylamino)carbonyl]-2H-tetrazolium-hydroxide (XTT) in the presence of menadione as an electron-coupling agent. The combination of 200 g of XTT/ml with 25 M menadione resulted in a high production of formazan within 2 h of exposure, allowing the detection of hyphae formed by low inocula of 10 2 CFU/ml after 24 h of incubation. Under these settings, the formazan production correlated linearly with the fungal biomass and less-variable concentration effect curves for amphotericin B and itraconazole were obtained.Tetrazolium salts are heterocyclic organic compounds that substitute the natural final acceptor (oxygen) in the biological redox process and are reduced to formazan derivatives by receiving electrons enzymically from substances of the hydrogen transport system or nonenzymically from artificial electron transporters (phenazine methosulfate and menadione) which enhance the reaction. Tetrazolium salts can penetrate rapidly into intact cells and directly into subcellular membranes with dehydrogenase activity, where they are converted to colored formazan derivatives (1,14). Therefore, they were used as indicators of reducing systems. The tetrazolium salt MTT has been used for antifungal susceptibility testing of various yeasts and filamentous fungi, and testing was in agreement with the corresponding standard methods recommended by the National Committee for Clinical Laboratory Standards (NCCLS) (2, 7). The disadvantage of MTT, however, is that the process includes the solubilization of formazan derivatives. As an alternative, a new tetrazolium salt, 2,3-bis(2-methoxy-4-nitro-5-[(sulphenylamino)carbonyl]-2H-tetrazolium-hydroxide (XTT) (10), has been employed for antifungal susceptibility testing of yeasts and resulted in clear-cut endpoints for various antifungal agents (4, 15). XTT is converted into a water-soluble formazan, thereby avoiding the additional steps for the solubilization of formazan derivatives (8, 12), but needs the presence of an electron-coupling agent. The nature and the concentration of this agent are critical in order to obtain a good correlation between the formazan production and the number of viable fungi and less-variable concentration effect curves (1, 15).We developed a colorimetric assay for the quantification of fungal growth of five different Aspergillus species based on the tetrazolium salt XTT by standardizing various factors that influence XTT conversion. This assay was also tested in the presence of antifungal drugs in order to ascertain its potential for antifungal susceptibility testing of filamentous fungi.Isolates. Two clinical isolates of Aspergillus fumigatus [AZN5161 (S) and AZN 5241 (R)] and one each of Aspergillus flavus (AZN 510), Aspergillus terreus (AZN 7320), Aspergillus nidulans (AZN ...