TABLE 1.
Patient | Age (yr) | Critically illa | Cancer | Trans- plant | Neutro- peniab | Candida sp. | 24-h MIC (μg/ml) | 48-h MIC (μg/ml) | Daily fluconazole dosage (mg) | 24-h dose/ MIC ratio | 48-h dose/ MIC ratio |
---|---|---|---|---|---|---|---|---|---|---|---|
5 | 33 | No | None | No | No | C. albicans | 0.25 | 0.5 | 400 | 1,600 | 800 |
9 | 73 | No | Solid | No | No | C. albicans | 0.25 | 0.5 | 200 | 800 | 400 |
15 | 55 | No | AMLc | No | Yes | C. tropicalis | 0.25 | 0.5 | 200 | 800 | 400 |
2 | 50 | No | Ovary | No | No | C. albicans | 0.25 | 0.25 | 200 | 800 | 800 |
10 | 18 | Yes | None | No | No | C. albicans | 0.25 | 0.25 | 200 | 800 | 800 |
1 | 66 | No | AML | No | Yes | C. albicans | 0.5 | 0.5 | 200 | 400 | 400 |
8 | 67 | No | Solid | No | No | C. lusitaniae | 0.25 | 0.25 | 100 | 400 | 400 |
12 | 25 | No | None | No | No | C. albicans | 0.5 | 0.5 | 200 | 400 | 400 |
13 | 76 | Yes | None | No | No | C. parapsilosis | 1 | 2 | 200 | 200 | 100 |
3 | 65 | No | Colon | No | No | C. albicans | 0.5 | 0.5 | 100 | 200 | 200 |
7 | 47 | Yes | None | No | No | C. albicans | 1 | 1 | 200 | 200 | 200 |
4 | 64 | No | Multiple myeloma | No | No | C. tropicalis | 4 | 4 | 400 | 100 | 100 |
11 | 30 | No | AML | No | Yes | C. parapsilosis | 4 | 4 | 400 | 100 | 100 |
14 | 25 | No | Neuroblastoma | No | No | C. glabrata | 2 | 2 | 200 | 100 | 100 |
6 | 70 | Yes | Lymphoma | No | No | C. glabrata | 8 | 32 | 200 | 25 | 6.25 |
Critically ill, Pitt bacteremia score ≥4 (18).
Neutropenia, absolute neutrophil count <1,000 cells/mm3.
AML, acute myelogenous leukemia.