PMID- 28739796 OWN - NLM STAT- MEDLINE DCOM- 20180530 LR - 20181202 IS - 1098-6596 (Electronic) IS - 0066-4804 (Print) IS - 0066-4804 (Linking) VI - 61 IP - 10 DP - 2017 Oct TI - Multicenter, International Study of MIC/MEC Distributions for Definition of Epidemiological Cutoff Values for Sporothrix Species Identified by Molecular Methods. LID - 10.1128/AAC.01057-17 [doi] LID - e01057-17 AB - Clinical and Laboratory Standards Institute (CLSI) conditions for testing the susceptibilities of pathogenic Sporothrix species to antifungal agents are based on a collaborative study that evaluated five clinically relevant isolates of Sporothrixschenckii sensu lato and some antifungal agents. With the advent of molecular identification, there are two basic needs: to confirm the suitability of these testing conditions for all agents and Sporothrix species and to establish species-specific epidemiologic cutoff values (ECVs) or breakpoints (BPs) for the species. We collected available CLSI MICs/minimal effective concentrations (MECs) of amphotericin B, five triazoles, terbinafine, flucytosine, and caspofungin for 301 Sporothrix schenckii sensu stricto, 486 S. brasiliensis, 75 S. globosa, and 13 S. mexicana molecularly identified isolates. Data were obtained in 17 independent laboratories (Australia, Europe, India, South Africa, and South and North America) using conidial inoculum suspensions and 48 to 72 h of incubation at 35 degrees C. Sufficient and suitable data (modal MICs within 2-fold concentrations) allowed the proposal of the following ECVs for S. schenckii and S. brasiliensis, respectively: amphotericin B, 4 and 4 mug/ml; itraconazole, 2 and 2 mug/ml; posaconazole, 2 and 2 mug/ml; and voriconazole, 64 and 32 mug/ml. Ketoconazole and terbinafine ECVs for S. brasiliensis were 2 and 0.12 mug/ml, respectively. Insufficient or unsuitable data precluded the calculation of ketoconazole and terbinafine (or any other antifungal agent) ECVs for S. schenckii, as well as ECVs for S. globosa and S. mexicana These ECVs could aid the clinician in identifying potentially resistant isolates (non-wild type) less likely to respond to therapy. CI - Copyright (c) 2017 American Society for Microbiology. FAU - Espinel-Ingroff, A AU - Espinel-Ingroff A AD - VCU Medical Center, Richmond, Virginia, USA victoria.ingroff@vcuhealth.org. FAU - Abreu, D P B AU - Abreu DPB AD - Universidade Federal Rural do Rio de Janeiro, Seropedica, Brazil. FAU - Almeida-Paes, R AU - Almeida-Paes R AD - Fundacao Oswaldo Cruz-Fiocruz, Instituto Nacional de Infectologia Evandro Chagas, Laboratorio de Micologia, Rio de Janeiro, RJ, Brazil. FAU - Brilhante, R S N AU - Brilhante RSN AD - Specialized Medical Mycology Center, Federal University of Ceara, Fortaleza-CE, Brazil. FAU - Chakrabarti, A AU - Chakrabarti A AD - Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. FAU - Chowdhary, A AU - Chowdhary A AUID- ORCID: 0000-0002-2028-7462 AD - Department of Medical Mycology, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India. FAU - Hagen, F AU - Hagen F AUID- ORCID: 0000-0002-5622-1916 AD - Canisius Wilhelmina Hospital, Centre of Expertise in Mycology, Nijmegen, The Netherlands. FAU - Cordoba, S AU - Cordoba S AD - Departamento Micologia, Instituto Nacional de Enfermedades Infecciosas Dr. C. G. Malbran, Buenos Aires, Argentina. FAU - Gonzalez, G M AU - Gonzalez GM AD - Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico. FAU - Govender, N P AU - Govender NP AUID- ORCID: 0000-0001-7869-9462 AD - National Institute for Communicable Diseases and University of the Witwatersrand, Johannesburg, South Africa. FAU - Guarro, J AU - Guarro J AD - Mycology Unit Medical School, Universitat Rovira i Virgili, Reus, Spain. FAU - Johnson, E M AU - Johnson EM AD - Mycology Reference Laboratory, Public Health England, Bristol, United Kingdom. FAU - Kidd, S E AU - Kidd SE AD - National Mycology Reference Centre, SA Pathology, Adelaide, Australia. FAU - Pereira, S A AU - Pereira SA AD - Fundacao Oswaldo Cruz-Fiocruz, Instituto Nacional de Infectologia Evandro Chagas, Laboratorio de Micologia, Rio de Janeiro, RJ, Brazil. FAU - Rodrigues, A M AU - Rodrigues AM AUID- ORCID: 0000-0003-0891-4563 AD - Universidade Federal de Sao Paulo, Sao Paulo, Brazil. FAU - Rozental, S AU - Rozental S AD - Instituto de Biofisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil. FAU - Szeszs, M W AU - Szeszs MW AD - Instituto Adolfo Lutz, Aracatuba, Rio Claro Laboratories, Sao Paulo, Brazil. FAU - Balleste Alaniz, R AU - Balleste Alaniz R AD - Departamento de Laboratorio Clinico, Hospital de Clinicas Dr. M. Quintela, Facultad de Medicina, Universidad de la Republica, Montevideo, Uruguay. FAU - Bonifaz, A AU - Bonifaz A AD - Hospital General de Mexico, Mexico City, Mexico. FAU - Bonfietti, L X AU - Bonfietti LX AD - Instituto Adolfo Lutz, Aracatuba, Rio Claro Laboratories, Sao Paulo, Brazil. FAU - Borba-Santos, L P AU - Borba-Santos LP AD - Instituto de Biofisica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil. FAU - Capilla, J AU - Capilla J AD - Mycology Unit Medical School, Universitat Rovira i Virgili, Reus, Spain. FAU - Colombo, A L AU - Colombo AL AD - Universidade Federal de Sao Paulo, Sao Paulo, Brazil. FAU - Dolande, M AU - Dolande M AD - Instituto Nacional de Higiene Rafael Rangel, Caracas, Venezuela. FAU - Isla, M G AU - Isla MG AD - Departamento Micologia, Instituto Nacional de Enfermedades Infecciosas Dr. C. G. Malbran, Buenos Aires, Argentina. FAU - Melhem, M S C AU - Melhem MSC AD - Instituto Adolfo Lutz, Aracatuba, Rio Claro Laboratories, Sao Paulo, Brazil. FAU - Mesa-Arango, A C AU - Mesa-Arango AC AD - Grupo de Investigacion Dermatologica, Universidad de Antioquia, Medellin, Colombia. FAU - Oliveira, M M E AU - Oliveira MME AD - Fundacao Oswaldo Cruz-Fiocruz, Instituto Nacional de Infectologia Evandro Chagas, Laboratorio de Micologia, Rio de Janeiro, RJ, Brazil. FAU - Panizo, M M AU - Panizo MM AD - Instituto Nacional de Higiene Rafael Rangel, Caracas, Venezuela. FAU - Pires de Camargo, Z AU - Pires de Camargo Z AD - Universidade Federal de Sao Paulo, Sao Paulo, Brazil. FAU - Zancope-Oliveira, R M AU - Zancope-Oliveira RM AD - Fundacao Oswaldo Cruz-Fiocruz, Instituto Nacional de Infectologia Evandro Chagas, Laboratorio de Micologia, Rio de Janeiro, RJ, Brazil. FAU - Meis, J F AU - Meis JF AUID- ORCID: 0000-0003-3253-6080 AD - Canisius Wilhelmina Hospital, Centre of Expertise in Mycology, Nijmegen, The Netherlands. FAU - Turnidge, J AU - Turnidge J AD - University of Adelaide, Adelaide, Australia. LA - eng PT - Journal Article PT - Multicenter Study DEP - 20170922 PL - United States TA - Antimicrob Agents Chemother JT - Antimicrobial agents and chemotherapy JID - 0315061 RN - 0 (Antifungal Agents) RN - 0 (Echinocandins) RN - 0 (Lipopeptides) RN - 0 (Naphthalenes) RN - 0 (Triazoles) RN - 7XU7A7DROE (Amphotericin B) RN - D83282DT06 (Flucytosine) RN - F0XDI6ZL63 (Caspofungin) RN - G7RIW8S0XP (Terbinafine) SB - IM MH - Amphotericin B/*pharmacology MH - Antifungal Agents/*pharmacology MH - Caspofungin MH - Echinocandins/*pharmacology MH - Flucytosine/*pharmacology MH - Humans MH - Lipopeptides/*pharmacology MH - Microbial Sensitivity Tests MH - Naphthalenes/*pharmacology MH - Sporothrix/classification/*drug effects/isolation & purification MH - Sporotrichosis/*drug therapy MH - Terbinafine MH - Triazoles/*pharmacology PMC - PMC5610517 OTO - NOTNLM OT - ECVs OT - Sporothrix OT - antifungal resistance OT - molecular methods EDAT- 2017/07/26 06:00 MHDA- 2018/05/31 06:00 PMCR- 2018/03/22 CRDT- 2017/07/26 06:00 PHST- 2017/05/22 00:00 [received] PHST- 2017/07/20 00:00 [accepted] PHST- 2017/07/26 06:00 [pubmed] PHST- 2018/05/31 06:00 [medline] PHST- 2017/07/26 06:00 [entrez] PHST- 2018/03/22 00:00 [pmc-release] AID - AAC.01057-17 [pii] AID - 01057-17 [pii] AID - 10.1128/AAC.01057-17 [doi] PST - epublish SO - Antimicrob Agents Chemother. 2017 Sep 22;61(10):e01057-17. doi: 10.1128/AAC.01057-17. Print 2017 Oct.