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Emerging multidrug-resistant Candida species.

Arnaldo L Colombo1, João N de Almeida Júnior, Jesus Guinea

  • 1aDivision of Infectious Diseases, Department of Medicine, Escola Paulista de Medicina, Universidade Federal de São Paulo bCentral Laboratory Division (LIM03), Laboratory of Medical Mycology (LIM53), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil cMedicine Department, Instituto de Investigación Sanitaria Gregorio Marañón, Hospital General Universitario Gregorio Marañón, CIBER Enfermedades Respiratorias-CIBERES (CB06/06/0058), School of Medicine, Universidad Complutense de Madrid, Madrid, Spain.

Current Opinion in Infectious Diseases
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Summary
This summary is machine-generated.

Multidrug-resistant (MDR) Candida auris and Candida glabrata are increasingly reported worldwide. This review details their epidemiology, detection, and management, highlighting C. auris transmission concerns.

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Area of Science:

  • Medical Mycology
  • Infectious Diseases
  • Epidemiology

Background:

  • Rising incidence of invasive fungal infections caused by multidrug-resistant (MDR) Candida species.
  • Global emergence of Candida auris and Candida glabrata as significant pathogens.

Purpose of the Study:

  • To review the epidemiology of MDR Candida species.
  • To outline strategies for early detection and clinical management.
  • To focus on Candida auris and Candida glabrata infections.

Main Methods:

  • Systematic literature review of papers published in the last 10 years.
  • Analysis of epidemiological, diagnostic, and clinical data.
  • Emphasis on MDR Candida species, particularly C. auris and C. glabrata.

Main Results:

  • Candida auris reported in 15 countries with >30% MDR rates; horizontal transmission is a concern.
  • Candida glabrata is the second most reported Candida species in deep-seated infections in the US and Europe, with MDR rates >10% in some US centers.
  • Other MDR Candida species include C. haemulonii complex, C. guilliiermondii complex, C. krusei, C. lusitaniae, C. kefyr, Yarrowia lypolitica, and C. rugosa.

Conclusions:

  • MDR Candida species, especially C. auris and C. glabrata, pose a growing global health threat.
  • Effective early detection and management strategies are crucial.
  • Understanding transmission dynamics, particularly for C. auris, is essential for control.