Page 25 - ANTIFUNGAL SUSCEPTIBILITY OF CLINICAL YEAST ISOLATES 2018-2020
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8.  Trichosporon asahii (T. asahii)

                       A total of 35 Trichosporon asahii were analyzed from various type of clinical

               specimens. The isolates were mainly from blood (12, 60.0%) followed by urine (8,
               23.0%) (Table 8.1). The MIC ranges, MIC50 and MIC90 of seven antifungals are

               shown  in  Table  8.2.  There  are  no  validated  susceptibility  criteria  (clinical

               breakpoints) provided by CLSI for antifungal agents tested. MICs provided are for

               information only.



               Table 8.1: Distribution of Trichosporon asahii isolated based on clinical
               specimens in 2018-2020.
                            Specimen Type                                      Number
                 Blood                                                             21  60.0%
                 Urine                                                              8  23.0%
                 CSF                                                                1  3.0%
                 Tissue                                                             1  3.0%
                 Others                                                             4  11.0%
                 Total                                                                  35



               Table 8.2: MIC50, MIC90 and MIC range values (µg/mL) for Trichosporon asahii in
               2018-2020.
                 Antifungals                       MIC50          MIC90         MIC Range


                 Amphotericin B                      2              32            0.125 - 32

                 Fluconazole                         3              6               0.5 - 256

                 Itraconazole                        0.5            1             0.125 - 4


                 Posaconazole                         *             *                 *

                 Voriconazole                      0.047          0.125          0.016 – 0.19

                 5-Fluorocytosine                     *             *                 *


               *The number of isolates tested were very low.








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