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Susceptibility

Influences of Methodological Variables on Susceptibility Testing of Caspofungin against Candida Species and Aspergillus fumigatus

C. Bartizal, F. C. Odds
C. Bartizal
Department of Molecular & Cell Biology, Institute of Medical Sciences, University of Aberdeen, Aberdeen AB25 2ZD, United Kingdom
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F. C. Odds
Department of Molecular & Cell Biology, Institute of Medical Sciences, University of Aberdeen, Aberdeen AB25 2ZD, United Kingdom
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  • For correspondence: f.odds@abdn.ac.uk
DOI: 10.1128/AAC.47.7.2100-2107.2003
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Tables

  • TABLE 1.

    Effects of variations in medium and inoculum on control OD and caspofungin MIC data for eight isolates each of Candida spp. and A. fumigatusa

    MediumpHInoculum (CFU/ml)Mean ± SD control ODNo. of isolates for which ODs were <0.150IC50 (μg/ml)IC80 (μg/ml)
    Candida spp.A. fumigatusCandida spp.A. fumigatus
    Candida spp.A. fumigatusCandida spp.A. fumigatusRangeGmeanbRangeGmeanRangeGmeanRangeGmean
    AM35.02 × 1030.339 ± 0.1151.165 ± 0.224000.016-4.00.230.063-0.250.190.063-4.00.330.25-4.00.59
    2 × 1040.326 ± 0.0501.279 ± 0.256000.063-4.00.330.016-0.250.110.063->161.010.063-161.20
    2 × 1050.393 ± 0.06400.063-4.00.550.063->160.93
    7.02 × 1030.215 ± 0.0540.903 ± 0.312100.063-2.00.280.13-1.00.200.063-2.00.410.13->321.10
    2 × 1040.276 ± 0.0491.244 ± 0.312000.016-2.00.280.016-0.130.0590.063-2.00.390.016-160.78
    2 × 1050.330 ± 0.07700.016-4.00.33≤0.032-4.00.39
    MH7.02 × 1030.249 ± 0.0611.686 ± 0.441000.016-4.00.350.063-0.250.160.25-4.00.590.13-0.50.27
    2 × 1040.278 ± 0.0551.519 ± 0.571000.13-4.00.470.016-0.250.120.25-4.00.770.13-1.00.28
    2 × 1050.488 ± 0.36900.063-4.00.600.063-4.00.60
    RPMI 16405.02 × 1030.673 ± 0.2080.033 ± 0.024080.25->161.40.25->162.38
    2 × 1040.819 ± 0.1650.058 ± 0.073070.25->162.00.5->165.66
    2 × 1050.851 ± 0.15400.25->162.40.25->164.00
    7.02 × 1030.782 ± 0.1350.243 ± 0.083000.25-8.01.20.25->161.410.25-8.01.541->1613.5
    2 × 1040.892 ± 0.1160.313 ± 0.131010.25-161.70.13-1.00.460.5->164.002->1619.5
    2 × 1050.915 ± 0.08400.25-161.40.25->162.00
    SAB5.22 × 1031.185 ± 0.2783.188 ± 0.396000.063-2.00.250.13-1.00.390.13-8.00.550.25-2.00.65
    2 × 1041.325 ± 0.0903.263 ± 0.095000.063-2.00.360.13-0.250.190.13-160.930.25-0.50.28
    2 × 1051.295 ± 0.09600.13-161.00.130.13-161.01
    • ↵ a The test plates were incubated for 48 h at 35°C.

    • ↵ b Gmean, geometric mean.

  • TABLE 2.

    Ranges of caspofungin IC50 and IC80s for eight isolates each of Candida spp. and A. fumigatus determined in six different media and with two or three different starting fungus concentrationsa.

    IsolateRange IC50 (μg/ml)No. of dilnsbMode IC50 (μg/ml)Range IC80 (μg/ml)No. of dilnsMode IC80 (μg/ml)
    C. krusei ATCC 62580.016-2.070.250.063-2.050.25
    C. parapsilosis ATCC 220190.25-2.030.500.25->1670.50
    C. albicans B59630≤0.032-0.5050.063≤0.032->16110.063
    C. albicans J9905780.063->1690.250.25->1670.25
    C. albicans NR20.25-4.040.500.5->1660.50
    C. albicans NR31.0-8.034.02->1642.0
    C. albicans T252.0->1644.02->1644.0
    C. glabrata J9812160.063-1.040.130.063-1.040.13
    A. fumigatus J9806590.063-1.040.250.5->1660.50
    A. fumigatus J9805610.063-0.5030.250.13-2.040.25
    A. fumigatus J970398≤0.032->16110.130.13->1680.25
    A. fumigatus J9703770.063-2.050.250.25->167>16
    A. fumigatus J9601800.016-0.2540.016≤0.032-1.060.25
    A. fumigatus J9603300.13-0.5020.130.13->1680.25
    A. fumigatus J940362≤0.032-1.060.250.13->1680.25
    A. fumigatus J9311990.063->1690.130.25->1670.25
    • ↵ a See Table 1.

    • ↵ b No. of dilns, number of twofold dilutions between extremes of range.

  • TABLE 3.

