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American Society for Microbiology, Antimicrobial Agents and Chemotherapy, 2(61), 2017

DOI: 10.1128/aac.01542-16

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In vitro exposure to increasing micafungin concentrations easily promotes echinocandin resistance in Candida glabrata isolates

This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

ABSTRACT We assessed the in vitro susceptibility of five echinocandin-susceptible Candida glabrata isolates after exposure to micafungin. The direct exposure to plates at different micafungin concentrations resulted in the inhibition of growth at 0.062 μg/ml. The progressive exposure was performed on plates using 0.031 μg/ml of micafungin and sequential propagation on plates containing the next 2-fold concentration; the MICs of micafungin and anidulafungin increased sequentially, and all the isolates became echinocandin resistant, showing fks2 mutations.