ANTIFUNGAL AGENTS AND SUSCEPTIBILIT Flashcards
Antifungal element used for Fluconazole, Amphotericin B (produced by Streptomyces nodosus)
Candida, Cryptococcus
(CaCry)
Itaconazole, Ketoconazole
Systemic fungi (Blastomyces, Coccidioides, Paracoccidioides, Histoplasma, Talaromyces, Sporothrix)
Terbinafine
Dermatophytes (Trichophyton, Microsporum, Epidermophyton)
Selenium sulfide shampoos
Malassezia furfur, Trichophyton tonsurans
Ganciclovir, Valganciclovir
Cytomegalovirus
Remdesivir, Favipiravir
CoV (COVID-19)
Efavirenz, Tenofovir disoproxil fumarate, Emtricitabine, Atazanavir treatment is for
HIV
Acyclovir (Zovirax), Foscarnet (Foscavir)
HSV/VZV
Lamivudine, Adefovir, dipivoxil
Hepatitis B
Amantadine, imantadine
Influenza A
Zanamivir, Oseltamivir, and Peramivir
Influenza A and B
Ribavirin
RSV
Ribavirin, Sofosbuvir
HCV
Pleconaril
Picornaviruses (enteroviruses, rhinoviruses)
Inhibition of viral plaque formation in the presence of antiviral agent. IC50 - The concentration of antiviral drug that inhibits plaque formation by 50%.
Plaque Reduction Assay (PRA)
When the virus is in the presence of an antiviral drug, only cells that are alive and viable take up a vital dye called Neutral red. Used for herpesviruses (CMV, VZV).
Dye uptake (DU) assay
Spectrophotometric analysis to quantitatively measure the amount of viral activity. The concentration of antiviral agent that reduces the amount of absorbance. Used in influenza A, HSV, and VZV.
Enzyme Immunoassay (EIA)
Used to detect neuraminidase inhibition resistance when the drugs oseltamivir and zanamivir are used to treat influenza A and influenza B infections. Used for Influenza virus’s Neuraminidase protein. Fluorescence is quantitated by a fluorimeter.
Neuraminidase (NA) inhibition assay
Patient’s gene of interest + vector nucleic acid = Chimeric molecule or Pseudovirus (which is then tested in vitro against antiviral drugs). If the virus is susceptible to the antiviral, the light emission will decrease.
Recombinant virus assay (RVA)