TABLE 2.
Activity of antifungal agents tested against uncommon yeast species with ≥3 isolates
| Organism/organism group (no. of isolates) | No. of isolates (cumulative %) at the following MIC (μg/ml): |
MIC50 (μg/ml) | MIC90 (μg/ml) | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ≤0.008 | 0.015 | 0.03 | 0.06 | 0.12 | 0.25 | 0.5 | 1 | 2 | 4 | 8 | 16 | 32 | 64 | 128 | >a | |||
| Candida haemulonii (4) | ||||||||||||||||||
| Anidulafungin | 0 (0.0) | 2 (50.0) | 1 (75.0) | 1 (100.0) | 0.12 | |||||||||||||
| Caspofungin | 0 (0.0) | 1 (25.0) | 1 (50.0) | 2 (100.0) | 0.06 | |||||||||||||
| Micafungin | 0 (0.0) | 4 (100.0) | 0.12 | |||||||||||||||
| Fluconazole | 0 (0.0) | 1 (25.0) | 1 (50.0) | 2 (100.0) | 1 | |||||||||||||
| Voriconazole | 0 (0.0) | 2 (50.0) | 2 (100.0) | 0.015 | ||||||||||||||
| Posaconazole | 0 (0.0) | 2 (50.0) | 2 (100.0) | 0.06 | ||||||||||||||
| Amphotericin B | 0 (0.0) | 1 (25.0) | 3 (100.0) | 2 | ||||||||||||||
| Candida metapsilosis (8) | ||||||||||||||||||
| Anidulafungin | 0 (0.0) | 4 (50.0) | 2 (75.0) | 1 (87.5) | 1 (100.0) | 0.25 | ||||||||||||
| Caspofungin | 0 (0.0) | 1 (12.5) | 5 (75.0) | 1 (87.5) | 1 (100.0) | 0.12 | ||||||||||||
| Micafungin | 0 (0.0) | 1 (12.5) | 3 (50.0) | 3 (87.5) | 1 (100.0) | 0.25 | ||||||||||||
| Fluconazole | 0 (0.0) | 1 (12.5) | 6 (87.5) | 1 (100.0) | 1 | |||||||||||||
| Voriconazole | 0 (0.0) | 3 (37.5) | 4 (87.5) | 0 (87.5) | 1 (100.0) | 0.03 | ||||||||||||
| Posaconazole | 0 (0.0) | 2 (25.0) | 5 (87.5) | 0 (87.5) | 1 (100.0) | 0.06 | ||||||||||||
| Amphotericin B | 0 (0.0) | 2 (25.0) | 6 (100.0) | 1 | ||||||||||||||
| Candida fabianii (3) | ||||||||||||||||||
| Anidulafungin | 0 (0.0) | 3 (100.0) | 0.015 | |||||||||||||||
| Caspofungin | 0 (0.0) | 3 (100.0) | 0.015 | |||||||||||||||
| Micafungin | 0 (0.0) | 2 (66.7) | 1 (100.0) | 0.015 | ||||||||||||||
| Fluconazole | 0 (0.0) | 1 (33.3) | 2 (100.0) | 4 | ||||||||||||||
| Voriconazole | 0 (0.0) | 1 (33.3) | 1 (66.7) | 1 (100.0) | 0.06 | |||||||||||||
| Posaconazole | 0 (0.0) | 1 (33.3) | 2 (100.0) | 0.5 | ||||||||||||||
| Amphotericin B | 0 (0.0) | 3 (100.0) | 1 | |||||||||||||||
| Candida inconspicua (6) | ||||||||||||||||||
| Anidulafungin | 2 (33.3) | 2 (66.7) | 2 (100.0) | 0.015 | ||||||||||||||
