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. 2009 Sep 28;53(12):5026–5034. doi: 10.1128/AAC.01031-09

TABLE 5.

Subjects who experienced a breakthrough invasive fungal infection after removal from study drug that was caused by the same Candida species identified as a colonizer

Prophylactic agent IFI and colonizing species Day of IFI onset/duration of prophylaxis (days)/time since last dose (days) Results for isolates cultured from subjects with an invasive fungal infection
Culture day/sourcea MIC (μg/ml)
Posaconazole Fluconazole Itraconazole
Posaconazole C. glabrata 75/33/42 59/mouth 1 16 1
75/blood NAb NA NA
C. glabrata 165/138/27 35/mouth 4 64 8
60/mouth 4 >64 4
88/mouth 2 >64 2
C. glabrata 25/3/22 1/stool 4 16 8
3/stool 0.5 8 1
23/stool 0.125 4 0.125
25/blood 0.5 8 2
C. glabrata 37/9/28 7/stool 1 8 1
9/urine NA NA NA
10/stool 1 8 2
14/stool NA NA NA
37/blood NA NA NA
C. tropicalis 45/24/21 −3/stool <0.015 0.25 0.03
−3/pharynx <0.015 0.5 0.03
2/stool <0.015 0.25 <0.015
2/pharynx <0.015 0.25 0.03
9/stool <0.015 0.5 0.03
45/blood NA NA NA
Fluconazole C. glabrata 31/28/3 16/mouth <0.5 <2 <1
31/mouth <0.5 <4 <1
C. glabrata 143/116/27c 1/mouth 0.5 16 1
12/mouth 2 64 4
62/mouth 4 64 8
85/mouth 4 64 8
111/mouth 4 64 >8
143/blood NA NA NA
C. glabrata 168/113/55 −2/mouth 1 64 1
15/mouth 2 64 4
43/mouth 2 64 2
176/mouth 4 >64 2
C. glabrata 172/114/58d −2/mouth 0.5 16 1
56/mouth 0.25 4 0.5
86/mouth 1 16 2
114/mouth 2 32 8
172/blood NA NA NA
177/mouth 1 32 1
C. krusei 19/6/13 1/pharynx 0.06 32 0.125
6/stool 0.125 64 0.5
6/pharynx 0.06 32 0.5
16/stool 0.25 64 0.25
16/pharynx 0.25 64 0.5
19/blood 0.06 32 0.25
a

Cultures of samples from the from mouth (study 1, HSCT recipients) and from the stool and pharynx (study 2, subjects with AML or MDS) were part of a surveillance program; blood and urine cultures were performed in cases with an IFI.

b

NA, not available.

c

Subject 002.

d

Subject 497.