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• W2030456354 endingPage "3177" @default.
• W2030456354 startingPage "3170" @default.
• W2030456354 abstract "ABSTRACT Five Candida species ( C. albicans , C. glabrata , C. tropicalis , C. parapsilosis , and C. krusei ) account for over 95% of invasive candidiasis cases. Some less common Candida species have emerged as causes of nosocomial candidiasis, but there is little information about their in vitro susceptibilities to antifungals. We determined the in vitro activities of fluconazole, voriconazole, posaconazole, amphotericin B, anidulafungin, caspofungin, and micafungin against invasive, unique patient isolates of Candida collected from 100 centers worldwide between January 2001 and December 2007. Antifungal susceptibility testing was performed by the CLSI M27-A3 method. CLSI breakpoints for susceptibility were used for fluconazole, voriconazole, anidulafungin, caspofungin, and micafungin, while a provisional susceptibility breakpoint of ≤1 μg/ml was used for amphotericin and posaconazole. Of 14,007 Candida isolates tested, 658 (4.7%) were among the less common species. Against all 658 isolates combined, the activity of each agent, expressed as the MIC 50 /MIC 90 ratio (and the percentage of susceptible isolates) was as follows: fluconazole, 1/4 (94.8%); voriconazole, 0.03/0.12 (98.6%); posaconazole, 0.12/0.5 (95.9%); amphotericin, 0.5/2 (88.3%); anidulafungin, 0.5/2 (97.4%); caspofungin, 0.12/0.5 (98.0%); and micafungin, 0.25/1 (99.2%). Among the isolates not susceptible to one or more of the echinocandins, most (68%) were C. guilliermondii . All isolates of the less common species within the C. parapsilosis complex ( C. orthopsilosis and C. metapsilosis ) were susceptible to voriconazole, posaconazole, anidulafungin, caspofungin, and micafungin. Over 95% of clinical isolates of the rare Candida species were susceptible to the available antifungals. However, activity did vary by drug-species combination, with some species (e.g., C. rugosa and C. guilliermondii ) demonstrating reduced susceptibilities to commonly used agents such as fluconazole and echinocandins." @default.
• W2030456354 created "2016-06-24" @default.
• W2030456354 creator A5026254879 @default.
• W2030456354 creator A5028081249 @default.
• W2030456354 creator A5038894105 @default.
• W2030456354 creator A5046372032 @default.
• W2030456354 creator A5050247239 @default.
• W2030456354 creator A5070340461 @default.
• W2030456354 creator A5085936750 @default.
• W2030456354 date "2009-10-01" @default.
• W2030456354 modified "2023-09-27" @default.
• W2030456354 title "In Vitro Activity of Seven Systemically Active Antifungal Agents against a Large Global Collection of Rare <i>Candida</i> Species as Determined by CLSI Broth Microdilution Methods" @default.
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