Dynamic study on the susceptibilities of caspofungin and micafungin to Candida species in vitro
ZENG Rong, LI Min, CHEN Qing, WANG Le, LV Gui-xia, SHEN Yong-nian, CAI qing, LI Cai-xia, TANG Rong-cai, LIU Wei-da
2011, 6(5):
276-280.
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Objective To assess the susceptibilities of Candida species to caspofungin and micafungin.Methods Susceptibilities of Candida isolates to caspofungin,micafungin and fluconazole were determined by microdilution method based on CLSI M27-A2 for consecutive seven days.Results After 48 hours,the medians of MIC50 and MIC90 of C.albicans,C.glabrata,and other Candida spp.to caspofungin were 0.03 and 0.03 μg/mL,0.06 and 0.125 μg/mL,0.125 and 0.5 μg/mL,respectively.The medians of MIC50 and MIC90 of C.albicans,C.glabrata,and other Candida species to micafungin were 0.03 μg/mL and 0.03 μg/mL,0.06 μg/mL and 0.06 μg/mL,0.25 μg/mL and 0.5 μg/mL,respectively.The medians of MIC80 and MIC100 of C.albicans,C.glabrata,and other Candida species to fluconazole were 2 μg/mL and 128 μg/mL,64 μg/mL and 128 μg/mL,2 μg/mL and 32 μg/mL,respectively.None of the 85 isolates of Candida species showed cross-resistance to caspofungin,micafungin or fluconazole.To caspofungin,there was no change on MIC50 or MIC90 of C.albicans after 24 hours.No increase on MIC50 and MIC90 of C.glabrata was observed after 72 hours and 120 hours.Neither did increase on MIC50 and MIC90 of other Candida species after 168 hours and 96 hours.To micafungin,there was no change on MIC50 and MIC90 of C.albicans and C.glabrata after 24 hours and no increase on MIC50 and MIC90 of other Candida species after 72 hours.Conclusions Caspofungin and micafungin may have great antifungal activities to all candida species,especially to C.albicans and C.glabrata.The MICs would increase with the exposure time,which show specificity to drug and Candida species.