Title
Multicenter study of anidulafungin and micafungin MIC distributions and epidemiological cutoff values for eight candida species and the CLSI M27-A3 broth microdilution method
Date Issued
01 February 2014
Access level
open access
Resource Type
journal article
Author(s)
Pfaller M.A.
Espinel-Ingroff A.
Canton E.
Diekema D.J.
Fothergill A.
Fuller J.
Gonzalez G.M.
Guarro J.
Lass-Flörl C.
Lockhart S.R.
Martin-Mazuelos E.
Meis J.F.
Ostrosky-Zeichner L.
Pelaez T.
St-Germain G.
Turnidge J.
Universidad Peruana Cayetano Heredia
Publisher(s)
American Society for Microbiology
Abstract
Since epidemiological cutoff values (ECVs) using CLSI MICs from multiple laboratories are not available for Candida spp. and the echinocandins, we established ECVs for anidulafungin and micafungin on the basis of wild-type (WT) MIC distributions (for organisms in a species-drug combination with no detectable acquired resistance mechanisms) for 8,210 Candida albicans, 3,102 C. glabrata, 3,976 C. parapsilosis, 2,042 C. tropicalis, 617 C. krusei, 258 C. lusitaniae, 234 C. guilliermondii, and 131 C. dubliniensis isolates. CLSI broth microdilution MIC data gathered from 15 different laboratories in Canada, Europe, Mexico, Peru, and the United States were aggregated to statistically define ECVs. ECVs encompassing 97.5% of the statistically modeled population for anidulafungin and micafungin were, respectively, 0.12 and 0.03 μg/ml for C. albicans, 0.12 and 0.03 μg/ml for C. glabrata, 8 and 4 μg/ml for C. parapsilosis, 0.12 and 0.06 μg/ml for C. tropicalis, 0.25 and 0.25 g/ml for C. krusei, 1 and 0.5 μg/ml for C. lusitaniae, 8 and 2 μg/ml for C. guilliermondii, and 0.12 and 0.12 μg/ml for C. dubliniensis. Previously reported single and multicenter ECVs defined in the present study were quite similar or within 1 2-fold dilution of each other. For a collection of 230 WT isolates (no fks mutations) and 51 isolates with fks mutations, the species-specific ECVs for anidulafungin and micafungin correctly classified 47 (92.2%) and 51 (100%) of the fks mutants, respectively, as non-WT strains. These ECVs may aid in detecting non-WT isolates with reduced susceptibility to anidulafungin and micafungin due to fks mutations. Copyright © 2014, American Society for Microbiology. All Rights Reserved.
Start page
916
End page
922
Volume
58
Issue
2
Language
English
OCDE Knowledge area
Enfermedades infecciosas Biología celular, Microbiología
Scopus EID
2-s2.0-84893467170
PubMed ID
Source
Antimicrobial Agents and Chemotherapy
ISSN of the container
0066-4804
Sources of information: Directorio de Producción Científica Scopus