In vitro pharmacodynamic characteristics of flucytosine determined by time-kill methods

Lewis, R. E.;Klepser, M. E.;Pfaller, M. A.

Author address: 

Klepser, ME, Univ Iowa, Coll Pharm, S-412 Pharm Bldg, Iowa City, IA 52242 USA


Two Candida albicans isolates, three non-albicans Candida isolates (Candida glabrata, Candida krusei, and Candida tropicalis), and one Cryptococcus neoformans isolate were evaluated by time-kill methods to characterize the relationship of flucytosine concentrations to antifungal activity and the duration of the post-antifungal effect (PAE). Against Candida and Cryptococcus isolates, flucytosine at concentrations > 1 x MIC exhibited fungistatic (less than or equal to 99% reduction in CFU) activity over a 24-h time-period. The rate and extent of fungistatic activity of flucytosine against all isolates was generally not increased when 5-FC concentrations exceeded 4 X MIG. A notable PAE was detected for flucytosine against both Candida and Cryptococcus species that persisted 2 to 4 h. These in vitro data suggest that flucytosine is predominately a concentration-independent fungistatic agent at clinically achieved serum concentrations. This pharmacodynamic characteristic coupled with the persistent PAE and the relatively long half-life of flucytosine in humans (>5 h), suggests lower daily dosing may possible without loss of antifungal efficacy. (C) 2000 Elsevier Science Inc. All rights reserved.

abstract No: 


Full conference title: 

38th Interscience Conference on Antimicrobial Agents and Chemotherapy
    • ICAAC 38th