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Table 3 In vitro suseptibility patterns of Candida species isolates from Colonized (C) and Infected (I) patients

From: Antifungal susceptibility testing of Candida species isolated from the immunocompromised patients admitted to ten university hospitals in Iran: comparison of colonizing and infecting isolates

Species Antifungal

I

Ra

I

R%

I

GM

I

MIC90 (μg/ml)

C

Ra

C

R%

C

GM

C

MIC90

(μg/ml)

Total

ECV

(μg/ml)

Total

Wild type (%)

Total

Non-wild type (%)

Candida albicans

 AMB

0.032-16

3.3

0.052

0.25

0.032-32

0.9

0.039

0.25

0.5

≤ 0.5(95%)

> 0.5(5%)

 CAS

0.032-1

0.5

0.03

0.25

0.032-1

0.4

0.041

0.125

0.25

≤ 0.25(98%)

> 0.25(2%)

 VOR

0.032-2

6.9

0.032

0.125

0.032-16

5.4

0.035

0.064

1

≤ 1(97%)

> 1(3%)

 FLU

0.032-64

4.9

0.254

2

0.032-64

0.5

0.254

2

4

≤ 4(96%)

> 4(4%)

 POSa

0.032-8

0.044

0.25

0.032-4

0.031

0.032

0.25

≤ 0.25(96%)

> 0.25(4%)

 ITR

0.032-16

12.7

0.104

1

0.032-16

2.6

0.049

0.125

1

≤ 1(98%)

> 1(2%)

Candida tropicalis

 AMB

0.032-8

18.4

0.115

4

0.032-0.5

0

0.033

0.125

1

≤ 1(95%)

> 1(5%)

 CAS

0.032-0.5

0

0.041

0.25

0.032-4

2.9

0.046

0.125

0.5

≤ 0.5(99%)

> 0.5(1%)

 VOR

0.032-16

14.3

0.056

1

0.032-16

8.3

0.033

0.125

1

≤ 1(96%)

> 1(4%)

 FLU

0.032-64

10.5

0.361

4

0.064-64

8.8

0.302

2

4

≤ 4(95%)

> 4(5%)

 POS

0.032-0.25

0.029

0.25

0.032-16

0.035

0. 125

0.25

≤ 0.25(95%)

> 0.25(5%)

 ITR

0.032-2

13.2

0.1

1

0.032-16

0

0.078

0.5

1

≤ 1(96%)

> 1(4%)

Candida glabrata

 AMB

0.032-16

11.1

0.101

8

0.032-0.5

0

0.031

0.064

0.5

≤ 0.5(99%)

> 0.5(1%)

 CAS

0.032-8

22.2

0.086

4

0.032-0.5

9.8

0.113

0.5

0.5

≤ 2 (96%)

> 2 (4%)

 VOR

0.16-4

0

0.088

2

0.032-0.5

0

0.05

0. 25

0.5

≤ 0.5 (96%)

> 0.5(4%)

 FLU

0.25

11.1

1.17

16

0.064-16

0

0.842

4

16

≤ 16 (98%)

> 16(2%)

 POS

0.032-16

0.179

8

0.032-16

0.082

0.5

4

≤ 4 (95%)

> 4(5%)

 ITR

0.032-16

77.8

0.739

4

0.032-16

15

0.233

1

2

≤ 2 (96%)

> 2(4%)

Candida famata

 AMB

0.032-2

5

0.038

0.25

0.032-1

0

0.037

0.25

0.25

≤ 0.25(95%)

> 0.25(5%)

 CAS

0.032-16

0

0.043

0.5

0.032-0.25

0

0.035

0.25

0.25

≤ 0.25(95%)

> 0.25(5%)

 VOR

0.032-0.5

0

0.024

0.5

0.032-1

0

0.034

0.125

0.25

≤ 0.5(98%)

> 0.5(2%)

 FLU

0.064-8

0

0.278

0.5

0.032-8

0

0.268

0.5

1

≤ 1(95%)

> 1(5%)

 POS

0.032-1

0.026

0.5

0.032-0.5

0

0.031

0.064

0.5

≤ 0.5(98%)

> 0.5(2%)

 ITR

0.032-1

10

0.081

0.5

0.032-1

4.3

0.062

0.5

0.5

≤ 0.5(98%)

