Caspofungin activity against clinical isolates of fluconazole-resistant Candida

J Clin Microbiol. 2003 Dec;41(12):5729-31. doi: 10.1128/JCM.41.12.5729-5731.2003.

Abstract

A total of 7,837 clinical isolates of Candida were tested against fluconazole, and 351 resistant (fluconazole MIC >/=64 micro g/ml) isolates were identified (4% of the total tested). All fluconazole-resistant isolates were inhibited by caspofungin at concentrations that can be exceeded by standard doses (MIC at which 90% of the isolates were inhibited, 1 micro g/ml; 99% of the MICs were </=2 micro g/ml).

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antifungal Agents / pharmacology*
  • Candida / drug effects*
  • Candida / isolation & purification
  • Candida albicans / drug effects
  • Candida albicans / isolation & purification
  • Candida glabrata / drug effects
  • Candida glabrata / isolation & purification
  • Caspofungin
  • Drug Resistance, Microbial / physiology*
  • Echinocandins
  • Fluconazole / pharmacology*
  • Humans
  • Lipopeptides
  • Microbial Sensitivity Tests
  • Peptides / pharmacology*
  • Peptides, Cyclic*

Substances

  • Antifungal Agents
  • Echinocandins
  • Lipopeptides
  • Peptides
  • Peptides, Cyclic
  • Fluconazole
  • Caspofungin