TABLE 1.
SYO pooled triazole MIC distributions for species of Candida, Saccharomyces, and Aspergillusa
Agent and speciesb | No. of isolates | No. of labs used/total no.c | No. of isolates with MIC (µg/ml) ofd: | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Fluconazole | 0.06 | 0.12 | 0.25 | 0.5 | 1 | 2 | 4 | 8 | 16 | 32 | 64 | ≥128 | ||
C. albicans | 11,171 | 28/30 | 12 | 1,016 | 4,252 | 4,152 | 978 | 238 | 122 | 82 | 78 | 33 | 49 | 159 |
Confirmed ERG11 mutants | 59 | 4/4 | 3 | 1 | 4 | 3 | 1 | 2 | 2 | 43 | ||||
C. dubliniensis | 195 | 7/10 | 48 | 64 | 57 | 13 | 6 | 3 | 2 | 1 | 1 | |||
C. famata | 23 | 3/6 | 1 | 2 | 11 | 5 | 3 | 1 | ||||||
C. glabrata | 4,418 | 30/30 | 13 | 9 | 23 | 64 | 152 | 375 | 1,049 | 1,330 | 691 | 216 | 496 | |
C. guilliermondii | 153 | 8/13 | 2 | 1 | 6 | 20 | 36 | 46 | 19 | 10 | 6 | 4 | 3 | |
C. kefyr | 55 | 3/4 | 13 | 25 | 15 | 2 | ||||||||
C. krusei | 537 | 15/16 | 1 | 1 | 1 | 3 | 8 | 43 | 193 | 220 | 67 | |||
C. lusitaniae | 298 | 12/12 | 16 | 41 | 75 | 99 | 43 | 12 | 5 | 1 | 4 | 1 | 1 | |
C. parapsilosis | 3,691 | 28/30 | 89 | 502 | 1,210 | 958 | 421 | 221 | 151 | 82 | 27 | 19 | 11 | |
C. parapsilosis sensu stricto | 911 | 5/5 | 18 | 118 | 282 | 216 | 121 | 74 | 53 | 19 | 6 | 4 | ||
C. metapsilosis | 36 | 4/4 | 1 | 2 | 17 | 10 | 5 | 1 | ||||||
C. orthopsilosis | 110 | 5/5 | 3 | 4 | 29 | 43 | 15 | 8 | 4 | 2 | 1 | 1 | ||
C. tropicalis | 1,854 | 24/28 | 20 | 82 | 270 | 701 | 482 | 129 | 53 | 19 | 24 | 14 | 60 | |
S. cerevisiae | 244 | 3/3 | 4 | 3 | 9 | 40 | 70 | 76 | 26 | 10 | 4 | 2 | ||
Itraconazole | 0.008 | 0.01 | 0.03 | 0.06 | 0.12 | 0.25 | 0.5 | 1 | 2 | 4 | 8 | ≥16 | ||
C. albicans | 7,843 | 27/30 | 69 | 995 | 2,696 | 2,754 | 905 | 164 | 77 | 27 | 14 | 7 | 9 | 126 |
Confirmed ERG11 mutants | 59 | 4/4 | 2 | 2 | 2 | 5 | 11 | 3 | 7 | 4 | 23 | |||
C. dubliniensis | 125 | 6/8 | 13 | 21 | 47 | 27 | 7 | 2 | 5 | 1 | 2 | |||
C. famata | 18 | 3/5 | 1 | 1 | 2 | 3 | 7 | 3 | 1 | |||||
C. glabrata | 3,594 | 29/30 | 12 | 19 | 42 | 112 | 428 | 1,335 | 910 | 195 | 71 | 26 | 444 | |
C. guilliermondii | 149 | 9/13 | 3 | 8 | 31 | 55 | 37 | 10 | 2 | 3 | ||||
C. kefyr | 45 | 3/3 | 5 | 10 | 17 | 12 | 1 | |||||||
C. krusei | 574 | 13/16 | 4 | 3 | 14 | 69 | 283 | 156 | 33 | 2 | 1 | 9 | ||
C. lusitaniae | 171 | 8/11 | 11 | 12 | 52 | 60 | 28 | 7 | 1 | |||||
C. parapsilosis | 3,353 | 23/30 | 209 | 570 | 1,098 | 1,150 | 252 | 59 | 13 | 1 | 1 | |||
C. parapsilosis sensu stricto | 730 | 4/5 | 68 | 79 | 237 | 254 | 83 | 6 | 3 | |||||
C. metapsilosis | 32 | 4/4 | 3 | 3 | 12 | 11 | 1 | 2 | ||||||
C. orthopsilosis | 88 | 3/4 | 2 | 13 | 35 | 26 | 12 | |||||||
C. tropicalis | 1,399 | 23/29 | 14 | 51 | 138 | 513 | 508 | 126 | 16 | 4 | 1 | 5 | 23 | |
S. cerevisiae | 41 | 3/3 | 1 | 1 | 3 | 21 | 11 | 2 | 2 | |||||
A. niger | 233 | 6/7 | 18 | 23 | 48 | 69 | 44 | 17 | 6 | 1 | 7 | |||
Posaconazole | 0.008 | 0.01 | 0.03 | 0.06 | 0.12 | 0.25 | 0.5 | 1 | 2 | 4 | 8 | ≥16 | ||
C. albicans | 6,729 | 27/30 | 596 | 2,768 | 2,318 | 587 | 175 | 96 | 56 | 32 | 10 | 3 | 60 | 28 |
Confirmed ERG11 mutants | 59 | 1 | 3 | 1 | 4 | 9 | 8 | 7 | 1 | 1 | 24 | |||
C. dubliniensis | 185 | 7/8 | 35 | 56 | 63 | 25 | 4 | 2 | ||||||
