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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.
Abstract:
The Candida parapsilosis family has emerged as a major opportunistic and nosocomial pathogen. It causes multifaceted pathology in immuno-compromised and normal hosts, notably low birth weight neonates. Its emergence may relate to an ability to colonize the skin, proliferate in glucose-containing solutions, and adhere to plastic. When clusters appear, determination of genetic relatedness among strains and identification of a common source are important. Its virulence appears associated with a capacity to produce biofilm and production of phospholipase and aspartyl protease. Further investigations of the host-pathogen interactions are needed. This review summarizes basic science, clinical and experimental information about C. parapsilosis.
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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