In vitro susceptibility of seven antifungal agents against dermatophytes isolated in İstanbul

Abstract

Background/aim: Dermatophytes are the causative agents of dermatophytosis, which is a common disease worldwide that affects thehair, skin, and nails. Dermatophytes comprise more than 40 species in 3 genera: Microsporum, Trichophyton, and Epidermaphyton. Inthis study, we aimed to determine the effectiveness of seven antifungal agents: amphotericin B, terbinafine, itraconazole, voriconazole,ketoconazole, miconazole, and fluconazole.Materials and methods: A sensitivity study was performed using a microdilution method in accordance with the CLSI M38-A2standards using isolates of Trichophyton rubrum (n = 55), Microsporum canis (n = 9), and Trichophyton interdigitale (n = 2), which wereidentified by sequencing the internal transcribed spacer region of the rDNA.Results: According to the results of antifungal sensitivity tests, the geometric mean (GM) minimum inhibitory concentration (MIC)against T. rubrum was 0.10 μg/mL for ketoconazole, 0.20 μg/mL for itraconazole, 0.07 μg/mL for miconazole, 0.48 μg/mL for fluconazole,2.27 μg/mL for amphotericin B, 0.06 μg/mL for voriconazole, and 0.06 μg/mL for terbinafine.