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. 2014 Jun;52(6):2126–2130. doi: 10.1128/JCM.00658-14

TABLE 4.

CA between Vitek 2 AF03 IUO yeast susceptibility test and CLSI BMD MICs of fluconazole for 698 Candida and 44 C. neoformans isolates when using new CBPs and ECVs

Species (no. of isolates tested) and test method % of MICs by categorya
CA (%) % VME % ME % Minor errors
S SDD R
C. albicans (215)
    Vitek 2 93.0 0.5 6.5
    BMDb 94.4 3.3 2.3 94.9 0.0 2.3 2.8
C. glabrata (181)
    Vitek 2 71.8 28.2
    BMD 85.6 14.4 87.8 0.0 0.0 12.2
C. parapsilosis (109)
    Vitek 2 85.3 0.9 13.8
    BMD 83.5 3.7 12.8 94.5 1.8 0.9 2.8
C. tropicalis (107)
    Vitek 2 86.0 1.9 12.1
    BMD 87.9 6.5 5.6 90.6 0.0 4.7 4.7
C. krusei (30)
    Vitek 2 100
    BMD 100 100 0.0 0.0 0.0
C. lusitaniae (28)
    Vitek 2 82.1 17.9
    BMD 96.4 3.6 85.7 0.0 14.3
C. dubliniensis (13)
    Vitek 2 84.6 15.4
    BMD 100 0.0 84.6 0.0 15.4
C. guilliermondii (8)
    Vitek 2 100 0.0
    BMD 100 0.0 100 0.0 0.0
C. pelliculosa (4)
    Vitek 2 100 0.0
    BMD 100 0.0 100 0.0 0.0
C. kefyr (3)
    Vitek 2 66.7 33.3
    BMD 100 0.0 66.7 0.0 33.3
C. neoformans (44)
    Vitek 2 84.1 15.9
    BMD 90.9 9.1 84.1 4.5 11.4
a

The CBPs for S, SDD, and R, respectively, were those of the CLSI of fluconazole for C. albicans, C. tropicalis, and C. parapsilosis (S, ≤2 μg/ml; SDD, 4 μg/ml; R, ≥8 μg/ml) and C. glabrata (SDD, ≤32 μg/ml; R, ≥64 μg/ml). There are no CBPs of fluconazole for C. krusei; all isolates are categorized as R irrespective of the MIC. Because of the lack of CBPs, the ECV was used to determine fluconazole S (WT) and R (non-WT) of C. lusitaniae (≤1 and ≥2 μg/ml), C. dubliniensis (≤0.5 and ≥1 μg/ml), C. guilliermondii (≤8 and ≥16 μg/ml), C. pelliculosa (≤4 and ≥8 μg/ml), C. kefyr (≤1 and ≥2 μg/ml), and C. neoformans (≤16 and ≥32 μg/ml).

b

The CLSI BMD test result was read at either 24 h (Candida species) or 72 h (C. neoformans) of incubation.