Antifungal Susceptibility
Organism | Fluconazole | Voriconazole | Posaconazole | Echinocandin * | Liposomal amphotericin |
C.albicans | +++ | +++ | +++ | +++ | +++ |
C.tropicalis | +++ | +++ | +++ | +++ | +++ |
C.glabrata | ± | + | + | +++ | ++ |
C.parapsilosis | +++ | +++ | +++ | ++ | +++ |
C.krusei | – | ++ | ++ | +++ | ++ |
Cryptococcus neoformans | +++ | +++ (Minimal data in clinical use) | +++ (Minimal data in clinical use) | – | +++ |
Aspergillus fumigatus | – | +++ | ++ | ++ | +++ |
Scedosporium prolificans | – | ± | ± | – | – |
Mucormycosis | – | – | ++ | – | +++ |
Blastomyces dermatitidis | + | ++ | ++ | – | +++ |
Cocciodioides spp | +++ | ++ | ++ | – | +++ |
Histoplasma capsulatum | + | ++ | ++ | – | +++ |
Adapted from Sanford 2014
* Echinocandin class: anidulafungin, caspofungin, micafungin
(-) No activity
(±) Possibly active
(+) Active
+++ First line
++ Second line, less active
+ Third line, least active