Table 2.
PNA-FISH result | Reported organism | Comment |
---|---|---|
C. albicans/parapsilosis | C. albicans/parapsilosis | Unable to differentiate between C. albicans and C. parapsilosis. Both organisms are typically susceptible to fluconazole. Culture identification to follow.b |
C. glabrata/krusei | C. glabrata/ krusei | Unable to differentiate between C. glabrata and C. krusei. Culture identification to follow. Use Micafungin until final susceptibilities are available.c |
C. tropicalis | C. tropicalis | Typically susceptible to fluconazole. |
Not-detect | The Yeast seen on Gram stain will be identified by routine culture. The yeast could not be identified by the PNA FISH.b | |
PNA-FISH culture discordant result | Corrected report | This isolate was originally Not Detected by the PNA FISH. |
The stewardship guidance is based on institutional practice and guidelines and may not be generalizable.
Remove comment when culture results are updated.
Remove comment when sensitivity results are updated. C. krusei is intrinsically resistant to fluconazole.
PNA indicates peptide nucleic acid; FISH, fluorescence in situ hybridization.