TABLE 4.
Organism |
In vitro susceptibilitya to: |
|||
---|---|---|---|---|
Fluconazole |
Voriconazole |
|||
% S | % R | % S | % R | |
C. albicans | 99.3 | 0.4 | 99.3 | 0.7 |
C. parapsilosis complex | ||||
C. parapsilosis sensu stricto | 98.6 | 1.4 | 100 | 0 |
C. metapsilosis | 100 | 0 | 100 | 0 |
C. orthopsilosis | 100 | 0 | 100 | 0 |
L. elongisporus | 100 | 0 | 100 | 0 |
C. tropicalis | 94.3 | 5.7 | 94.3 | 5.7 |
C. glabrata complex | ||||
C. glabrata sensu stricto | NAb | 12.2 | 82.2c | 17.8c |
C. nivariensis | NA | 0 | 100c | 0c |
C. krusei | 0 | 100 | 83.3 | 11.1 |
C. guilliermondii | 100 | 0 | 100 | 0 |
C. pelliculosa | 50.0 | 33.3 | 66.7 | 8.3 |
C. lipolytica | 10.0 | 90.0 | 10.0 | 90.0 |
C. lustitaniae | 83.3 | 0 | 100 | 0 |
C. quercitrusa | 0 | 100 | 100 | 0 |
C. catenulata | 0 | 100 | 0 | 100 |
C. fabianii | 100 | 0 | 100 | 0 |
C. famata | 100 | 0 | 100 | 0 |
C. haemulonii | 100 | 0 | 100 | 0 |
C. kefyr | 100 | 0 | 100 | 0 |
C. norvegensis | 100 | 0 | 100 | 0 |
C. neoformans | 90.5 | 6.3 | 100 | 0 |
Other yeast species | ||||
Geotrichum capitum | 100 | 0 | 100 | 0 |
Kodamaea ohmeri | 100 | 0 | 100 | 0 |
Meyerozyma caribbica | 100 | 0 | 100 | 0 |
Rhodotorula mucilaginosa | 0 | 100 | 0 | 100 |
Trichosporon asahii | 85.7 | 0 | 100 | 0 |
Trichosporon dermatis | 100 | 0 | 100 | 0 |
Susceptibility data were interpreted (i) by species-specific interpretive criteria for C. albicans, C. tropicalis, C. parapsilosis complex, the C. glabrata complex, and C. krusei as described by Pfaller et al. (27, 28) and (ii) in accordance with CLSI document M44-S3 (8) for other yeast species.
The latest species-specific interpretive criteria for C. glabrata complex susceptibility to fluconazole were defined as ≤14 mm for R and ≥15 mm for S-DD (28); thus, category S is not applicable (NA) to the C. glabrata complex.
As CBPs for C. glabrata complex susceptibility to voriconazole are not available, the ECV (a zone diameter of ≥16 mm) was used to differentiate wild-type (listed in category S) from non-wild-type (listed in category R) strains of this complex, as described by Pfaller et al. (27).