| Caspofungin | 0 (0.0) | 2 (33.3) | 2 (66.7) | 1 (83.3) | 1 (100.0) | 0.03 | ||||||||||||
| Micafungin | 2 (33.3) | 0 (33.3) | 2 (66.7) | 1 (83.3) | 1 (100.0) | 0.03 | ||||||||||||
| Fluconazole | 0 (0.0) | 5 (83.3) | 1 (100.0) | 16 | ||||||||||||||
| Voriconazole | 0 (0.0) | 2 (33.3) | 4 (100.0) | 0.25 | ||||||||||||||
| Posaconazole | 0 (0.0) | 5 (83.3) | 1 (100.0) | 0.25 | ||||||||||||||
| Amphotericin B | 0 (0.0) | 1 (16.7) | 2 (50.0) | 3 (100.0) | 0.5 | |||||||||||||
| Candida kefyr (22) | ||||||||||||||||||
| Anidulafungin | 0 (0.0) | 7 (31.8) | 7 (63.6) | 8 (100.0) | 0.06 | 0.12 | ||||||||||||
| Caspofungin | 11 (50.0) | 10 (95.5) | 1 (100.0) | ≤0.008 | 0.015 | |||||||||||||
| Micafungin | 0 (0.0) | 1 (4.5) | 11 (54.5) | 9 (95.5) | 1 (100.0) | 0.03 | 0.06 | |||||||||||
| Fluconazole | 6 (27.3) | 7 (59.1) | 8 (95.5) | 1 (100.0) | 0.25 | 0.5 | ||||||||||||
| Voriconazole | 15 (68.2) | 7 (100.0) | ≤0.008 | 0.015 | ||||||||||||||
| Posaconazole | 0 (0.0) | 4 (18.2) | 3 (31.8) | 6 (59.1) | 5 (81.8) | 4 (100.0) | 0.06 | 0.25 | ||||||||||
| Amphotericin B | 0 (0.0) | 3 (13.6) | 18 (95.5) | 1 (100.0) | 1 | 1 | ||||||||||||
| Candida lipolytica (5) | ||||||||||||||||||
| Anidulafungin | 0 (0.0) | 4 (80.0) | 1 (100.0) | 0.25 | ||||||||||||||
| Caspofungin | 0 (0.0) | 2 (40.0) | 3 (100.0) | 0.25 | ||||||||||||||
| Micafungin | 0 (0.0) | 1 (20.0) | 3 (80.0) | 1 (100.0) | 0.5 | |||||||||||||
| Fluconazole | 0 (0.0) | 1 (20.0) | 2 (60.0) | 0 (60.0) | 0 (60.0) | 0 (60.0) | 2 (100.0) | 2 | ||||||||||
| Voriconazole | 0 (0.0) | 2 (40.0) | 1 (60.0) | 0 (60.0) | 0 (60.0) | 0 (60.0) | 0 (60.0) | 2 (100.0) | 0.03 | |||||||||
| Posaconazole | 0 (0.0) | 3 (60.0) | 0 (60.0) | 1 (80.0) | 1 (100.0) | 0.25 | ||||||||||||
| Amphotericin B | 0 (0.0) | 1 (20.0) | 4 (100.0) | 1 | ||||||||||||||
| Candida orthopsilosis (34) | ||||||||||||||||||
| Anidulafungin | 0 (0.0) | 5 (14.7) | 9 (41.2) | 15 (85.3) | 5 (100.0) | 1 | 2 | |||||||||||
| Caspofungin | 0 (0.0) | 5 (14.7) | 15 (58.8) | 11 (91.2) | 3 (100.0) | 0.12 | 0.25 | |||||||||||
| Micafungin | 0 (0.0) | 3 (8.8) | 10 (38.2) | 17 (88.2) | 4 (100.0) | 0.5 | 1 | |||||||||||
