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Updated: Jun 27, 2026

Broth Microdilution In Vitro Screening: An Easy and Fast Method to Detect New Antifungal Compounds
Published on: February 14, 2018
[Clinical efficacies of antifungal injections]
Yumi Fujii1, Naohiko Inase, Yasuyuki Yoshizawa
1Department of Integrated Pulmonology, Tokyo Medical and Dental University.
Abstract:
The incidence of fungal infection is increasing. Amphotericin B has been the gold standard in antifungal chemotherapy for a long time. Within the past few years, three novel antifungal agents have been approved to evaluate the clinical benefits in Japan. Liposomal amphotericin B is developed to reduce toxicities of amphotericin B. Voriconazole, a kind of the new broad-spectrum triazoles, is recommended for the primary treatment of invasive aspergillosis. Micafungin is a new lipopeptide antifungal agent of the echinocandin class. These drugs might provide an individualized and more effective antifungal therapy for each patient. On the other hand, we need to establish a new standard therapy.
Insights
The incidence of fungal infections is rising, prompting the approval of new antifungal drugs like liposomal amphotericin B, voriconazole, and micafungin for improved patient therapy.
Area of Science:
- Medical Mycology
- Pharmacology
- Infectious Diseases
Background:
- Fungal infections are increasing globally.
- Amphotericin B has long been the standard antifungal treatment.
- Novel antifungal agents are emerging to address limitations of older therapies.
Purpose of the Study:
- To review the clinical benefits of newly approved antifungal agents in Japan.
- To discuss the potential for individualized antifungal therapy.
- To highlight the need for establishing new treatment standards.
Main Methods:
- Review of recent clinical data and regulatory approvals in Japan.
- Comparative analysis of novel antifungal agents (liposomal amphotericin B, voriconazole, micafungin).
- Discussion of pharmacological properties and toxicological profiles.
Main Results:
- Liposomal amphotericin B offers reduced toxicity compared to conventional amphotericin B.
- Voriconazole is recommended for invasive aspergillosis treatment.
- Micafungin represents a new class of antifungal agents (echinocandins).
Conclusions:
- New antifungal agents provide options for more effective, individualized patient care.
- These advancements necessitate the establishment of updated standard antifungal therapies.
- Continued research is crucial for optimizing treatment strategies against invasive fungal infections.
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