Correlation between In Vitro Susceptibility Determined by E Test and Response to Therapy with Amphotericin B: Results from a Multicenter Prospective Study of Candidemia

Author:

Clancy Cornelius J.1,Nguyen M. Hong1

Affiliation:

1. Department of Medicine, Division of Infectious Diseases, University of Florida College of Medicine, and VA Medical Center, Gainesville, Florida

Abstract

ABSTRACT Ninety-nine Candida bloodstream isolates underwent testing for susceptibility to amphotericin B by the E test, and the results were correlated with patients’ responses to amphotericin B. The MICs for isolates that were associated with therapeutic failure were significantly higher than the MICs for those associated with therapeutic success. A MIC of ≥0.38 μg/ml identified isolates likely to be associated with therapeutic failure.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference16 articles.

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2. Resistance studies of Candida albicans, with special reference to two patients subjected to prolonged antimycotic treatment.;Bodenhoff J.;Odontol. Tidskr.,1968

3. Fatal disseminated candidiasis due to amphotericin B-resistant Candida guilliermondii.;Dick J. D.;Ann. Intern. Med.,1985

4. Interlaboratory evaluation of Etest method for testing antifungal susceptibilities of pathogenic yeasts to five antifungal agents by using Casitone agar and solidified RPMI 1640 medium with 2% glucose

5. Development of resistance in candida isolates from patients receiving prolonged antifungal therapy

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