TABLE 2.
In vitro susceptibilities of Candida species to anidulafungin, caspofungin, and micafungin as determined by EUCAST, Etest, and Sensititre after 24 h, including EA and CA
Drug and species | No. of isolates | EUCAST MIC |
Etest MICa |
Sensititre MIC |
EA (%) |
CA with EUCAST (%) |
CA with CLSI (%) |
CA by use of Sensititre ECOFF (%) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Range | 50% | 90% | Range | 50% | 90% | Range | 50% | 90% | Etest | Sensititre | Etest | Sensititre | Etest | Sensititre | |||
Anidulafungin | |||||||||||||||||
Total | 104 | 0.002–0.5 | 0.009 | 0.016 | 0.002–1.5 | 0.003 | 0.016 | 0.015–1 | 0.015 | 0.108 | 97 | 92 | 99 | 93 | 99 | 100 | 100 |
C. albicans | 63 | 0.002–0.016 | 0.002 | 0.016 | 0.002–0.006 | 0.003 | 0.004 | 0.015–0.06 | 0.015 | 0.030 | 100 | 100 | 100 | 97 | 100 | 100 | 100 |
C. dubliniensis | 2 | 0.002–0.002 | 0.002 | 0.002 | 0.002–0.006 | 0.004 | 0.006 | 0.015–0.12 | 0.068 | 0.110 | 100 | 50 | 100 | 50 | 100 | 100 | |
C. glabrata | 18 | 0.002–0.031 | 0.016 | 0.016 | 0.002–0.25 | 0.007 | 0.008 | 0.015–0.12 | 0.015 | 0.030 | 94 | 100 | 94 | 94 | 94 | 100 | 100 |
C. kefyr | 1 | 0.016 | 0.016 | 0.016 | 0.016 | 0.016 | 0.016 | 0.015 | 0.015 | 0.015 | 100 | 100 | NAb | NA | NA | NA | |
C. krusei | 5 | 0.016–0.031 | 0.016 | 0.025 | 0.012–0.023 | 0.016 | 0.020 | 0.03–0.06 | 0.030 | 0.048 | 100 | 100 | 100 | 100 | 100 | 100 | 100 |
C. lusitaniae | 1 | 0.016 | 0.016 | 0.016 | 0.032 | 0.032 | 0.032 | 0.12 | 0.120 | 0.120 | 100 | 0 | NA | NA | NA | NA | |
C. orthopsilosis | 1 | 0.031 | 0.031 | 0.031 | 0.38 | 0.380 | 0.380 | 0.25 | 0.250 | 0.250 | 0 | 0 | 100 | 100 | 100 | 100 | 100 |
C. parapsilosis | 4 | 0.125–0.5 | 0.375 | 0.500 | 0.38–1.5 | 1.000 | 1.350 | 0.5–1 | 0.750 | 1.000 | 75 | 75 | 100 | 100 | 100 | 100 | 100 |
C. pararugosa | 1 | 0.002 | 0.002 | 0.002 | 0.032* | 0.032* | 0.032* | 0.06* | 0.06* | 0.06* | 100 | 0 | NA | NA | NA | NA | |
C. tropicalis | 8 | 0.002–0.016 | 0.016 | 0.016 | 0.003—0.008 | 0.006 | 0.007 | 0.015–0.12 | 0.060 | 0.120 | 100 | 63 | 100 | 63 | 100 | 100 | 100 |
Caspofungin | |||||||||||||||||
Total | 104 | 0.002–0.25 | 0.031 | 0.063 | 0.023–0.5 | 0.094 | 0.354 | 0.015–0.5 | 0.060 | 0.120 | 74 | 98 | NA | NA | 92 | 99 | 100 |
C. albicans | 63 | 0.002–0.062 | 0.031 | 0.062 | 0.023–0.125 | 0.064 | 0.094 | 0.015–0.06 | 0.060 | 0.060 | 71 | 100 | NA | NA | 100 | 100 | 100 |
C. dubliniensis | 2 | 0.031–0.031 | 0.031 | 0.031 | 0.047–0.094 | 0.071 | 0.089 | 0.03–0.12 | 0.075 | 0.111 | 100 | 100 | NA | NA | 100 | 100 | |
C. glabrata | 18 | 0.016–0.125 | 0.062 | 0.063 | 0.064–0.38 | 0.125 | 0.190 | 0.03–0.25 | 0.060 | 0.120 | 89 | 100 | NA | NA | 83 | 94 | 100 |