> 0.5(2%)

Candida parapsilopsis

 AMB

0.032-0.5

0

0.023

0.032

0.032-0.25

0

0.027

0.032

0.25

≤ 0.25(95%)

> 0.25(5%)

 CAS

0.032-0.25

0

0.037

4

0.032-4

0

0.283

0.125

0.125

≤ 4(98%)

> 4(2%)

 VOR

0.032-0.032

0

0.017

0.032

0.032-0.25

0

0.025

0.032

0.032

≤ 0.032(96%)

> 0.032(4%)

 FLU

0.064-8

2.9

0.402

4

0.064-2

0

0.298

2

2

≤ 2(100%)

> 2(00%)

 POS

0.032-0.032

0.017

0.032

0.032-0.5

0.03

0.032

0.032

≤ 0.032(96%)

> 0.032(4%)

 ITR

0.032-0.5

0

0.0102

0.5

0.032-0.032

0

0.02

0.125

0.5

≤ 0.5(100%)

> 0.5(00%)

Candida kefyr

 AMB

0.032-1

0

0.045

1

0.032-1

0

0.03

0.064

1

≤ 1(99%)

> 1(1%)

 CAS

0.032-0.125

0

0.028

0.25

0.032-2

0

0.031

0.25

0.125

≤ 0.25(95%)

> 0.25(5%)

 VOR

0.032-0.032

0

0.018

0.032

0.032-0.125

0

0.021

0.032

0.032

≤ 0.032(96%)

> 0.032(4%)

 FLU

0.25-0.5

0

0.397

1

0.064-2

0

0.185

0.5

1

≤ 1(96%)

> 1(4%)

 POS

0.032-0.032

0.018

0.032

0.032-0.125

0.021

0.032

0.032

≤ 0.032(96%)

> 0.032(4%)

 ITR

0.032-0.125

0

0.032

0.125

0.032-0.25

0

0.037

0.125

0.125

≤ 0.125(96%)

> 0.125(96%)

Candida krusei b

 AMB

0.032-8

40

1.004

8

0.032-4

40

0.386

4

4

≤ 4(95%)

> 4(5%)

 CAS

0.032-2

30

0.2

2

0.032-0.5

0

0.092

0.25

2

≤ 2(99%)

> 2(1%)

 VOR

0.032-16

20

0.284

2

0.032-16

7.7

0.235

0.5

2

≤ 2(95%)

> 2(5%)

 FLU

2-64

17.9

64

0.25-64

6.817

64

64

≤ 64(95%)

> 64(5%)

 POS

0.032-0.5

0.126

0.5

0.032-16

0.214

0.5

0.5

≤ 0.5(95%)

> 0.5(5%)

 ITR

0.064-1

33.3

0.2

2

0.064-16

15.4

0.346

1

2

≤ 2(95%)

> 2(5%)

Other Candida spp.c

 AMB

0.032-0.032

0

0.032

0.032

0.032-1

0

0.032

0.064

0.064

≤ 0.064(95%)

> 0.064(95%)

 CAS

0.032-0.064

0

0.021

0.064

0.032-1

0

0.064

0.064

0.064

≤ 0.064(95%)

> 0.064(95%)

 VOR

0.032-0.032

0

0.032

0.032

0.032-0.125

0

0.026

0.032

0.125

≤ 0.125(100%)

> 0.125(100%)

 FLU

0.0125-4

0

0.33

4

0.064-8

0

0.227

0.5

4

≤ 4(95%)

> 4(95%)

 POS

0.032-0.032

0

0.032

0.032

0.032-0.064

0

0.023

0.032

0.032

≤ 0.032(95%)

> 0.032(95%)

 ITR

0.032-0.0125

0

0.024

0.125

0.032-0. 25

0

0.042

0.25

0.25

≤ 0.25(100%)

> 0.25(100%)

  1. Ra Range, MIC minimum inhibitory concentration, R resistant, MIC 90 Lowest concentration at which 90% of the isolates are inhibited
  2. aPosaconazole has no breakpoint in new CLSI
  3. bIsolates of C. krusei are considered resistant to fluconazole, irrespective of the MIC
  4. cOthers: include; C. intermedia, C. dubliniensis, C. lusitaniae and M. guilliermondii (C. guilliermondii)