TABLE 4.
Synergyc of azoles and DETA-NO against Candida strains
Azole | Strain | MIC (μg/ml) of:
|
FICa | MIC (μg/ml) of:
|
FIC | FIXb | ||
---|---|---|---|---|---|---|---|---|
Azole alone | Azole with DETA-NO | DETA-NO alone | DETA-NO with azole | |||||
Ketoconazole | C. albicans | 2.00 | 0.004 | 0.002 | 2,000 | 400 | 0.200 | 0.202 |
C. krusei | 8.00 | 0.100 | 0.013 | 1,200 | 400 | 0.333 | 0.346 | |
C. parapsilosis | 0.08 | 0.003 | 0.038 | 800 | 300 | 0.375 | 0.413 | |
C. tropicalis | 4.00 | 0.200 | 0.050 | 2,200 | 300 | 0.136 | 0.186 | |
C. glabrata | 15.00 | 0.500 | 0.033 | 1,600 | 400 | 0.250 | 0.283 | |
C. dubliniensis | 4.00 | 0.250 | 0.063 | 2,000 | 300 | 0.150 | 0.213 | |
Fluconazole | C. albicans | 16 | 0.24 | 0.015 | 2,000 | 500 | 0.250 | 0.265 |
C. krusei | 120 | 15.00 | 0.125 | 1,200 | 400 | 0.333 | 0.458 | |
C. parapsilosis | 2 | 0.25 | 0.125 | 800 | 200 | 0.250 | 0.375 | |
C. tropicalis | 160 | 5.00 | 0.031 | 2,200 | 200 | 0.091 | 0.122 | |
C. glabrata | 180 | 5.00 | 0.028 | 1,600 | 300 | 0.188 | 0.216 | |
C. dubliniensis | 60 | 2.50 | 0.042 | 2,000 | 300 | 0.150 | 0.192 | |
Miconazole | C. albicans | 2 | 0.020 | 0.010 | 2,000 | 400 | 0.200 | 0.210 |
C. krusei | 15 | 1.400 | 0.093 | 1,200 | 400 | 0.333 | 0.426 | |
C. parapsilosis | 6 | 0.100 | 0.017 | 800 | 300 | 0.375 | 0.392 | |
C. tropicalis | 4 | 0.400 | 0.100 | 2,200 | 400 | 0.182 | 0.282 | |
C. glabrata | 6 | 0.090 | 0.015 | 1,600 | 500 | 0.313 | 0.328 | |
C. dubliniensis | 4 | 0.045 | 0.011 | 2,000 | 400 | 0.200 | 0.211 |
FIC, fractional inhibitory concentration (MIC of drug in combination/MIC of drug alone).
FIX, fractional inhibitory concentration index (MIC of DETA-NO in combination with azole/MIC of DETA-NO alone) + (MIC of azole in combination with DETA-NO/MIC of azole alone).
All outcomes were synergistic (FIX, ≤0.5).