WS/T 421-2024 in English
VALIDStandards for antifungal susceptibility testing of yeasts-Broth dilution method
- Issued on:2024-04-02
- Implemented on:2024-09-01
- File Format:PDF
- Delivery:Via email within 5 business days
$476.00
本标准规定了用经典的宏量肉汤稀释方法(Broth Macrodilution method)检测抗酵母样真菌的最低抑菌浓度(Minimal Inhibitory Concentration, MIC)的参考方法,并推荐了与本参考方法结果具有良好一致性的微量肉汤稀释方法(Broth Microdilution method)。
本标准适用于引起感染的酵母样真菌(包括念珠菌属某些种Candida spp.和隐球菌属某些种
Cryptococcus spp.)的药物敏感性试验,并推荐了某些相关抗真菌药物的肉汤稀释试验的最低抑菌浓度(MIC)质控参考范围、折点、结果解释性分类和流行病学界值。
本标准不适用于双相真菌如皮炎芽生菌Blastomyces dermatitidis、荚膜组织胞浆菌Histoplasma capsulatum及丝状真菌的检测。
Introduction
Analysis of the core content of the standard
| Technical update | 2013 edition | 2024 edition |
|---|---|---|
| Definition of terms | 8 terms | 4 new terms such as ECV/ECOFF |
| Antifungal drugs | 12 types | 6 new types such as Rezafungin |
Key operating points
Preparation specifications for antifungal drugs
RPMI-1640 broth culture medium must be prepared strictly according to Appendix A:
- Water-insoluble drugs should be dissolved in DMSO
- The storage solution concentration must be ≥100 times the detection range
- Store at -70℃ for no more than 6 months
Result interpretation criteria
| Drug category | Endpoint judgment criteria | Scoring rules |
|---|---|---|
| Amphotericin B | 100% inhibition | 0 points (completely clear) |
| Pyrrole/Flucytosine | 50% inhibition | 2 points (turbidity significantly decreased) |
Implementation recommendations
Principles of drug susceptibility treatment for Candida auris
For drugs with provisional breakpoints (such as fluconazole MIC ≥ 32μg/ml):
- It is recommended to combine ERG11 gene testing
- Echinocandins are preferred for treatment
- The strain needs to be preserved for review

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