| Fluconazole | 1 (2.9) | 3 (11.8) | 13 (50.0) | 9 (76.5) | 4 (88.2) | 1 (91.2) | 0 (91.2) | 1 (94.1) | 1 (97.1) | 0 (97.1) | 1 (100.0) | 0.5 | 4 | |||||
| Voriconazole | 6 (17.6) | 10 (47.1) | 9 (73.5) | 4 (85.3) | 2 (91.2) | 0 (91.2) | 2 (97.1) | 1 (100.0) | 0.03 | 0.12 | ||||||||
| Posaconazole | 0 (0.0) | 8 (23.5) | 8 (47.1) | 15 (91.2) | 2 (97.1) | 1 (100.0) | 0.12 | 0.12 | ||||||||||
| Amphotericin B | 0 (0.0) | 19 (55.9) | 15 (100.0) | 0.5 | 1 | |||||||||||||
| Candida pelliculosa (5) | ||||||||||||||||||
| Anidulafungin | 4 (80.0) | 1 (100.0) | ≤0.008 | |||||||||||||||
| Caspofungin | 3 (60.0) | 0 (60.0) | 2 (100.0) | ≤0.008 | ||||||||||||||
| Micafungin | 2 (40.0) | 2 (80.0) | 1 (100.0) | 0.015 | ||||||||||||||
| Fluconazole | 0 (0.0) | 3 (60.0) | 1 (80.0) | 1 (100.0) | 2 | |||||||||||||
| Voriconazole | 0 (0.0) | 2 (40.0) | 2 (80.0) | 1 (100.0) | 0.12 | |||||||||||||
| Posaconazole | 0 (0.0) | 1 (20.0) | 1 (40.0) | 2 (80.0) | 1 (100.0) | 0.5 | ||||||||||||
| Amphotericin B | 0 (0.0) | 1 (20.0) | 4 (100.0) | 0.5 | ||||||||||||||
| Cryptococcus neoformans (3) | ||||||||||||||||||
| Anidulafungin | 0 (0.0) | 3 (100.0) | >8 | |||||||||||||||
| Caspofungin | 0 (0.0) | 3 (100.0) | >8 | |||||||||||||||
| Micafungin | 0 (0.0) | 3 (100.0) | >8 | |||||||||||||||
| Fluconazole | 0 (0.0) | 1 (33.3) | 2 (100.0) | 4 | ||||||||||||||
| Voriconazole | 0 (0.0) | 1 (33.3) | 2 (100.0) | 0.06 | ||||||||||||||
| Posaconazole | 0 (0.0) | 3 (100.0) | 0.25 | |||||||||||||||
| Amphotericin B | 0 (0.0) | 3 (100.0) | 0.5 | |||||||||||||||
| Cryptococcus neoformans var. grubii (78) | ||||||||||||||||||
| Anidulafungin | 0 (0.0) | 1 (1.3) | 0 (1.3) | 5 (7.7) | 72 (100.0) | >8 | >8 | |||||||||||
| Caspofungin | 0 (0.0) | 1 (1.3) | 8 (11.5) | 69 (100.0) | >8 | >8 | ||||||||||||
| Micafungin | 0 (0.0) | 1 (1.3) | 0 (1.3) | 2 (3.8) | 75 (100.0) | >8 | >8 | |||||||||||
| Fluconazole | 0 (0.0) | 1 (1.3) | 7 (10.3) | 34 (53.8) | 35 (98.7) | 1 (100.0) | 2 | 4 | ||||||||||
| Voriconazole | 0 (0.0) | 4 (5.1) | 37 (52.6) | 36 (98.7) | 1 (100.0) | 0.03 | 0.06 | |||||||||||
| Posaconazole | 0 (0.0) | 3 (3.8) | 13 (20.5) | 32 (61.5) | 30 (100.0) | 0.12 | 0.25 | |||||||||||
| Amphotericin B | 0 (0.0) | 1 (1.3) | 46 (60.3) | 31 (100.0) | 0.5 | 1 | ||||||||||||
