TABLE 4.
Azole MFCs and MICs for 15 Aspergillus isolates in three laboratories
Medium and species (no. of isolates)a | Parameter | Range (MFC90s, MIC90s, or modal values)b
|
|||
---|---|---|---|---|---|
Itraconazole | Voriconazole | Posaconazole | Ravuconazole | ||
RPMI medium | |||||
A. fumigatus I-Suscep. (6) | MFC | 0.2-4 (4) | 0.5-4 (4) | 0.06-2 (1) | 0.5-4 (4) |
MIC | 0.12-1 (1) | 0.5-1 (1) | 0.03-0.5 (0.2) | 0.12-1 (1) | |
I-Res. (1 [isolate no. 5]) | MFC | >8 | 1-2 | 1-2 | 2-4 |
MIC | 8->8 | 1 | 0.2-1 | 2 | |
I-Res. (1 [isolate no. 6]) | MFC | NDc | 0.5-2 | 2->8 | 2 |
MIC | >8 | 0.2-0.5 | 0.5-1 | 0.2 | |
V-Res. (1) | MFC | 1-4 | 2-8 | 0.2-0.5 | 4-8 |
MIC | 0.5-4 | 2-8 | 0.2 | 2-8 | |
A. flavus (3) | MFC | 0.12-1 (0.5) | 0.5-2 (1) | 0.06-0.5 (0.12) | 1-4 (2) |
MIC | 0.12-0.5 (0.2) | 0.12-1 (1) | 0.03-0.5 (0.06) | 0.5-2 (2) | |
A. terreus (1) | MFC | 0.5-4 | 2-4 | 0.2-1 | 4-8 |
MIC | 0.12-0.5 | 0.5-1 | 0.03-0.5 (0.03) | 0.5-1 | |
A. terreus (2) | MFC | 0.2-1 (0.5) | 1-4 (2) | 0.12-0.2 (0.12) | 1-4 (4) |
MIC | 0.06-0.5 (0.2) | 0.5-1 (0.5) | 0.03-0.2 (0.03) | 0.12-1 (0.5) | |
M3 medium | |||||
A. fumigatus I-Suscep. (6) | MFC | 0.5-1 (1) | 0.5-8 (4) | 0.06-1 (0.5) | 1-4 (4) |
MIC | 0.2-1 (0.5) | 0.5-4 (2) | 0.03-0.12 (0.12) | 0.5-2 (2) | |
I-Res. (isolate no. 5) | MFC | >8 | 2-4 | 0.5-2 | >8 |
MIC | 8->8 | 1 | 0.2-1 | >8 | |
I-Res. (isolate no. 6) | MFC | >8 | 0.2-0.5 | 0.5-2 | 0.5-2 |
MIC | 4->8 | 0.2-0.5 | 0.5-1 | 0.2-0.5 | |
V-Res. (1) | MFC | 2->8 | 8->8 | 0.2-0.5 | 8->8 |
MIC | 2->8 | 8->8 | 0.2-0.5 | 8->8 | |
A. flavus (3) | MFC | 0.12-0.5 (0.5) | 2-4 (4) | 0.06-0.5 (0.12) | 1-4 (2) |
MIC | 0.12-0.5 (0.5) | 0.5-4 (2) | 0.12-0.2 (0.12) | 0.5-4 (2) | |
A. terreus (1) | MFC | 1-2 | 4-8 | 0.2-0.5 | 4-8 |
MIC | 0.2-1 | 2-4 | 0.12-0.2 | 1-2 | |
A. terreus (2) | MFC | 0.5-1 (0.5) | 4-8 (4) | 0.12-0.5 (0.2) | 2-8 (4) |
MIC | 0.06-0.5 (0.5) | 1-4 (2) | 0.03-0.2 (0.2) | 0.2-2 (1) |
I-Suscep, itraconazole-susceptible isolates; I-Res., itraconazole-resistant isolates; V-Res., voriconazole-resistant laboratory mutant.
MFC90s, MIC90s for six isolates; modal values for three isolates.
ND, not determined.