TABLE 1.
MIC and FICI results of the test isolates at 24 h
Isolate | MIC (μg/ml)a
|
FICI | Resultb | ||
---|---|---|---|---|---|
Endpoint | AMB alone | CAS alonec | |||
Aspergillus spp. (n = 14) | |||||
A. fumigatus (n = 4) | |||||
2-160 | MIC-0 | 0.5 | >16 | 0.5 | S |
MEC | 0.125 | 0.25 | 0.6 | Ad | |
7099 | MIC-0 | 0.25 | >16 | 1.0 | Ad |
MEC | 0.125 | 0.25 | 0.7d | Ad | |
7100 | MIC-0 | 0.25 | >16 | 1.0 | Ad |
MEC | 0.125 | 0.25 | 0.7 | Ad | |
2-103 | MIC-0 | 0.25 | >16 | 0.5 | S |
MEC | 0.06 | 0.25 | 1.2 | I | |
A. flavus (n = 4) | |||||
1-74 | MIC-0 | 0.5 | >16 | 2.0 | I |
MEC | 0.5 | >16 | 1.0 | Ad | |
1-68 | MIC-0 | 1 | >16 | 1.0 | Ad |
MEC | 0.5 | 0.5 | 1.5 | I | |
1-38 | MIC-0 | 1 | >16 | 2.1 | I |
MEC | 1 | >16 | 0.5 | S | |
1-42 | MIC-0 | 1 | >16 | 1.0 | Ad |
MEC | 0.5 | >16 | 1.0 | Ad | |
A. niger (n = 3) | |||||
1-44 | MIC-0 | 0.125 | 1 | 1.1 | I |
MEC | 0.125 | 0.25 | 0.8 | Ad | |
1-62 | MIC-0 | 0.06 | >16 | 2 | I |
MEC | 0.03 | 0.25 | 2.2d | I | |
1-63 | MIC-0 | 0.06 | >16 | 1.0 | Ad |
MEC | 0.03 | 0.25 | 1.2 | I | |
A. terreus (n = 3) | |||||
1-58 | MIC-0 | 1 | >16 | 1.0 | Ad |
MEC | 0.5 | 0.25 | 0.4 | S | |
1-79 | MIC-0 | 0.125 | >16 | 2.0 | I |
MEC | 0.06 | 0.25 | 2.6 | I | |
1-50 | MIC-0 | 2 | >16 | 1.0 | Ad |
MEC | 1 | 0.25 | 1.3 | I | |
Fusarium spp. (n = 6) | |||||
F. solani (n = 4) | |||||
S-1319 | MIC-0 | 2 | >16 | 2.1 | I |
MEC | 0.25 | 16 | 1.0 | Ad | |
S-1382 | MIC-0 | 0.5 | >16 | 2.0 | I |
MEC | 0.25 | 16 | 0.5d | S | |
S-1237 | MIC-0 | 2 | >16 | 0.5 | S |
MEC | 1 | 16 | 0.5 | S | |
S-1381 | MIC-0 | 8 | >16 | 0.6 | Ad |
MEC | 1 | >16 | 2.1d | I | |
F. oxysporum (n = 2) | |||||
O-1895 | MIC-0 | 2 | >16 | 0.5 | S |
MEC | 1 | 16 | NAe | NA | |
O-1739 | MIC-0 | 2 | >16 | 0.5 | S |
MEC | 1 | 16 | 0.5 | S |
AMB, amphotericin B; CAS, caspofungin; MEC: minimum effective concentration, equivalent to macroscopic MIC-2.
S, synergistic; Ad, additive; I, indifferent.
The high off-scale MIC value, >16 μg/ml, was converted to the next highest concentration, 32 μg/ml, for calculation of FICI.
MEC is not available or is inconsistent; thus, MIC-1 (∼80% reduction in turbidity) is used for calculation of the FICI.
NA, not applicable; none of the concentrations of the drug produced turbidity equivalent to that endpoint.