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. 2009 Nov 4;48(1):154–161. doi: 10.1128/JCM.01096-09

TABLE 1.

Fluconazole and voriconazole MIC50s and MIC90s obtained with VK2, CLSI (24 h and 48 h), and Etest (24 h and 48 h)

Candida sp. (no. of isolates), azole, and method 24 h
48 h
EAa (%)
MIC range MIC50 MIC90 MIC range MIC50 MIC90
C. albicans (84)
    Fluconazole
        VK2 ≤1-≥64d ≤1 ≤1
        CLSI <0.125-64 0.125 0.5 <0.125->64 0.5 2 98.8
        Etest 0.094-128 0.25 0.38 0.094->256 0.625 2 89.3
    Voriconazole
        VK2 ≤0.12-0.5 ≤0.12 ≤0.12
        CLSI <0.03-1 0.03 0.125 <0.03-2 0.03 0.125 100
        Etest 0.003-1 0.008 0.023 0.002-2 0.02 0.064 98.8
C. parapsilosis (22)
    Fluconazole
        VK2 ≤1 ≤1 ≤1
        CLSI <0.125-8 0.125 0.5 <0.125-8 0.25 0.5 95.4
        Etest 0.064-0.5 0.315 0.38 0.064-8 1 1.5 90.9
    Voriconazole
        VK2 ≤0.12 ≤0.12 ≤0.12
        CLSI <0.03-0.25 <0.03 <0.03 <0.03-0.25 <0.03 0.03 100
        Etest 0.004-0.047 0.012 0.023 0.006-0.19 0.032 0.064 100
C. tropicalis (17)
    Fluconazole
        VK2 ≤1-2 ≤1 2
        CLSI <0.125-2 0.25 0.5 0.125-2 0.5 2 100
        Etest 0.5-2 1.5 1.5 0.38-6 1.5 3 64.7
    Voriconazole
        VK2 ≤0.12 ≤0.12 ≤0.12
        CLSI <0.03-0.06 0.03 0.06 0.03-0.25 0.06 0.125 100
        Etest 0.016-0.094 0.047 0.094 0.012-0.25 0.094 0.19 100
Other Candida spp. (5)c
    Fluconazole
        VK2 ≤1-2 ≤1 ≤1
        CLSI <0.125-0.5 0.125 0.125 <0.125-4 0.125 0.125 100
        Etest 0.064-3 0.75 0.75 0.064-3 0.75 0.75 100
    Voriconazole
        VK2 ≤0.12-≤0.12 ≤0.12 ≤0.12
        CLSI <0.03-<0.03 <0.03 <0.03 <0.03-<0.03 <0.003 <0.003 100
        Etest 0.004-0.094 0.023 0.023 0.004-0.094 0.023 0.023 100
C. glabrata (56)
    Fluconazole
        VK2 ≤1-≥64 8 32
        CLSI <0.125-64 2 8 0.125->64 6 16 94.6
        Etest 0.094->256 7 16 0.094->256 >256 >256 25
    Voriconazole
        VK2 ≤0.12-≥8 ≤0.12 2
        CLSI <0.03-8 0.125 0.5 0.03-8 0.125 2 89.3
        Etest 0.016-8 0.125 1.5 0.032->32 1.5 32 32.1
C. inconspicua (5), C. norvegensis (2)
    Fluconazole
        VK2 4-≥64 16 16
        CLSI <0.125-16 <0.125 <0.125 2-32 16 16 100
        Etest 8-24 10 10 24->256 >256 >256 85.7
    Voriconazole
        VK2 ≤0.12-0.25 ≤0.12 ≤0.12
        CLSI <0.03-0.5 <0.03 <0.03 0.03-0.5 0.25 0.25 100
        Etest 0.19-2 0.19 0.19 0.19-2 0.19 0.19 85.7
C. krusei (14)
    Fluconazole
        VK2 4-32 16 32 100/92.8b
        CLSI 0.25-64 16 32 8-64 32 64 100b
        Etest 32->256 >256 >256
    Voriconazole
        VK2 ≤0.12-0.25 ≤0.12 0.25
        CLSI 0.03-0.5 0.25 0.5 0.25-1 0.5 1 92.8
        Etest 0.19-0.5 0.25 0.25 0.064-1.5 0.25 1.5 64.3
a

EA between VK2 and the two other methods at 48 h.

b

EA calculated with Vitek 2 expert software interpretive values.

c

C. lusitaniae (n = 2), C. guilliermondii (n = 1), C. kefyr (n = 1), and C. dubliniensis (n = 1).

d

MICs are in micrograms per milliliter.