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Candida auris: An Overview of How to Screen, Detect, Test and Control This Emerging Pathogen
Teresa Fasciana1, Andrea Cortegiani2, Mariachiara Ippolito2
1Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialities, University of Palermo, 90127 Palermo, Italy.
Abstract:
The multidrug-resistant yeast Candida auris is associated with invasive infections in critically ill patients and has been isolated in different countries worldwide. Ease of spread, prolonged persistence in the environment and antifungal drug resistance pose a significant concern for the prevention of transmission and management of patients with C. auris infections. Early and correct identification of patients colonized with C. auris is critical in containing its spread. However, this may be complicated by C. auris strains being misidentified as other phylogenetically related pathogens. In this review, we offer a brief overview highlighting some of the critical aspects of sample collection, laboratory culture-dependent and independent identification and the susceptibility profile of C. auris.
Insights
Candida auris, a multidrug-resistant yeast, causes invasive infections. Accurate identification is crucial to prevent its spread, as misidentification can complicate patient management and transmission control.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Public Health
Background:
- Candida auris is a multidrug-resistant yeast causing invasive infections globally, particularly in critically ill patients.
- Its ease of spread, environmental persistence, and antifungal resistance present significant challenges for infection control and patient management.
- Accurate and early identification of Candida auris colonization is vital for preventing transmission.
Purpose of the Study:
- To provide an overview of critical aspects related to Candida auris.
- To highlight challenges in laboratory identification and susceptibility profiling.
- To inform strategies for containing the spread of Candida auris infections.
Main Methods:
- Review of literature on Candida auris.
- Discussion of sample collection techniques.
- Evaluation of culture-dependent and independent identification methods.
- Analysis of antifungal susceptibility profiling.
Main Results:
- Candida auris is frequently misidentified as related pathogens, complicating diagnosis.
- Effective containment relies on precise laboratory identification and susceptibility testing.
- Environmental persistence and multidrug resistance underscore the need for stringent infection control.
Conclusions:
- Early and accurate identification of Candida auris is essential for effective infection control.
- Standardized laboratory methods are needed to overcome identification challenges.
- Understanding susceptibility profiles is key to guiding antifungal therapy and managing outbreaks.
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