TABLE 1.
Fluconazole susceptibilities of 426 isolates of Candida spp. as determined by the VITEK 2 yeast susceptibility test and by CLSI BMD methodsa
Species | No. tested | Test methodb | MIC (μg/ml)c
|
EA (%)d | ||
---|---|---|---|---|---|---|
Range | 50% | 90% | ||||
C. albicans | 198 | VITEK 2 | ≤1-≥64 | ≤1 | ≤1 | |
BMD-24 | ≤0.12-≥128 | 0.25 | 0.5 | 97.0 | ||
BMD-48 | ≤0.12-≥128 | 0.25 | 0.5 | 96.5 | ||
C. dubliniensis | 8 | VITEK 2 | ≤1-32 | ≤1 | ||
BMD-24 | ≤0.12-16 | ≤0.12 | 100.0 | |||
BMD-48 | ≤0.12-16 | 0.25 | 100.0 | |||
C. glabrata | 83 | VITEK 2 | ≤1-≥64 | 8 | ≥64 | |
BMD-24 | 0.5-≥128 | 4 | 64 | 98.8 | ||
BMD-48 | 0.5-≥128 | 16 | ≥128 | 96.4 | ||
C. guilliermondii | 3 | VITEK 2 | ≤1-4 | 2 | ||
BMD-24 | 1-4 | 4 | 100.0 | |||
BMD-48 | 2-4 | 4 | 100.0 | |||
C. krusei | 51 | VITEK 2 | ≤1-≥64 | 16 | 32 | |
BMD-24 | ≤1-≥128 | 16 | 32 | 100.0 | ||
BMD-48 | ≤1-≥128 | 64 | ≥128 | 68.6 | ||
C. lusitaniae | 9 | VITEK 2 | ≤1-2 | 1 | ||
BMD-24 | ≤0.12-1 | 0.5 | 100.0 | |||
BMD-48 | ≤0.12-2 | 0.5 | 100.0 | |||
C. norvegensis | 1 | VITEK 2 | 8 | |||
BMD-24 | 16 | 100.0 | ||||
BMD-48 | 16 | 100.0 | ||||
C. parapsilosis | 43 | VITEK 2 | ≤1-≥64 | ≤1 | 2 | |
BMD-24 | 0.25-4 | 0.5 | 1 | 95.3 | ||
BMD-48 | 0.5-4 | 1 | 2 | 97.7 | ||
C. pelliculosa | 2 | VITEK 2 | 2-4 | 2 | ||
BMD-24 | 2-4 | 2 | 100.0 | |||
BMD-48 | 4 | 4 | 100.0 | |||
C. tropicalis | 28 | VITEK 2 | ≤1-8 | ≤1 | ≤1 | |
BMD-24 | ≤0.12-8 | 0.25 | 1 | 100.0 | ||
BMD-48 | 0.25-16 | 0.5 | 4 | 100.0 | ||
All Candida spp. | 426 | VITEK 2 | ≤1-≥64 | ≤1 | 16 | |
BMD-24 | ≤0.12-≥128 | 0.5 | 16 | 97.9 | ||
BMD-48 | ≤0.12-≥128 | 0.5 | 64 | 93.7 |
Isolates included both clinical (n = 346) and challenge (n = 80) sets.
BMD-24 and BMD-48, BMD performed at 24 h and 48 h of incubation, respectively.
50% and 90%, MICs encompassing 50% and 90% of isolates tested, respectively.
% EA is the EA (±2 log2 dilutions) between VITEK 2 and BMD MICs.