    Multivariate analysis of effects of performance variables on control growth OD and MIC (IC50 and IC80) for 13 isolates of Candida spp. and 8 isolates of A. fumigatus

    IsolateControl ODNo. of isolates for which OD was <0.100Significant variablesaIC50 (μg/ml)Significant variable(s)aIC80 (μg/ml)Significant variable(s)a
    RangeMedianRangeGmeanbRangeGmean
    C. albicans B596300.279-1.5580.6290M, G0.016-160.096M, G0.016->162.5G
    C. albicans J9813640.422-1.5550.9230G, T0.063->160.24M, G0.063->162.6G
    C. albicans J9813710.461-1.5690.9090G, T≤0.032->160.24M, G, I0.063->164.6M, G
    C. albicans J9905780.391-1.4720.7010M, G0.063->160.77G, I, H≤0.016->169.7G, I
    C. albicans NR20.220-1.5360.5630M, G0.13->162.2M, I, T0.13->168.4M, G, T
    C. albicans NR30.218-1.5440.5280M, G1.0->163.5M, G, I, T1.0->169.0G, T
    C. albicans NR40.343-1.5140.8130M, G0.063->162.4M, G, I, T0.50->167.3G, T
    C. albicans T250.272-1.4290.5560M, G2.0->169.3M, I, T, H4.0->1617M, G
    C. albicans T260.315-1.4330.6680M, G, I2.0->168.4M, I, T, H2.0->1616G, I, T
    C. albicans T280.346-1.3850.6140M, G0.063->160.55M, I, H0.25->167.8G, I, H
    C. albicans T320.369-1.4590.7520M, G≤0.032->160.51M, G, H0.063->166.0M, G
    C. glabrata J9812160.210-1.7140.7260M, G0.063-0.500.16M, G0.063-1.00.28M, G
    C. krusei ATCC 62580.163-1.6760.5200M, G, H0.13-1.00.25M, I, H0.13->160.90M, G
    C. parapsilosis ATCC 220190.195-1.4470.4710M, G, H0.13-2.00.44M, G, I, H0.25->162.9G, T
    A. fumigatus J9311990.105-3.7480.8170T, H0.063->160.8I, H0.13->165.7M
    A. fumigatus J9403620.087-3.9900.8095T, H0.063->160.8T, H0.13->165.6M
    A. fumigatus J9601800.101-3.9900.9370T, H≤0.032->161.0T, H0.13->164.6M
    A. fumigatus J9603300.085-3.6440.5526T, H≤0.032->161.3M, H0.063->165.5M
    A. fumigatus J9703770.103-3.9900.7370M, T, H≤0.032->161.3M, H0.13->166.6M, T
    A. fumigatus J9703980.089-3.3040.5823T, H≤0.032->161.5M, H0.13->165.8M
    A. fumigatus J9805610.033-3.9900.5537T, H≤0.032->160.9H0.13->164.1M
    A. fumigatus J9806590.106-3.9760.7830G, T, H0.13->161.3T, H0.13->167.3M
    • ↵ a G, glucose concentration; I, initial cell concentration; M, growth medium; S, plates sealed with sticker; T, incubation temperature; H, incubation time. For inclusion in the table, the variable must have been shown to be a significant contributor to OD or MIC variation by ANOVA at the level of P < 0.01.

    • ↵ b Gmean, geometric mean.

  • TABLE 4.

    IC50s and IC80s of caspofungin for 22 fungal isolates in AM3 medium from three different suppliersa

    IsolateAM3 from DifcoAM3 from OxoidAM3 from VWR
    48 h72 h48 h72 h48 h72 h
    IC50 (μg/ml)IC80 (μg/ml)IC50 (μg/ml)IC80 (μg/ml)IC50 (μg/ml)IC80 (μg/ml)IC50 (μg/ml)IC80 (μg/ml)IC50 (μg/ml)IC80 (μg/ml)IC50 (μg/ml)IC80 (μg/ml)
    C. albicans B596300.50.5110.51110.50.50.51
    C. albicans J9813090.50.50.50.50.50.5110.50.50.50.5
    C. albicans J9813640.50.50.50.50.50.5110.50.50.51
    C. albicans J9813710.5>160.50.50.510.510.50.512
    C. albicans J9905780.5>16110.50.5121111
    C. albicans NR2242422444828
    C. albicans NR344482444244>16
    C. albicans T25888844444888
    C. albicans T26884844144848
    C. albicans T28>16>16220.50.50.50.50.50.50.52
    C. albicans T32>16>161111110.50.511
    C. glabrata J9812160.50.50.510.50.5110.50.522
    C. krusei ATCC 62580.50.50.510.51111111
    C. parapsilosis ATCC 22019111111121111
    A. fumigatus J9311990.581814121418
    A. fumigatus J940362121424181244
    A. fumigatus J9601800.541811120.582>16
    A. fumigatus J9603300.58120.51141111
    A. fumigatus J9703771161>161>161>161216>16
    A. fumigatus J9703980.511111120.5111
    A. fumigatus J9805610.520.5111121111
    A. fumigatus J980659/31>161>160.5>161>16111>16
    • ↵ a The endpoints were read after 48 and 72 h of incubation.

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Influences of Methodological Variables on Susceptibility Testing of Caspofungin against Candida Species and Aspergillus fumigatus
C. Bartizal, F. C. Odds
Antimicrobial Agents and Chemotherapy Jul 2003, 47 (7) 2100-2107; DOI: 10.1128/AAC.47.7.2100-2107.2003

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Influences of Methodological Variables on Susceptibility Testing of Caspofungin against Candida Species and Aspergillus fumigatus
C. Bartizal, F. C. Odds
Antimicrobial Agents and Chemotherapy Jul 2003, 47 (7) 2100-2107; DOI: 10.1128/AAC.47.7.2100-2107.2003
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KEYWORDS

Anti-Bacterial Agents
antifungal agents
Aspergillus fumigatus
Candida glabrata
microbial sensitivity tests
peptides
Peptides, Cyclic

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