TABLE 1.
Agreement between MTS gradient concentration strips and CLSI broth microdilution reference method for caspofungin MIC determination for isolates with a dip effect
| Species (n with dip effect/all isolates) | Median (range) MIC (mg/liter) by method: |
MTS |
|||||||
|---|---|---|---|---|---|---|---|---|---|
| Top of the dip |
New approach |
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| Median (range) MIC (mg/liter) | % agreement at no. of 2-fold dilutions: |
Median (range) MIC (mg/liter) | % agreement at no. of 2-fold dilutions: |
||||||
| Etest | Sensititre | CLSI | ±1 | ±2 | ±1 | ±2 | |||
| C. albicans (12/12) | 0.125 (0.03–0.5) | 0.06 (0.008–0.25) | 0.125 (0.016–0.25) | 0.25 (0.125–0.50) | 58 | 83 | 0.125 (0.016–0.5) | 75 | 92 |
| C. glabrata (9/10) | 0.25 (0.03–0.5) | 0.125 (0.06–0.25) | 0.125 (0.06–0.25) | 0.50 (0.25–0.50) | 22 | 89 | 0.125 (0.03–0.25) | 100 | 100 |
| C. parapsilosis (2/13) | 0.4 (0.25–0.5) | 0.19 (0.125–0.25) | 0.125 (0.125–0.125) | 0.50 (0.50–0.50) | 0 | 100 | 0.09 (0.06–0.25) | 100 | 100 |
| C. tropicalis (11/11) | 0.125 (0.06–0.5) | 0.06 (0.016–0.25) | 0.06 (0.016–0.25) | 0.50 (0.125–0.50) | 27 | 55 | 0.06 (0.03–0.25) | 100 | 100 |
| Rare Candida spp. (7/12) | 0.25 (0.06–0.5) | 0.125 (0.03–0.25) | 0.125 (0.06–0.25) | 0.50 (0.25–1.0) | 43 | 57 | 0.06 (0.03–0.25) | 86 | 100 |
| All isolates (41/60) | 0.125 (0.03–0.5) | 0.06 (0.008–0.25) | 0.125 (0.016–0.25) | 0.50 (0.125–1.0) | 37 | 73 | 0.125 (0.016–0.5) | 88 | 100 |