TABLE 1.
Antifungal susceptibility among clinical bloodstream isolates of Candida species utilized in this studya
| Candida sp. (no. of isolates) | MIC range |
|
|---|---|---|
| Caspofungin (μg/ml) | Fluconazole (μg/ml) | |
| C. albicans (4) | 0.12–0.25 | 0.12–1 |
| C. tropicalis (4) | 0.06–0.25 | 0.12–2 |
| C. glabrata (4) | 0.25 | 8–16 |
| C. krusei (4) | 0.25 | 32–64 |
| C. parapsilosis (4) | 1–2 | 1–16 |
Clinical breakpoints according to CLSI-M27 S4 are as follows (reported in micrograms per milliliter): for caspofungin, ≤0.25 susceptible, 0.5 intermediate, and ≥1 resistant for C. albicans, C. tropicalis, and C. krusei, ≤0.12 susceptible, 0.25 intermediate, and ≥0.5 resistant for C. glabrata, and ≤2 susceptible, 4 intermediate, and ≥8 resistant for C. parapsilosis; for fluconazole, ≤2 susceptible, 4 intermediate, and ≥8 resistant for C. albicans, C. tropicalis, and C. parapsilosis and ≤32 susceptible (dose dependent) and ≥64 resistant for C. glabrata. C. krusei is intrinsically resistant to fluconazole, and all C. krusei fluconazole MIC values are considered to represent resistance.