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.