Publications by authors named "M C Arendrup"

Objectives: A post hoc analysis used pooled STRIVE/ReSTORE trial data to determine outcomes with rezafungin versus caspofungin by Candida species and antifungal susceptibility.

Methods: The efficacy and safety of once weekly rezafungin 400/200 mg versus once daily caspofungin 70/50 mg was demonstrated in the randomized, double-blind phase 2 STRIVE (NCT02734862) and phase 3 ReSTORE (NCT03667690) trials involving adults with candidaemia and/or invasive candidiasis. In this analysis, data were pooled for patients with a documented Candida infection within 96 hours of randomization who also received ≥1 dose of study drug.

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Objectives: Reported amphotericin B resistance rates for Candida auris vary considerably. This may reflect clinically relevant differences in susceptibility, technical issues with testing, or adoption of a clinical breakpoint that bisects the wild-type population. We compared reference methods and two gradient diffusion strips using a shared C.

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Fungal diseases represent a considerable global health concern, affecting >1 billion people annually. In response to this growing challenge, the World Health Organization introduced the pivotal fungal priority pathogens list (FPPL) in late 2022. The FPPL highlights the challenges in estimating the global burden of fungal diseases and antifungal resistance (AFR), as well as limited surveillance capabilities and lack of routine AFR testing.

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Article Synopsis
  • The EUCAST Antifungal Susceptibility Testing Subcommittee (AFST) has been refining antifungal susceptibility testing methods for yeast, moulds, and dermatophytes since 2002, including setting epidemiological cut-off values and breakpoints.
  • Key challenges for yeasts like fluconazole resistance and variability in testing methods have been addressed, ensuring reliable clinical recommendations even for rare yeast species.
  • Recent initiatives focus on developing methods to detect antifungal resistance in specific species and creating guidance for molecular testing, while the adoption of EUCAST breakpoints in commercial tests requires careful validation to align with established reference standards.
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