Candida albicans and Candida dubliniensis Show Different Trailing Effect Patterns When Exposed to Echinocandins and Azoles

When Candida albicans and Candida dubliniensis isolates were tested for susceptibility to fluconazole and echinocandins using either EUCAST or Etest methods, differential patterns of growth were observed, independently of the methods used. For C. albicans, a trailing phenomenon (incomplete growth in...

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Main Authors: Rania Ayadi, Emilie Sitterlé, Christophe d’Enfert, Eric Dannaoui, Marie-Elisabeth Bougnoux
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-06-01
Series:Frontiers in Microbiology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fmicb.2020.01286/full
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author Rania Ayadi
Emilie Sitterlé
Emilie Sitterlé
Christophe d’Enfert
Eric Dannaoui
Eric Dannaoui
Marie-Elisabeth Bougnoux
Marie-Elisabeth Bougnoux
author_facet Rania Ayadi
Emilie Sitterlé
Emilie Sitterlé
Christophe d’Enfert
Eric Dannaoui
Eric Dannaoui
Marie-Elisabeth Bougnoux
Marie-Elisabeth Bougnoux
author_sort Rania Ayadi
collection DOAJ
description When Candida albicans and Candida dubliniensis isolates were tested for susceptibility to fluconazole and echinocandins using either EUCAST or Etest methods, differential patterns of growth were observed, independently of the methods used. For C. albicans, a trailing phenomenon (incomplete growth inhibition at supra-MICs) was observed with fluconazole in 90% and 93.3% for EUCAST and Etest, respectively, but not with echinocandins (<7% for EUCAST and 0% for Etest). In contrast, for C. dubliniensis, a trailing phenomenon was very rarely observed with fluconazole (20% for EUCAST and 0% for Etest), while the opposite pattern was observed with echinocandins (>50% for EUCAST and >86% for Etest). This suggests that the pathways involved in the trailing effect might be different between these two related species. Furthermore, clinical microbiologists must be aware of these species-specific patterns for a reliable MIC determination.
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spelling doaj.art-27a878b6219c4c678fcddd82d969b0862022-12-22T00:02:14ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2020-06-011110.3389/fmicb.2020.01286521728Candida albicans and Candida dubliniensis Show Different Trailing Effect Patterns When Exposed to Echinocandins and AzolesRania Ayadi0Emilie Sitterlé1Emilie Sitterlé2Christophe d’Enfert3Eric Dannaoui4Eric Dannaoui5Marie-Elisabeth Bougnoux6Marie-Elisabeth Bougnoux7Unité de Parasitologie-Mycologie, Service de Microbiologie, Faculté de Médecine, APHP, Hôpital Européen Georges Pompidou, Université Paris-Descartes, Paris, FranceUnité de Parasitologie-Mycologie, Service de Microbiologie, Faculté de Médecine, APHP, Hôpital Necker Enfants-Malades, Université Paris-Descartes, Paris, FranceUnité Biologie et Pathogénicité Fongiques, Institut Pasteur, USC 2019 INRA, Paris, FranceUnité Biologie et Pathogénicité Fongiques, Institut Pasteur, USC 2019 INRA, Paris, FranceUnité de Parasitologie-Mycologie, Service de Microbiologie, Faculté de Médecine, APHP, Hôpital Européen Georges Pompidou, Université Paris-Descartes, Paris, FranceDynamyc Research Group, Paris Est Créteil University (UPEC, EnvA), Créteil, FranceUnité de Parasitologie-Mycologie, Service de Microbiologie, Faculté de Médecine, APHP, Hôpital Necker Enfants-Malades, Université Paris-Descartes, Paris, FranceUnité Biologie et Pathogénicité Fongiques, Institut Pasteur, USC 2019 INRA, Paris, FranceWhen Candida albicans and Candida dubliniensis isolates were tested for susceptibility to fluconazole and echinocandins using either EUCAST or Etest methods, differential patterns of growth were observed, independently of the methods used. For C. albicans, a trailing phenomenon (incomplete growth inhibition at supra-MICs) was observed with fluconazole in 90% and 93.3% for EUCAST and Etest, respectively, but not with echinocandins (<7% for EUCAST and 0% for Etest). In contrast, for C. dubliniensis, a trailing phenomenon was very rarely observed with fluconazole (20% for EUCAST and 0% for Etest), while the opposite pattern was observed with echinocandins (>50% for EUCAST and >86% for Etest). This suggests that the pathways involved in the trailing effect might be different between these two related species. Furthermore, clinical microbiologists must be aware of these species-specific patterns for a reliable MIC determination.https://www.frontiersin.org/article/10.3389/fmicb.2020.01286/fullC. albicansC. dubliniensistrailingEUCASTantifungal susceptibility testingEtest
spellingShingle Rania Ayadi
Emilie Sitterlé
Emilie Sitterlé
Christophe d’Enfert
Eric Dannaoui
Eric Dannaoui
Marie-Elisabeth Bougnoux
Marie-Elisabeth Bougnoux
Candida albicans and Candida dubliniensis Show Different Trailing Effect Patterns When Exposed to Echinocandins and Azoles
Frontiers in Microbiology
C. albicans
C. dubliniensis
trailing
EUCAST
antifungal susceptibility testing
Etest
title Candida albicans and Candida dubliniensis Show Different Trailing Effect Patterns When Exposed to Echinocandins and Azoles
title_full Candida albicans and Candida dubliniensis Show Different Trailing Effect Patterns When Exposed to Echinocandins and Azoles
title_fullStr Candida albicans and Candida dubliniensis Show Different Trailing Effect Patterns When Exposed to Echinocandins and Azoles
title_full_unstemmed Candida albicans and Candida dubliniensis Show Different Trailing Effect Patterns When Exposed to Echinocandins and Azoles
title_short Candida albicans and Candida dubliniensis Show Different Trailing Effect Patterns When Exposed to Echinocandins and Azoles
title_sort candida albicans and candida dubliniensis show different trailing effect patterns when exposed to echinocandins and azoles
topic C. albicans
C. dubliniensis
trailing
EUCAST
antifungal susceptibility testing
Etest
url https://www.frontiersin.org/article/10.3389/fmicb.2020.01286/full
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