Servicio de Micología, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Ctra. Majadahonda-Pozuelo Km. 2, 28220 Majadahonda (Madrid), Spain.
Antimicrob Agents Chemother. 2011 Apr;55(4):1794-7. doi: 10.1128/AAC.01757-10. Epub 2011 Jan 31.
A total of 4,226 Spanish clinical isolates of Candida spp. were analyzed to assess resistance to voriconazole according to breakpoints established by the European Committee for Antimicrobial Susceptibility Testing (where susceptibility [S] to voriconazole corresponds to a MIC of ≤ 0.12 mg/liter). Resistance was uncommon among Candida albicans (5%), C. parapsilosis (1.2%), and C. tropicalis (11%) isolates. Voriconazole MICs of >0.12 mg/liter were more frequent among Candida glabrata and C. krusei isolates. A significant percentage of voriconazole-resistant strains came from oropharyngeal infections and exhibited high MICs of other azoles.
共分析了 4226 株西班牙念珠菌属临床分离株,以评估根据欧洲抗菌药物敏感性试验委员会(其中对伏立康唑的敏感性[S]对应于 MIC≤0.12 毫克/升)建立的折点对伏立康唑的耐药性。白念珠菌(5%)、近平滑念珠菌(1.2%)和热带念珠菌(11%)分离株的耐药性并不常见。伏立康唑 MIC 值>0.12 毫克/升在光滑念珠菌和克柔念珠菌分离株中更为常见。来自口咽感染的具有显著百分比的伏立康唑耐药菌株和表现出其他唑类药物高 MIC 值。