Cited by 96Antifungal resistance and susceptibilityFungal Plant Pathogen ControlAntibiotic Resistance in Bacteria

Impact of New Antifungal Breakpoints on Antifungal Resistance in Candida Species

Open access
Fothergill, Annette W., Sutton, Deanna A., McCarthy, Dora I., Wiederhold, Nathan P.·2014·Journal of Clinical Microbiology

Abstract

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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Crossref · 10.1128/jcm.03044-13

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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”

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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
Published
2014-03
Volume
52
Issue
3
Pages
994-997
ISSN
  • 0095-1137 (ISSN-L)
  • 1098-660X
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
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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