| Cryptococcus neoformans var. neoformans (8) | ||||||||||||||||||
| Anidulafungin | 0 (0.0) | 1 (12.5) | 0 (12.5) | 2 (37.5) | 5 (100.0) | >8 | ||||||||||||
| Caspofungin | 0 (0.0) | 6 (75.0) | 2 (100.0) | 8 | ||||||||||||||
| Micafungin | 0 (0.0) | 1 (12.5) | 0 (12.5) | 0 (12.5) | 2 (37.5) | 5 (100.0) | >8 | |||||||||||
| Fluconazole | 0 (0.0) | 1 (12.5) | 4 (62.5) | 2 (87.5) | 1 (100.0) | 1 | ||||||||||||
| Voriconazole | 0 (0.0) | 2 (25.0) | 5 (87.5) | 1 (100.0) | 0.03 | |||||||||||||
| Posaconazole | 0 (0.0) | 3 (37.5) | 4 (87.5) | 1 (100.0) | 0.12 | |||||||||||||
| Amphotericin B | 0 (0.0) | 1 (12.5) | 7 (100.0) | 0.5 | ||||||||||||||
| Geotrichum clavatum (5) | ||||||||||||||||||
| Anidulafungin | 0 (0.0) | 1 (20.0) | 4 (100.0) | 4 | ||||||||||||||
| Caspofungin | 0 (0.0) | 2 (40.0) | 1 (60.0) | 2 (100.0) | 8 | |||||||||||||
| Micafungin | 0 (0.0) | 1 (20.0) | 0 (20.0) | 3 (80.0) | 1 (100.0) | 2 | ||||||||||||
| Fluconazole | 0 (0.0) | 1 (20.0) | 3 (80.0) | 1 (100.0) | 8 | |||||||||||||
| Voriconazole | 0 (0.0) | 4 (80.0) | 0 (80.0) | 1 (100.0) | 0.12 | |||||||||||||
| Posaconazole | 0 (0.0) | 2 (40.0) | 3 (100.0) | 0.5 | ||||||||||||||
| Amphotericin B | 0 (0.0) | 2 (40.0) | 3 (100.0) | 1 | ||||||||||||||
| Magnusiomyces capitatus (7) | ||||||||||||||||||
| Anidulafungin | 0 (0.0) | 1 (14.3) | 6 (100.0) | 4 | ||||||||||||||
| Caspofungin | 0 (0.0) | 1 (14.3) | 2 (42.9) | 4 (100.0) | >8 | |||||||||||||
| Micafungin | 0 (0.0) | 1 (14.3) | 0 (14.3) | 0 (14.3) | 2 (42.9) | 4 (100.0) | >8 | |||||||||||
| Fluconazole | 0 (0.0) | 1 (14.3) | 0 (14.3) | 0 (14.3) | 1 (28.6) | 5 (100.0) | 8 | |||||||||||
| Voriconazole | 0 (0.0) | 1 (14.3) | 0 (14.3) | 1 (28.6) | 4 (85.7) | 1 (100.0) | 0.25 | |||||||||||
| Posaconazole | 0 (0.0) | 1 (14.3) | 0 (14.3) | 1 (28.6) | 2 (57.1) | 3 (100.0) | 0.25 | |||||||||||
| Amphotericin B | 0 (0.0) | 7 (100.0) | 1 | |||||||||||||||
| Rhodotorula mucilaginosa (6) | ||||||||||||||||||
| Anidulafungin | 0 (0.0) | 6 (100.0) | >8 | |||||||||||||||
| Caspofungin | 0 (0.0) | 2 (33.3) | 4 (100.0) | >8 | ||||||||||||||
| Micafungin | 0 (0.0) | 6 (100.0) | >8 | |||||||||||||||
| Fluconazole | 0 (0.0) | 1 (16.7) | 5 (100.0) | >128 | ||||||||||||||