C. glabrata | 2,999 | 25/29 | 4 | 5 | 28 | 39 | 50 | 153 | 590 | 1,145 | 579 | 62 | 251 | 93 |
C. guilliermondii | 111 | 9/12 | 3 | 1 | 9 | 15 | 27 | 35 | 18 | 3 | ||||
C. kefyr | 40 | 3/3 | 7 | 13 | 13 | 5 | 2 | |||||||
C. krusei | 562 | 13/15 | 1 | 1 | 3 | 20 | 90 | 264 | 151 | 25 | 5 | 2 | ||
C. lusitaniae | 172 | 11/11 | 17 | 49 | 58 | 36 | 10 | 1 | 1 | |||||
C. parapsilosis | 3,085 | 26/30 | 136 | 538 | 1,091 | 915 | 297 | 86 | 11 | 7 | 1 | 1 | 2 | |
C. parapsilosis sensu stricto | 670 | 5/5 | 40 | 127 | 206 | 193 | 69 | 31 | 2 | 2 | ||||
C. metapsilosis | 17 | 3/4 | 3 | 7 | 4 | 3 | ||||||||
C. orthopsilosis | 30 | 3/4 | 5 | 14 | 7 | 4 | ||||||||
C. tropicalis | 1,366 | 23/29 | 16 | 50 | 107 | 250 | 408 | 336 | 147 | 22 | 6 | 17 | 7 | |
S. cerevisiae | 41 | 3/3 | 3 | 6 | 20 | 9 | 2 | 1 | ||||||
Voriconazole | 0.008 | 0.01 | 0.03 | 0.06 | 0.12 | 0.25 | 0.5 | 1 | 2 | 4 | 8 | ≥16 | ||
C. albicans | 8,747 | 29/30 | 5,947 | 1,691 | 481 | 222 | 111 | 82 | 47 | 22 | 10 | 15 | 76 | 43 |
Confirmed ERG11 mutants | 59 | 4/4 | 3 | 4 | 4 | 1 | 4 | 1 | 7 | 6 | 3 | 5 | 2 | 19 |
C. dubliniensis | 215 | 7/9 | 182 | 21 | 5 | 3 | 1 | 2 | 1 | |||||
C. famata | 25 | 3/5 | 5 | 10 | 4 | 2 | 2 | 2 | ||||||
C. glabrata | 3,255 | 24/30 | 23 | 29 | 65 | 189 | 486 | 911 | 824 | 340 | 136 | 156 | 82 | 14 |
C. guilliermondii | 157 | 11/12 | 8 | 10 | 32 | 46 | 34 | 10 | 11 | 4 | 1 | 1 | ||
C. kefyr | 55 | 3/3 | 46 | 8 | 1 | |||||||||
C. krusei | 676 | 14/16 | 2 | 1 | 1 | 16 | 108 | 291 | 199 | 42 | 11 | 3 | 1 | 1 |
C. lusitaniae | 248 | 11/12 | 120 | 70 | 32 | 15 | 4 | 1 | 2 | 4 | ||||
C. parapsilosis | 2,670 | 26/30 | 1,213 | 695 | 364 | 210 | 103 | 50 | 16 | 10 | 9 | |||
Voriconazole | 0.008 | 0.01 | 0.03 | 0.06 | 0.12 | 0.25 | 0.5 | 1 | 2 | 4 | 8 | ≥16 | ||
C. parapsilosis sensu stricto | 718 | 5/5 | 261 | 185 | 122 | 80 | 47 | 12 | 5 | 4 | 2 | |||
C. metapsilosis | 30 | 3/4 | 2 | 10 | 11 | 4 | 2 | 1 | ||||||
C. orthopsilosis | 20 | 3/4 | 1 | 8 | 3 | 6 | 2 | |||||||
C. tropicalis | 1,637 | 19/28 | 45 | 92 | 227 | 466 | 443 | 200 | 70 | 25 | 20 | 9 | 23 | 17 |
S. cerevisiae | 41 | 3/3 | 1 | 3 | 17 | 15 | 2 | 2 | 1 | |||||
A. fumigatus | 903 | 8/8 | 2 | 7 | 35 | 64 | 157 | 396 | 179 | 33 | 8 | 7 | 7 | 8 |
Confirmed cyp51A mutants | 39 | 5/5 | 3 | 4 | 8 | 3 | 4 | 5 | 2 | 10 | ||||
A. flavus | 389 | 6/7 | 5 | 1 | 14 | 32 | 89 | 139 | 59 | 29 | 16 | 1 | 0 | 4 |
A. niger | 74 | 3/6 | 1 | 9 | 19 | 33 | 12 | |||||||
A. terreus | 302 | 5/6 | 6 | 5 | 16 | 19 | 48 | 122 | 69 | 15 | 2 |
Including the complexes of C. glabrata, C. parapsilosis, and Aspergillus spp. (the cyp51A mutants are A. fumigatus sensu stricto).
Newly accepted taxonomic names or reclassifications are as follows: C. famata (D. hansenii), C. guilliermondii (M. guilliermondii), C. kefyr (K. marxianus), C. krusei (P. kudriavzevii), and Candida lusitaniae (Clavispora lusitaniae).
Total number of laboratories included in the ECV definition pool/total number of laboratories that submitted data.
Data are from between 3 and 30 laboratories and were determined by the colorimetric broth microdilution SYO method (14); the highest number in each row (showing the most frequent, or mode, MIC) is in bold.