Related Experiment Video
Updated: Aug 2, 2026

08:54
Broth Microdilution In Vitro Screening: An Easy and Fast Method to Detect New Antifungal Compounds
Published on: February 14, 2018
Selected topical antifungal use in managed care
1SelectCare, Inc., Troy, MI, USA.
Summary
This study analyzed topical antifungal drug costs in a health maintenance organization (HMO). Higher-cost antifungals did not demonstrate improved refill frequency or reduced total treatment costs compared to claims.
Area of Science:
- Pharmacoeconomics
- Dermatology
- Health Services Research
Background:
- Clinical trial data for new products may not reflect real-world managed care settings.
- Managed care plans prioritize cost-efficiency in therapeutic selections.
- Higher-cost products present formulary justification challenges.
Purpose of the Study:
- To evaluate the cost-effectiveness of topical antifungal therapies within a managed care setting.
- To analyze refill patterns and total treatment costs for various topical antifungal agents.
- To compare manufacturer claims of potency and treatment duration against actual pharmacy claims data.
Main Methods:
- Retrospective analysis of pharmacy claims data.
- Focus on topical antifungal treatments within a Health Maintenance Organization (HMO) plan.
- Calculation of refill frequency and total drug treatment cost per agent.
Main Results:
- Manufacturer claims of higher potency for certain topical antifungals were not supported by the data.
- No significant difference in refill frequency was observed across different topical antifungal agents.
- Total topical drug treatment costs were not reduced by higher-cost agents despite claims of shorter treatment durations.
Conclusions:
- The study questions the real-world cost-effectiveness of higher-priced topical antifungals.
- Actual usage patterns in managed care may not align with manufacturer claims of superior performance.
- Further research is needed to validate the economic benefits of new topical antifungal agents in clinical practice.
Related Concept Videos
Skin Diseases and Disorders
Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Endocarditis III: Medical Management
Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
Cryptococcal Meningitis
Cryptococcal meningitis is a life-threatening opportunistic infection predominantly associated with HIV/AIDS, accounting for over 100,000 deaths annually worldwide. However, it also affects individuals with other forms of immunosuppression, including those undergoing immunosuppressive therapy, organ transplant recipients, patients with innate immunodeficiencies, and individuals with hematological disorders. The infection is caused mainly by Cryptococcus neoformans and Cryptococcus gattii,...
Candidiasis
Candidiasis is a fungal infection caused by opportunistic species of Candida. It can affect various anatomical sites, including the skin, oral cavity, nails, and genitourinary tract. Among its forms, vaginal candidiasis is the most common type of mucosal infection. It typically results from the overgrowth of Candida albicans in the vaginal mucosa. Under normal conditions, C. albicans exists as a commensal organism within the vaginal microbiota, regulated by the dominance of lactobacilli, which...
Antifungal Agents
Amphotericin B is a broad-spectrum antifungal agent that exploits structural differences between fungal and mammalian cell membranes. Its amphipathic structure—featuring a hydrophobic polyene-lactone ring and a hydrophilic region containing mycosamine and carboxylic acid groups—enables selective binding to ergosterol, a sterol predominantly found in fungal plasma membranes. This selective interaction underlies the drug’s antifungal activity, although weak binding to cholesterol contributes to...
Anthelminthic Agents
Anthelmintic drugs differ significantly from antiparasitic therapies targeting protozoa, primarily due to differences in parasite biology. Whereas most protozoal treatments act on proliferating cells, anthelmintics are typically directed against mature, nonproliferative helminths. The therapeutic approach considers the helminth's reliance on neuromuscular coordination, glucose metabolism, and microtubular integrity for survival, reproduction, and localization within the host. Most anthelmintics...

