TABLE 1.
In vitro susceptibilities of Candida spp. isolates to anidulafungin, caspofungin, and micafungin as determined by the Sensititre YeastOne antifungal plate and CLSI BMD methodsa
Organism | Antifungal agent | Study site (no. of isolates) | Test method | MIC (μg/ml)b
|
EA (%) | ||
---|---|---|---|---|---|---|---|
Range | 50% | 90% | |||||
C. albicans | Anidulafungin | 1 (58) | YstOne | ≤0.008-0.12 | 0.06 | 0.12 | 100 |
Ref. | ≤0.008-0.06 | 0.03 | 0.06 | ||||
2 (58) | YstOne | ≤0.008-0.25 | 0.016 | 0.06 | 100 | ||
Ref. | ≤0.008-0.25 | 0.016 | 0.03 | ||||
3 (58) | YstOne | ≤0.008-0.12 | 0.06 | 0.12 | 100 | ||
Ref. | ≤0.008-0.06 | 0.03 | 0.06 | ||||
Caspofungin | 1 (58) | YstOne | 0.016-0.12 | 0.03 | 0.06 | 100 | |
Ref. | ≤0.008-0.25 | 0.06 | 0.06 | ||||
2 (58) | YstOne | 0.016-0.25 | 0.03 | 0.06 | 100 | ||
Ref. | 0.016-0.5 | 0.03 | 0.06 | ||||
3 (58) | YstOne | 0.03-0.25 | 0.06 | 0.12 | 100 | ||
Ref. | 0.03-0.5 | 0.06 | 0.06 | ||||
Micafungin | 1 (58) | YstOne | ≤0.008-0.03 | ≤0.008 | 0.016 | 100 | |
Ref. | ≤0.008-0.06 | 0.016 | 0.03 | ||||
2 (58) | YstOne | ≤0.008-0.06 | 0.016 | 0.03 | 100 | ||
Ref. | 0.016-0.12 | 0.016 | 0.03 | ||||
3 (58) | YstOne | ≤0.008-0.016 | ≤0.008 | 0.016 | 100 | ||
Ref. | ≤0.008-0.06 | 0.016 | 0.03 | ||||
C. glabrata | Anidulafungin | 1 (29) | YstOne | 0.03-2 | 0.06 | 0.12 | 100 |
Ref. | 0.03-4 | 0.06 | 0.25 | ||||
2 (29) | YstOne | 0.03-0.25 | 0.12 | 0.12 | 100 | ||
Ref. | 0.03-0.25 | 0.12 | 0.12 | ||||
3 (29) | YstOne | 0.03-.025 | 0.12 | 0.12 | 100 | ||
Ref. | 0.03-0.12 | 0.06 | 0.06 | ||||
Caspofungin | 1 (29) | YstOne | 0.03->8 | 0.06 | 0.12 | 100 | |
Ref. | 0.03->8 | 0.06 | 0.12 | ||||
2 (29) | YstOne | 0.06-1 | 0.12 | 0.25 | 100 | ||
Ref. | 0.06-1 | 0.12 | 0.25 | ||||
3 (29) | YstOne | 0.06-0.5 | 0.12 | 0.25 | 100 | ||
Ref. | 0.03-0.5 | 0.06 | 0.12 | ||||
Micafungin | 1 (29) | YstOne | ≤0.008-8 | ≤0.008 | 0.016 | 100 | |
Ref. | ≤0.008-8 | 0.016 | 0.016 | ||||
2 (29) | YstOne | ≤0.008-0.12 | 0.016 | 0.03 | 100 | ||
Ref. | ≤0.008-0.25 | 0.016 | 0.03 | ||||
3 (29) | YstOne | ≤0.008-0.016 | ≤0.008 | 0.016 | 100 | ||
Ref. | ≤0.008-0.03 | 0.016 | 0.016 | ||||
