TABLE 3.
Antifungal susceptibility to echinocandins and liposomal amphotericin B expressed as SMIC50 and SMIC80 of Candida and non-Candida isolatesa
| Drug and MIC | SMIC50 (in μg/ml) |
SMIC80 (in μg/ml) |
||||
|---|---|---|---|---|---|---|
| fks mutant | Wild type | Intrinsically resistant | fks mutant | Wild type | Intrinsically resistant | |
| Micafungin | ||||||
| GMb | 0.99 | 0.02 | 11.28 | 18.38 | 0.09 | 19.03 |
| MIC50 | 2 | ≤0.015 | ≥32 | ≥32 | ≤0.015 | ≥32 |
| MIC90 | 16 | 0.125 | ≥32 | ≥32 | ≥32 | ≥32 |
| Range | ≤0.015–16 | ≤0.015–0.125 | 0.031–≥32 | 2–≥32 | ≤0.015–≥32 | 0.25–≥32 |
| Anidulafungin | ||||||
| GM | 1.74 | 0.04 | 15.05 | 32 | 0.28 | 20.09 |
| MIC50 | 2 | 0.031 | ≥32 | ≥32 | 0.062 | ≥32 |
| MIC90 | ≥32 | 0.5 | ≥32 | ≥32 | ≥32 | ≥32 |
| Range | 0.062–≥32 | ≤0.015–0.5 | 0.062–≥32 | ≥32–≥32 | 0.031–≥32 | 0.125–≥32 |
| Caspofungin | ||||||
| GM | 1.51 | 0.14 | 6.71 | 12.13 | 0.37 | 32 |
| MIC50 | 2 | 0.125 | ≥32 | ≥32 | 0.25 | ≥32 |
| MIC90 | ≥32 | ≥32 | ≥32 | ≥32 | ≥32 | ≥32 |
| Range | 0.062–≥32 | ≤0.015–≥32 | 0.125–≥32 | 0.5–≥32 | 0.031–≥32 | ≥32–≥32 |
| Liposomal amphotericin B | ||||||
| GM | 0.14 | 0.29 | 0.38 | 2.64 | 21.11 | 5.64 |
| MIC50 | 0.062 | 0.25 | 0.25 | 8 | ≥32 | ≥32 |
| MIC90 | 4 | ≥32 | ≥32 | ≥32 | ≥32 | ≥32 |
| Range | 0.031–4 | 0.062–≥32 | ≤0.015–≥32 | 0.125–≥32 | 4–≥32 | ≤0.015–≥32 |
Antifungal susceptibility to echinocandins and liposomal amphotericin B was expressed as a 50% and 80% reduction in the metabolic activity of the biofilm (SMIC50 and SMIC80, respectively) of the fks mutant Candida isolates, wild-type Candida isolates, and intrinsically echinocandin-resistant non-Candida isolates.
GM, geometric mean.