Table 2.
Therapy of invasive candidiasis and preferred medications.
Etiologic Agent of Invasive Candidiasis Therapy |
C. albicans, C. parapsilosis, C. tropicalis |
C. krusei, C. glabrata |
C. auris |
---|---|---|---|
First-line therapy * | Echinocandin | Echinocandin | Echinocandin |
Alternative first-line therapy | Fluconazole | Amphotericin B lipid formulations | Amphotericin B lipid formulations |
Step-down therapy ** | Fluconazole | Voriconazole | Susceptibility data required |
Notes: * Liposomal amphotericin B and flucytosine are used in the central nervous system or for eye infections. ** Step-down therapy is based on MIC assessment in individual cases.