Role of Antifungal Susceptibility Testing in Non-Aspergillus Invasive Mold Infections

J Clin Microbiol. 2016 Jun;54(6):1638-1640. doi: 10.1128/JCM.00318-16. Epub 2016 Mar 23.

Abstract

No clinical breakpoints are available to delineate antifungal drug efficacy in non-Aspergillus invasive mold infections (NAIMIs). In this analysis of 39 NAIMI episodes, the MIC of the first-line antifungal drug was the most important predictor of therapeutic response. For amphotericin B, an MIC of ≤0.5 μg/ml was significantly associated with better 6-week outcomes.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Amphotericin B / pharmacology
  • Amphotericin B / therapeutic use
  • Antifungal Agents / pharmacology*
  • Antifungal Agents / therapeutic use*
  • Child
  • Child, Preschool
  • Fungi / drug effects*
  • Humans
  • Invasive Fungal Infections / drug therapy*
  • Invasive Fungal Infections / microbiology*
  • Male
  • Microbial Sensitivity Tests
  • Middle Aged
  • Prognosis
  • Retrospective Studies
  • Treatment Outcome
  • Young Adult

Substances

  • Antifungal Agents
  • Amphotericin B

Grants and funding

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.