C. kefyr | 1 | 0.031 | 0.031 | 0.031 | 0.023 | 0.023 | 0.023 | NA | 0.015 | 0.015 | 100 | 100 | NA | NA | NA | NA | |
C. krusei | 5 | 0.063–0.125 | 0.125 | 0.125 | 0.38–0.5 | 0.380 | 0.452 | 0.12–0.25 | 0.250 | 0.250 | 60 | 100 | NA | NA | 0 | 100 | 100 |
C. lusitaniae | 1 | 0.063 | 0.063 | 0.063 | 0.25 | 0.250 | 0.250 | NA | 0.060 | 0.060 | 100 | 100 | NA | NA | NA | NA | |
C. orthopsilosis | 1 | 0.031 | 0.031 | 0.031 | 0.38 | 0.380 | 0.380 | NA | 0.250 | 0.250 | 0 | 0 | NA | NA | 100 | 100 | 100 |
C. parapsilosis | 4 | 0.062–0.25 | 0.125 | 0.213 | 0.38–0.38 | 0.380 | 0.380 | 0.12–0.5 | 0.250 | 0.425 | 75 | 100 | NA | NA | 100 | 100 | 100 |
C. pararugosa | 1 | 0.002 | 0.002 | 0.002 | 0.19* | 0.19* | 0.19* | 0.12* | 0.12* | 0.12* | 0 | 0 | NA | NA | NA | NA | |
C. tropicalis | 8 | 0.016–0.063 | 0.031 | 0.063 | 0.032–0.094 | 0.079 | 0.094 | 0.03–0.06 | 0.060 | 0.060 | 75 | 100 | NA | NA | 100 | 100 | 100 |
Micafungin | |||||||||||||||||
Total | 104 | 0.002–0.25 | 0.002 | 0.016 | 0.003–0.5 | 0.006 | 0.064 | 0.008–1 | 0.015 | 0.060 | 92 | 92 | 99 | 97 | 99 | 100 | 99 |
C. albicans | 63 | 0.002–0.016 | 0.002 | 0.016 | 0.003–0.012 | 0.006 | 0.008 | 0.008–0.03 | 0.008 | 0.015 | 100 | 100 | 100 | 98 | 100 | 100 | 100 |
C. dubliniensis | 2 | 0.002–0.002 | 0.002 | 0.002 | 0.004–0.008 | 0.006 | 0.008 | 0.015–0.06 | 0.038 | 0.056 | 100 | 100 | 100 | 50 | 100 | 100 | |
C. glabrata | 18 | 0.002–0.016 | 0.002 | 0.016 | 0.004–0.064 | 0.006 | 0.008 | 0.008–0.06 | 0.015 | 0.015 | 94 | 100 | 94 | 94 | 94 | 100 | 94 |
C. kefyr | 1 | 0.016 | 0.016 | 0.016 | 0.032 | 0.032 | 0.032 | 0.03 | 0.030 | 0.030 | 100 | 100 | NA | NA | NA | NA | |
C. krusei | 5 | 0.016–0.062 | 0.016 | 0.043 | 0.064–0.094 | 0.064 | 0.094 | 0.12–0.12 | 0.120 | 0.120 | 20 | 20 | NA | NA | 100 | 100 | 100 |
C. lusitaniae | 1 | 0.016 | 0.016 | 0.016 | 0.032 | 0.032 | 0.032 | 0.03 | 0.030 | 0.030 | 100 | 100 | NA | NA | NA | NA | |
C. orthopsilosis | 1 | 0.016 | 0.016 | 0.016 | 0.19 | 0.190 | 0.190 | 0.5 | 0.500 | 0.500 | 0 | 0 | 100 | 100 | 100 | 100 | 100 |
C. parapsilosis | 4 | 0.062–0.25 | 0.188 | 0.250 | 0.25–0.5 | 0.315 | 0.464 | 0.25–1 | 0.750 | 1.000 | 75 | 50 | 100 | 100 | 100 | 100 | 100 |
C. pararugosa | 1 | 0.002 | 0.002 | 0.002 | 0.032* | 0.032* | 0.032* | 0.12* | 0.12* | 0.12* | 100 | 0 | NA | NA | NA | NA | |
C. tropicalis | 8 | 0.002–0.016 | 0.016 | 0.016 | 0.008–0.12 | 0.012 | 0.047 | 0.015–0.03 | 0.030 | 0.030 | 88 | 100 | NA | NA | 100 | 100 | 100 |
*, read after 48 h.
NA, not applicable, since no breakpoints were defined.