Candida parapsilosis: a review of its epidemiology, pathogenesis, clinical aspects, typing and antimicrobial

Eveline C van Asbeck1, Karl V Clemons, David A Stevens

  • 1Division of Infectious Diseases, Santa Clara Valley Medical Center, and California Institute for Medical Research, San Jose, CA 95128, USA.

Insights

Candida parapsilosis is a significant opportunistic pathogen causing infections in various hosts. Understanding its virulence factors and transmission is crucial for managing nosocomial infections.

Area of Science:

  • Mycology
  • Infectious Diseases
  • Clinical Microbiology

Background:

  • Candida parapsilosis is an emerging opportunistic and nosocomial pathogen.
  • It causes diverse pathologies in immunocompromised individuals and neonates.
  • Factors contributing to its emergence include skin colonization, proliferation in glucose solutions, and adherence to plastics.

Purpose of the Study:

  • To review basic science, clinical, and experimental data on Candida parapsilosis.
  • To highlight the importance of determining genetic relatedness and common sources during outbreaks.
  • To discuss virulence factors and the need for further research into host-pathogen interactions.

Main Methods:

  • Literature review of basic science, clinical, and experimental studies.
  • Analysis of factors contributing to Candida parapsilosis emergence and virulence.
  • Summary of current knowledge on host-pathogen interactions.

Main Results:

  • Candida parapsilosis exhibits significant opportunistic and nosocomial pathogenicity.
  • Virulence is linked to biofilm formation, phospholipase, and aspartyl protease production.
  • Genetic relatedness and source identification are critical during outbreaks.

Conclusions:

  • Candida parapsilosis poses a significant threat, particularly in healthcare settings.
  • Further research into host-pathogen interactions is essential for effective treatment and prevention.
  • Understanding virulence mechanisms is key to combating infections caused by this pathogen.

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