| Voriconazole | 0 (0.0) | 1 (16.7) | 0 (16.7) | 3 (66.7) | 2 (100.0) | 4 | ||||||||||||
| Posaconazole | 0 (0.0) | 3 (50.0) | 2 (83.3) | 0 (83.3) | 0 (83.3) | 1 (100.0) | 1 | |||||||||||
| Amphotericin B | 0 (0.0) | 2 (33.3) | 4 (100.0) | 1 | ||||||||||||||
| Saccharomyces cerevisiae (19) | ||||||||||||||||||
| Anidulafungin | 0 (0.0) | 4 (21.1) | 6 (52.6) | 7 (89.5) | 2 (100.0) | 0.12 | 0.5 | |||||||||||
| Caspofungin | 0 (0.0) | 2 (10.5) | 5 (36.8) | 6 (68.4) | 5 (94.7) | 1 (100.0) | 0.12 | 0.25 | ||||||||||
| Micafungin | 0 (0.0) | 3 (15.8) | 11 (73.7) | 3 (89.5) | 2 (100.0) | 0.12 | 0.5 | |||||||||||
| Fluconazole | 0 (0.0) | 2 (10.5) | 4 (31.6) | 4 (52.6) | 6 (84.2) | 3 (100.0) | 2 | 8 | ||||||||||
| Voriconazole | 0 (0.0) | 1 (5.3) | 7 (42.1) | 5 (68.4) | 5 (94.7) | 1 (100.0) | 0.06 | 0.12 | ||||||||||
| Posaconazole | 0 (0.0) | 3 (15.8) | 8 (57.9) | 5 (84.2) | 3 (100.0) | 0.25 | 1 | |||||||||||
| Amphotericin B | 0 (0.0) | 5 (26.3) | 14 (100.0) | 1 | 1 | |||||||||||||
| Trichosporon asahii (14) | ||||||||||||||||||
| Anidulafungin | 0 (0.0) | 2 (14.3) | 12 (100.0) | >8 | >8 | |||||||||||||
| Caspofungin | 0 (0.0) | 2 (14.3) | 12 (100.0) | >8 | >8 | |||||||||||||
| Micafungin | 0 (0.0) | 14 (100.0) | >8 | >8 | ||||||||||||||
| Fluconazole | 0 (0.0) | 1 (7.1) | 0 (7.1) | 8 (64.3) | 1 (71.4) | 3 (92.9) | 0 (92.9) | 1 (100.0) | 4 | 16 | ||||||||
| Voriconazole | 0 (0.0) | 1 (7.1) | 5 (42.9) | 3 (64.3) | 4 (92.9) | 0 (92.9) | 1 (100.0) | 0.12 | 0.25 | |||||||||
| Posaconazole | 0 (0.0) | 1 (7.1) | 7 (57.1) | 4 (85.7) | 2 (100.0) | 0.25 | 1 | |||||||||||
| Amphotericin B | 0 (0.0) | 1 (7.1) | 13 (100.0) | 1 | 1 | |||||||||||||
| Trichosporon mycotoxinivorans (3) | ||||||||||||||||||
| Anidulafungin | 0 (0.0) | 3 (100.0) | >8 | |||||||||||||||
| Caspofungin | 0 (0.0) | 1 (33.3) | 2 (100.0) | >8 | ||||||||||||||
| Micafungin | 0 (0.0) | 1 (33.3) | 0 (33.3) | 2 (100.0) | >8 | |||||||||||||
| Fluconazole | 0 (0.0) | 1 (33.3) | 2 (100.0) | 4 | ||||||||||||||
| Voriconazole | 0 (0.0) | 3 (100.0) | 0.12 | |||||||||||||||
| Posaconazole | 0 (0.0) | 2 (66.7) | 1 (100.0) | 0.25 | ||||||||||||||
| Amphotericin B | 0 (0.0) | 3 (100.0) | 1 | |||||||||||||||
> represents the dilution greater than the highest dilution tested.