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Published on: March 19, 2019
Candida auris: an Emerging Fungal Pathogen
Emily S Spivak1, Kimberly E Hanson2,3
1Department of Medicine, Division of Infectious Diseases, University of Utah, Salt Lake City, Utah, USA.
Abstract:
Candida auris has emerged globally as a multidrug-resistant health care-associated fungal pathogen. Recent reports highlight ongoing challenges due to organism misidentification, high rates of antifungal drug resistance, and significant patient mortality. The predilection for transmission within and between health care facilities possibly promoted by virulence factors that facilitate skin colonization and environmental persistence is unique among Candida species. This minireview details the global emergence of C. auris and discusses issues relevant to clinical microbiology laboratories, hospital infection control, and antimicrobial stewardship efforts.
Insights
Candida auris is a growing global threat, causing difficult-to-treat fungal infections in healthcare settings. This review covers its emergence, resistance, and impact on patient care.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Public Health
Background:
- Candida auris is a multidrug-resistant yeast causing health care-associated infections.
- It presents challenges due to misidentification, high antifungal resistance, and mortality.
- Unique virulence factors aid its skin colonization and environmental persistence.
Purpose of the Study:
- To detail the global emergence of Candida auris.
- To discuss challenges in clinical microbiology laboratories.
- To review hospital infection control and antimicrobial stewardship.
Main Methods:
- Literature review of global emergence and characteristics of Candida auris.
- Analysis of challenges in clinical settings.
- Discussion of infection control and stewardship strategies.
Main Results:
- Candida auris has rapidly emerged worldwide as a significant pathogen.
- Misidentification and antifungal resistance complicate treatment and control.
- Environmental persistence and transmission in healthcare facilities are key concerns.
Conclusions:
- Effective identification, infection control, and antimicrobial stewardship are crucial for managing Candida auris.
- Continued surveillance and research are needed to combat this resilient pathogen.
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