C. tropicalis | Anidulafungin | 1 (26) | YstOne | 0.016-0.5 | 0.12 | 0.25 | 100 |
Ref. | 0.016-0.06 | 0.03 | 0.06 | ||||
2 (21) | YstOne | ≤0.008-0.5 | 0.016 | 0.06 | 100 | ||
Ref. | ≤0.008-0.5 | 0.016 | 0.12 | ||||
3 (26) | YstOne | 0.06-0.25 | 0.12 | 0.12 | 100 | ||
Ref. | 0.016-0.12 | 0.03 | 0.06 | ||||
Caspofungin | 1 (26) | YstOne | 0.016-0.12 | 0.03 | 0.12 | 100 | |
Ref. | 0.016-0.06 | 0.03 | 0.06 | ||||
2 (21) | YstOne | 0.016-4 | 0.03 | 0.06 | 100 | ||
Ref. | 0.03-4 | 0.03 | 0.12 | ||||
3 (26) | YstOne | 0.03-0.25 | 0.06 | 0.25 | 100 | ||
Ref. | 0.03-0.25 | 0.06 | 0.06 | ||||
Micafungin | 1 (26) | YstOne | 0.016-0.03 | 0.016 | 0.03 | 100 | |
Ref. | ≤0.008-0.06 | 0.03 | 0.06 | ||||
2 (21) | YstOne | ≤0.008-2 | 0.016 | 0.03 | 100 | ||
Ref. | ≤0.008-2 | 0.016 | 0.06 | ||||
3 (26) | YstOne | ≤0.008-0.06 | 0.016 | 0.016 | 100 | ||
Ref. | 0.016-0.06 | 0.03 | 0.06 | ||||
C. parapsilosis | Anidulafungin | 1 (30) | YstOne | 0.5-2 | 1 | 2 | 100 |
Ref. | 1-4 | 2 | 2 | ||||
2 (30) | YstOne | 0.03-1 | 0.25 | 1 | 100 | ||
Ref. | 0.016-2 | 0.12 | 0.5 | ||||
3 (30) | YstOne | 0.5-4 | 1 | 2 | 100 | ||
Ref. | 0.5-4 | 1 | 2 | ||||
Caspofungin | 1 (30) | YstOne | 0.25-2 | 0.5 | 1 | 100 | |
Ref. | 0.25-1 | 0.5 | 1 | ||||
2 (30) | YstOne | 0.016-0.5 | 0.12 | 0.25 | 100 | ||
Ref. | 0.03-1 | 0.25 | 0.5 | ||||
3 (30) | YstOne | 0.25-2 | 0.5 | 1 | 100 | ||
Ref. | 0.12-1 | 0.5 | 0.5 | ||||
Micafungin | 1 (30) | YstOne | 0.25-2 | 0.5 | 1 | 100 | |
Ref. | 0.5-2 | 1 | 2 | ||||
2 (30) | YstOne | 0.03-0.5 | 0.25 | 0.25 | 100 | ||
Ref. | 0.016-1 | 0.25 | 0.5 | ||||
3 (30) | YstOne | 0.25-2 | 0.5 | 1 | 100 | ||
Ref. | 0.25-2 | 1 | 2 | ||||
C. krusei | Anidulafungin | 1 (27) | YstOne | 0.06-0.25 | 0.12 | 0.12 | 100 |
Ref. | 0.03-0.5 | 0.25 | 0.25 | ||||
2 (27) | YstOne | 0.03-0.12 | 0.12 | 0.12 | 100 | ||
Ref. | 0.016-0.12 | 0.06 | 0.12 | ||||
3 (27) | YstOne | 0.06-0.5 | 0.12 | 0.25 | 100 | ||
Ref. | 0.03-0.25 | 0.06 | 0.12 | ||||
Caspofungin | 1 (27) | YstOne | 0.12-0.5 | 0.25 | 0.5 | 100 | |
Ref. | 0.12-1 | 0.5 | 0.5 | ||||
2 (27) | YstOne | 0.06-0.5 | 0.25 | 0.5 | 100 | ||
Ref. | 0.06-0.25 | 0.25 | 0.25 | ||||
