Multicenter Study of Method-Dependent Epidemiological Cutoff Values for Detection of Resistance in Candida spp. and Aspergillus spp. to Amphotericin B and Echinocandins for the Etest Agar Diffusion Method - Université Paris-Est-Créteil-Val-de-Marne Accéder directement au contenu
Article Dans Une Revue Antimicrobial Agents and Chemotherapy Année : 2017

Multicenter Study of Method-Dependent Epidemiological Cutoff Values for Detection of Resistance in Candida spp. and Aspergillus spp. to Amphotericin B and Echinocandins for the Etest Agar Diffusion Method

A. Espinel-Ingroff
  • Fonction : Auteur
M. Arendrup
  • Fonction : Auteur
E. Cantón
  • Fonction : Auteur
S. Cordoba
  • Fonction : Auteur
J. García-Rodríguez
  • Fonction : Auteur
N. Govender
E. Martin-Mazuelos
  • Fonction : Auteur
M. Lackner
  • Fonction : Auteur
C. Lass-Flörl
  • Fonction : Auteur
M. Linares Sicilia
  • Fonction : Auteur
M. Rodriguez-Iglesias
  • Fonction : Auteur
T. Pelaez
  • Fonction : Auteur
R. Shields
  • Fonction : Auteur
G. Garcia-Effron
  • Fonction : Auteur
J. Guinea
J. Turnidge
  • Fonction : Auteur

Résumé

ABSTRACT Method-dependent Etest epidemiological cutoff values (ECVs) are not available for susceptibility testing of either Candida or Aspergillus species with amphotericin B or echinocandins. In addition, reference caspofungin MICs for Candida spp. are unreliable. Candida and Aspergillus species wild-type (WT) Etest MIC distributions (microorganisms in a species-drug combination with no detectable phenotypic resistance) were established for 4,341 Candida albicans , 113 C. dubliniensis , 1,683 C. glabrata species complex (SC), 709 C. krusei , 767 C. parapsilosis SC, 796 C. tropicalis , 1,637 Aspergillus fumigatus SC, 238 A. flavus SC, 321 A. niger SC, and 247 A. terreus SC isolates. Etest MICs from 15 laboratories (in Argentina, Europe, Mexico, South Africa, and the United States) were pooled to establish Etest ECVs. Anidulafungin, caspofungin, micafungin, and amphotericin B ECVs (in micrograms per milliliter) encompassing ≥97.5% of the statistically modeled population were 0.016, 0.5, 0.03, and 1 for C. albicans ; 0.03, 1, 0.03, and 2 for C. glabrata SC; 0.06, 1, 0.25, and 4 for C. krusei ; 8, 4, 2, and 2 for C. parapsilosis SC; and 0.03, 1, 0.12, and 2 for C. tropicalis . The amphotericin B ECV was 0.25 μg/ml for C. dubliniensis and 2, 8, 2, and 16 μg/ml for the complexes of A. fumigatus , A. flavus , A. niger , and A. terreus , respectively. While anidulafungin Etest ECVs classified 92% of the Candida fks mutants evaluated as non-WT, the performance was lower for caspofungin (75%) and micafungin (84%) cutoffs. Finally, although anidulafungin (as an echinocandin surrogate susceptibility marker) and amphotericin B ECVs should identify Candida and Aspergillus isolates with reduced susceptibility to these agents using the Etest, these ECVs will not categorize a fungal isolate as susceptible or resistant, as breakpoints do.
Fichier principal
Vignette du fichier
554.pdf (268.19 Ko) Télécharger le fichier
Origine : Fichiers éditeurs autorisés sur une archive ouverte

Dates et versions

hal-03997774 , version 1 (07-01-2024)

Identifiants

Citer

A. Espinel-Ingroff, M. Arendrup, E. Cantón, S. Cordoba, E. Dannaoui, et al.. Multicenter Study of Method-Dependent Epidemiological Cutoff Values for Detection of Resistance in Candida spp. and Aspergillus spp. to Amphotericin B and Echinocandins for the Etest Agar Diffusion Method. Antimicrobial Agents and Chemotherapy, 2017, 61 (1), ⟨10.1128/AAC.01792-16⟩. ⟨hal-03997774⟩

Collections

UPEC
4 Consultations
0 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More