TABLE 3.
Method of endpoint determination | Time of incubation (h) | Antifungal agent
|
|||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
AMB
|
5FC
|
FLC
|
ITC
|
KTC
|
VRC
|
||||||||
% | r | % | r | % | r | % | r | % | r | % | r | ||
Visual inspection | 24 | 92 | 0.608∗ | 93 | 0.895∗ | 92 | 0.874∗ | 94 | 0.849∗ | 99 | 0.824∗ | 96 | 0.897∗ |
48 | 97 | 0.673∗ | 98 | 0.848∗ | 93 | 0.847∗ | 95 | 0.876∗ | 97 | 0.790∗ | 95 | 0.886∗ | |
Spec-50% | 24 | 72 | 0.286 | 98 | 0.913∗ | 97 | 0.899∗ | 96 | 0.886∗ | 95 | 0.902∗ | 97 | 0.900∗ |
48 | 87 | 0.512∗ | 91 | 0.783∗ | 95 | 0.885∗ | 94 | 0.888∗ | 95 | 0.886∗ | 94 | 0.904∗ | |
Spec-80% | 24 | 91 | 0.553∗ | 96 | 0.805∗ | 92 | 0.873∗ | 92 | 0.815∗ | 88 | 0.711∗ | 89 | 0.807∗ |
48 | 92 | 0.421 | 94 | 0.799∗ | 91 | 0.806∗ | 89 | 0.774∗ | 91 | 0.734∗ | 90 | 0.846∗ | |
Spec-95% | 24 | 98 | 0.654∗ | ||||||||||
48 | 94 | 0.623∗ |
The NCCLS reference method uses RPMI, an inoculum of 103 CFU/ml, and a visual reading of optical density at 48 h of incubation. The tested method uses RPMI–2%G, an inoculum of 105 CFU/ml, and spectrophotometric determinations of optical density after 24 and 48 h of incubation. Data are for 60 strains tested. %, percentage of agreement between AST methods; r, correlation index expressed over a maximum value of 1. An asterisk indicates a correlation index with a statistically significant P value of <0.01.