In Vitro Interactions of Echinocandins with Triazoles against Multidrug-Resistant Candida auris

Antimicrob Agents Chemother. 2017 Oct 24;61(11):e01056-17. doi: 10.1128/AAC.01056-17. Print 2017 Nov.

Abstract

We determined the in vitro interactions between echinocandins and azoles against 10 multidrug-resistant Candida auris strains by use of a microdilution checkerboard technique. Our results suggest synergistic interactions between micafungin and voriconazole with fractional inhibitory concentration index (FICI) values of 0.15 to 0.5, and we observed indifferent interactions when micafungin was combined with fluconazole (FICI, 0.62 to 1.5). Combinations of caspofungin with fluconazole or voriconazole exhibited indifferent interactions. No antagonism was observed for any combination.

Keywords: Candida auris; azoles; echinocandins; in vitro interactions.

MeSH terms

  • Antifungal Agents / pharmacology*
  • Candida / drug effects*
  • Candida / isolation & purification
  • Caspofungin
  • Drug Interactions
  • Drug Resistance, Multiple, Fungal / drug effects*
  • Echinocandins / pharmacology*
  • Fluconazole / pharmacology
  • Humans
  • Lipopeptides / pharmacology
  • Micafungin
  • Microbial Sensitivity Tests
  • Triazoles / pharmacology*
  • Voriconazole / pharmacology

Substances

  • Antifungal Agents
  • Echinocandins
  • Lipopeptides
  • Triazoles
  • Fluconazole
  • Caspofungin
  • Voriconazole
  • Micafungin