Evaluation of Etest and disk diffusion methods compared with broth microdilution antifungal susceptibility testing of clinical isolates of Candida spp. against posaconazole

J Clin Microbiol. 2007 Jun;45(6):1974-7. doi: 10.1128/JCM.02087-06. Epub 2007 Feb 14.

Abstract

We performed Etest, disk diffusion, and broth microdilution susceptibility testing of 2,171 clinical isolates of Candida spp. against posaconazole. By using provisional breakpoints for comparison purposes only, the categorical agreement between the agar-based methods and broth microdilution results ranged from 93 to 98%, with <1% very major errors. The essential agreement (within 2 well dilutions) between the Etest and broth microdilution methods was 94%. These agar-based methods hold promise as simple and reliable methods for determination of the posaconzole susceptibilities of Candida spp.

Publication types

  • Comparative Study
  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Agar
  • Antifungal Agents / pharmacology*
  • Candida / classification*
  • Candida / drug effects*
  • Candida / isolation & purification
  • Candidiasis / microbiology
  • Culture Media
  • Disk Diffusion Antimicrobial Tests / methods*
  • Disk Diffusion Antimicrobial Tests / standards
  • Humans
  • Microbial Sensitivity Tests / methods*
  • Microbial Sensitivity Tests / standards
  • Triazoles / pharmacology*

Substances

  • Antifungal Agents
  • Culture Media
  • Triazoles
  • posaconazole
  • Agar