3 (27) | YstOne | 0.12-0.5 | 0.25 | 0.5 | 100 | ||
Ref. | 0.06-1 | 0.12 | 0.5 | ||||
Micafungin | 1 (27) | YstOne | 0.016-0.12 | 0.12 | 0.12 | 100 | |
Ref. | 0.03-0.12 | 0.06 | 0.12 | ||||
2 (27) | YstOne | 0.016-0.25 | 0.12 | 0.12 | 100 | ||
Ref. | 0.016-0.25 | 0.12 | 0.25 | ||||
3 (27) | YstOne | 0.06-0.25 | 0.12 | 0.12 | 100 | ||
Ref. | 0.03-0.25 | 0.12 | 0.12 | ||||
C. lusitaniae | Anidulafungin | 1 (25) | YstOne | 0.06-0.25 | 0.12 | 0.25 | 100 |
Ref. | 0.06-1 | 0.5 | 0.5 | ||||
2 (25) | YstOne | ≤0.008-0.12 | 0.12 | 0.12 | 100 | ||
Ref. | ≤0.008-0.25 | 0.12 | 0.12 | ||||
3 (25) | YstOne | 0.12-2 | 0.25 | 0.5 | 100 | ||
Ref. | 0.06-2 | 0.25 | 1 | ||||
Caspofungin | 1 (25) | YstOne | 0.016-1 | 0.12 | 0.25 | 100 | |
Ref. | 0.06-1 | 0.25 | 0.5 | ||||
2 (25) | YstOne | ≤0.008-0.25 | 0.06 | 0.12 | 100 | ||
Ref. | ≤0.008-0.25 | 0.06 | 0.25 | ||||
3 (25) | YstOne | 0.03-0.25 | 0.25 | 0.25 | 100 | ||
Ref. | 0.06-0.5 | 0.5 | 0.5 | ||||
Micafungin | 1 (25) | YstOne | 0.016-0.25 | 0.06 | 0.25 | 100 | |
Ref. | 0.06-0.5 | 0.12 | 0.5 | ||||
2 (25) | YstOne | ≤0.008-0.06 | 0.03 | 0.06 | 100 | ||
Ref. | ≤0.008-0.12 | 0.06 | 0.12 | ||||
3 (25) | YstOne | 0.016-1 | 0.06 | 0.5 | 100 | ||
Ref. | 0.03-2 | 0.12 | 0.25 | ||||
Candida spp. | Anidulafungin | 1 (6) | YstOne | ≤0.008-2 | 1 | 100 | |
Ref. | 0.03-2 | 1 | |||||
2 (10) | YstOne | 0.016-1 | 0.25 | 0.5 | 100 | ||
Ref. | 0.03-0.5 | 0.25 | 0.5 | ||||
3 (8) | YstOne | 0.06-0.12 | 0.06 | 100 | |||
Ref. | 0.016-0.12 | 0.06 | |||||
Caspofungin | 1 (6) | YstOne | ≤0.008-0.5 | 0.25 | 100 | ||
Ref. | 0.03-0.5 | 0.5 | |||||
2 (10) | YstOne | 0.016-0.25 | 0.12 | 0.25 | 100 | ||
Ref. | 0.016-0.25 | 0.12 | 0.25 | ||||
3 (8) | YstOne | 0.016-0.03 | 0.03 | 100 | |||
Ref. | 0.016-0.12 | 0.06 | |||||
Micafungin | 1 (6) | YstOne | 0.016-1 | 0.25 | 100 | ||
Ref. | 0.03-2 | 0.5 | |||||
2 (10) | YstOne | 0.016-0.5 | 0.12 | 0.5 | 100 | ||
Ref. | 0.03-0.5 | 0.12 | 0.25 | ||||
3 (8) | YstOne | ≤0.008-0.06 | 0.016 | 100 | |||
Ref. | 0.016-0.12 | 0.03 |
Abbreviations: YstOne, YeastOne; Ref., reference method.
50%, MIC encompassing 50% of all isolates tested; 90%, MIC encompassing 90% of all isolates tested.