TABLE 4.
Sets of sequential isolates from single patients that demonstrated a susceptible (S)-to-nonsusceptible (I or R) shift in antimicrobial resistance within a 6-month period, representing a single infection episode
| Organism and patient ID | Specimen ID | Specimen source | Interval (no. of days) | FLUa |
VORIa |
CASPa |
MICAa |
ANIa |
STa | Molecular mechanism of resistance | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MIC | Resistance | MIC | Resistance | MIC | Resistance | MIC | Resistance | MIC | Resistance | ||||||
| C. albicans | |||||||||||||||
| PA0188 | SP0206 | Blood | 0 | 0.5 | S | ≤0.008 | S | 918 | Unknown | ||||||
| SP0369 | Pleural fluid | 83 | ≥256 | R | 8 | R | 918 | ||||||||
| PA2062 | SP2512 | Blood | 0 | 2 | S | 0.015 | S | 726 | ERG3: A255T | ||||||
| SP2683 | Blood | 55 | 256 | R | 8 | R | 726 | ||||||||
| PA0909 | SP1153 | Blood | 0 | 0.06 | S | 0.015 | S | ≤0.015 | S | 3568 | GSC1: S645P | ||||
| SP1274 | Blood | 55 | >8 | R | 2 | R | 0.25 | S | 3568 | ||||||
| PA1070 | SP1261 | Blood | 0 | 0.5 | I | 0.06 | S | 0.06 | S | 3570 | GSC1: S645P | ||||
| SP1350 | Peritoneal fluid | 34 | 4 | R | 2 | R | 0.5 | I | 3570 | ||||||
| PA3104 | SP4920 | Blood | 0 | 0.12 | S | 0.015 | S | ≤0.015 | S | 3569 | GSC1: S645P | ||||
| SP5052 | Blood | 39 | 8 | R | 4 | R | 1 | R | 3569 | ||||||
| C. glabrata | |||||||||||||||
| PA1293 | SP1533 | Abscess | 0 | 0.06 | S | 10 | None detected | ||||||||
| SP1643 | Abdomen | 35 | 0.5 | R | 10 | ||||||||||
| PA3825 | SP4776 | Blood | 0 | 0.06 | S | ||||||||||
| SP4784 | Blood | 2 | 0.25 | I | |||||||||||
| PA1823 | SP2186 | Blood | 0 | 0.03 | S | ||||||||||
| SP2198 | Blood | 5 | 0.25 | I | |||||||||||
| PA2095 | SP2554 | Urine | 0 | 0.06 | S | ||||||||||
| SP2585 | Urine | 9 | 0.25 | I | |||||||||||
| PA3539 | SP4419 | Pleural fluid | 0 | 0.06 | S | ||||||||||
| SP4650 | Pleural fluid | 80 | 0.25 | I | |||||||||||
| PA1563 | SP1866 | Peritoneal fluid | 0 | 0.015 | S | ||||||||||
| SP2187 | Blood | 115 | 0.12 | I | |||||||||||
| PA1188 | SP1405 | Blood | 0 | 0.12 | S | 0.12 | S | ||||||||
| SP1475 | Blood | 26 | 0.25 | I | 0.25 | I | |||||||||
| PA1921 | SP2320 | Blood | 0 | 0.12 | S | 0.03 | S | 0.03 | S | 16 | FKS2: S663P | ||||
| SP2659 | Blood | 118 | 8 | R | 2 | R | 2 | R | 16 | ||||||
| PA2117 | SP2583 | Blood | 0 | 0.12 | S | 0.015 | S | 0.03 | S | ||||||
| SP2672 | Blood | 28 | 1 | R | 0.5 | R | 1 | R | |||||||
| PA2320 | SP3417 | Blood | 0 | 0.06 | S | 0.015 | S | 0.03 | S | 3 | FKS2: S663P | ||||
| SP3689 | Blood | 75 | 8 | R | 8 | R | 2 | R | 3 | ||||||
| PA2472 | SP3046 | Blood | 0 | 0.12 | S | 0.015 | S | 0.06 | S | 19 | FKS2: S663P | ||||
| SP3439 | Blood | 127 | 0.25 | I | 0.12 | I | 0.5 | R | 19 | ||||||
| PA2419 | SP2982 | Peritoneal fluid | 0 | 0.06 | S | 0.015 | S | ≤0.015 | S | 17 | |||||
| SP3003 | Blood | 10 | 0.5 | R | 0.12 | I | 0.25 | I | 3 | FKS1: F625I | |||||
| C. parapsilosis | |||||||||||||||
| PA1947 | SP2355 | Wound | 0 | 0.12 | S | ||||||||||
| SP2398 | Other | 17 | 0.25 | I | |||||||||||
| PA2106 | SP2568 | Blood | 0 | 0.06 | S | ||||||||||
| SP2675 | Blood | 35 | 0.25 | I | |||||||||||
| C. tropicalis | |||||||||||||||
| PA3063 | SP3823 | Blood | 0 | 0.12 | S | ||||||||||
| SP3887 | Blood | 25 | 0.25 | I | |||||||||||
| PA3762 | SP4694 | Peritoneal fluid | 0 | 1 | S | 0.12 | S | 975 | Aneuploidy of supercontig 3.8 and increased copy no. of ERG11 and TAC1 | ||||||
| SP4785 | Peritoneal fluid | 28 | 32 | R | 2 | R | 975 | ||||||||
| PA3550 | SP4433 | Blood | 0 | 0.06 | S | 0.015 | S | 0.12 | S | 974 | CTRG_04661: S30P | ||||
| SP4501 | Blood | 22 | 8 | R | 2 | R | 1 | R | 974 | ||||||
| C. krusei | |||||||||||||||
| PA1488 | SP1777 | Blood | 0 | 0.25 | S | ||||||||||
| SP1811 | Blood | 15 | 0.5 | I | |||||||||||
FLU, fluconazole; VORI, voriconazole; CASP, caspofungin; MICA, micafungin; ANI, anidulafungin; ST, sequence type.