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. 1994;1(4):193–197. doi: 10.1155/S1064744994000074

In Vitro Effect of Local Anesthetics on Candida albicans Germ Tube Formation

Acácio Rodrigues 1,4, Cidália Pina Vaz 1, A Freitas Fonseca 1, J Martinez de Oliveira 2, Henrique Barros 3
PMCID: PMC2364336  PMID: 18475344

Abstract

Objective: This study was planned to clarify the in vitro effect of lidocaine and bupivacaine on germ tube formation by Candida albicans isolates from cases of clinical vaginal candidiasis.

Methods: Fourteen C. albicans strains (clinical vaginal isolates) were grown on Sabouraud agar for 24 h at 37℃ and tested as follows: 100 μl of a yeast suspension [105 colony forming units (CFU)/ml of phosphate buffered saline (PBS)] was added to 500 μl of fresh human serum with lidocaine or bupivacaine (pure salts) in serial concentrations. The test was run in duplicate. Controls were prepared for each strain. After 4 h of incubation at 37℃, samples were taken from each vial and 200 yeasts were counted in a counting chamber. The pH of each suspension was measured.

Results: The results are given as the mean of the 2 readings and are expressed as the percentage of blastoconidia with germ tubes/total blastoconidia.

Conclusions: Our experiments show that both lidocaine and bupivacaine have a dose-dependent inhibitory effect, pH-independent, on germ tube formation by C. albicans and that both drugs seem to be promising in the treatment of genital candidiasis due to the combination of anesthetic and antifungal properties.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Arai T., Mikami Y., Yokoyama K. Phagocytosis of Candida albicans by rabbit alveolar macrophages and guinea pig neutrophils. Sabouraudia. 1977 Jul;15(2):171–177. [PubMed] [Google Scholar]
  2. ERLICH H. Bacteriologic studies and effects of anesthetic solutions on bronchial secretions during bronchoscopy. Am Rev Respir Dis. 1961 Sep;84:414–421. doi: 10.1164/arrd.1961.84.3.414. [DOI] [PubMed] [Google Scholar]
  3. Eschenbach D. A. Vaginal infection. Clin Obstet Gynecol. 1983 Mar;26(1):186–202. doi: 10.1097/00003081-198303000-00023. [DOI] [PubMed] [Google Scholar]
  4. Evron R. In vitro phagocytosis of Candida albicans by peritoneal mouse macrophages. Infect Immun. 1980 Jun;28(3):963–971. doi: 10.1128/iai.28.3.963-971.1980. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Jonnesco T. Remarks ON GENERAL SPINAL ANALGESIA. Br Med J. 1909 Nov 13;2(2550):1396–1401. doi: 10.1136/bmj.2.2550.1396. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Kimura L. H., Pearsall N. N. Relationship between germination of Candida albicans and increased adherence to human buccal epithelial cells. Infect Immun. 1980 May;28(2):464–468. doi: 10.1128/iai.28.2.464-468.1980. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Kleinfeld J., Ellis P. P. Effects of topical anesthetics on growth of microorganisms. Arch Ophthalmol. 1966 Nov;76(5):712–715. doi: 10.1001/archopht.1966.03850010714017. [DOI] [PubMed] [Google Scholar]
  8. Kleinfeld J., Ellis P. P. Inhibition of microorganisms by topical anesthetics. Appl Microbiol. 1967 Nov;15(6):1296–1298. doi: 10.1128/am.15.6.1296-1298.1967. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. MURPHY J. T., ALLEN H. F., MANGIARACINE A. B. Preparation, sterilization, and preservation of ophthalmic solutions; experimental studies and a practical method. AMA Arch Ophthalmol. 1955 Jan;53(1):63–78. doi: 10.1001/archopht.1955.00930010065006. [DOI] [PubMed] [Google Scholar]
  10. Peterson E. M., Calderone R. A. Growth inhibition of Candida albicans by rabbit alveolar macrophages. Infect Immun. 1977 Mar;15(3):910–915. doi: 10.1128/iai.15.3.910-915.1977. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Rotrosen D., Edwards J. E., Jr, Gibson T. R., Moore J. C., Cohen A. H., Green I. Adherence of Candida to cultured vascular endothelial cells: mechanisms of attachment and endothelial cell penetration. J Infect Dis. 1985 Dec;152(6):1264–1274. doi: 10.1093/infdis/152.6.1264. [DOI] [PubMed] [Google Scholar]
  12. Schmidt R. M., Rosenkranz H. S. Antimicrobial activity of local anesthetics: lidocaine and procaine. J Infect Dis. 1970 Jun;121(6):597–607. doi: 10.1093/infdis/121.6.597. [DOI] [PubMed] [Google Scholar]
  13. Sobel J. D. Epidemiology and pathogenesis of recurrent vulvovaginal candidiasis. Am J Obstet Gynecol. 1985 Aug 1;152(7 Pt 2):924–935. doi: 10.1016/s0002-9378(85)80003-x. [DOI] [PubMed] [Google Scholar]
  14. Sobel J. D. Epidemiology and pathogenesis of recurrent vulvovaginal candidiasis. Am J Obstet Gynecol. 1985 Aug 1;152(7 Pt 2):924–935. doi: 10.1016/s0002-9378(85)80003-x. [DOI] [PubMed] [Google Scholar]
  15. Sobel J. D. Vulvovaginal candidiasis--what we do and do not know. Ann Intern Med. 1984 Sep;101(3):390–392. doi: 10.7326/0003-4819-101-3-390. [DOI] [PubMed] [Google Scholar]
  16. TASCHDJIAN C. L., BURCHALL J. J., KOZINN P. J. Rapid identification of Candida albicans by filamentation on serum and serum substitutes. AMA J Dis Child. 1960 Feb;99:212–215. doi: 10.1001/archpedi.1960.02070030214011. [DOI] [PubMed] [Google Scholar]
  17. de Oliveira J. M., Cruz A. S., Fonseca A. F., Vaz C. P., Rodrigues A., Aurea F., Maia J., Sousa J. A. Prevalence of Candida albicans in vaginal fluid of asymptomatic Portuguese women. J Reprod Med. 1993 Jan;38(1):41–42. [PubMed] [Google Scholar]

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