Impact of New Antifungal Breakpoints on Antifungal Resistance in Candida Species
Open accessAbstract
We reviewed our antifungal susceptibility data for micafungin, anidulafungin, fluconazole, and voriconazole against Candida species and compared resistance rates determined by the previous and recently revised CLSI antifungal breakpoints. With the new breakpoints, resistance was significantly increased for micafungin (from 0.8% to 7.6%), anidulafungin (from 0.9% to 7.3%), and voriconazole (from 6.1% to 18.4%) against Candida glabrata . Resistance was also increased for fluconazole against Candida albicans (from 2.1% to 5.7%).
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The pitavastatin-fluconazole interactions were not sufficient to restore fluconazole activity in several fluconazole-resistant isolates; two C. albicans and four C. auris isolates maintained their resistance profiles to fluconazole.
“Of note, although pitavastatin was able to demonstrate broad-spectrum synergistic interactions with fluconazole, these interactions were not sufficient to restore the antifungal activity of fluconazole in several fluconazole-resistant isolates. Considering the current resistance breakpoints for azole drugs, two C. albicans and four C. auris isolates maintained their resistance profiles to fluconaz”
From Repurposing approach identifies pitavastatin as a potent azole chemosensitizing agent effective against azole-resistant Candida species (2020) · cites this paper as [36]
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References 17 · Cited by 96
- Authors
- Fothergill, A. W., Sutton, D. A., McCarthy, D. I., & Wiederhold, N. P.
- Affiliations
- The University of Texas at San Antonio Health Science Center (US)
- Venue
- Journal of Clinical Microbiology
- Publisher
- American Society for Microbiology
- Published
- 2014-03
- Volume
- 52
- Issue
- 3
- Pages
- 994-997
- ISSN
- 0095-1137 (ISSN-L)
- 1098-660X
- PMC
- PMC3957792
- OpenAlex
- W1969488802
- Cited by
- 96
- References
- 17
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 4 · 2023: 6 · 2022: 3 · 2021: 8 · 2020: 8 · 2019: 12 · 2018: 17 · 2017: 12 · 2016: 7 · 2015: 6 · 2014: 5
- FWCI
- 7.03
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Microbiology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
- Life Sciences › Agricultural and Biological Sciences › Ecology, Evolution, Behavior and Systematics › Fungal Plant Pathogen Control
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Medicine › Antibiotic Resistance in Bacteria
- Keywords
- antifungal resistance, Candida, micafungin, anidulafungin, fluconazole, voriconazole, Candida glabrata, Candida albicans, CLSI guidelines, antifungal susceptibility
- MeSH terms
- Antifungal Agents, Candida, Candidiasis, Humans, Microbial Sensitivity Tests, Drug Resistance, Fungal
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