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Updated: Oct 16, 2025

Whole Genome Sequencing of Candida glabrata for Detection of Markers of Antifungal Drug Resistance
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International Multicentre Study of Candida auris Infections.

Nirav Pandya1, Yasemin Cag2, Nenad Pandak3

  • 1Consultant Microbiologist & Infection Preventionist, Bhailal Amin General Hospital, Vadodara 390003, India.

Journal of Fungi (Basel, Switzerland)
|October 23, 2021
PubMed
Summary

Candida auris, a multidrug-resistant yeast, causes high mortality in intensive care units. Effective management involves echinocandin antifungals and source control to reduce patient deaths.

Keywords:
C. aurisCandidafunginosocomialoutbreakresistance

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Area of Science:

  • Infectious Diseases
  • Medical Mycology
  • Public Health

Background:

  • Candida auris is a global threat, identified as a multidrug-resistant yeast.
  • Frequently linked to hospital-acquired infections, particularly in intensive care units (ICUs).

Purpose of the Study:

  • To investigate the epidemiology of Candida auris infections.
  • To analyze management strategies, patient outcomes, and infection control practices.
  • To identify risk factors and treatment effectiveness across multiple international centers.

Main Methods:

  • Retrospective observational multicenter study.
  • Involved 10 centers across five countries.
  • Data collected on patient demographics, risk factors, treatment, and outcomes.

Main Results:

  • Key risk factors include advanced age, ICU admission, diabetes, renal failure, central venous catheter use, and prior antibiotic treatment.
  • Candida auris commonly isolated from blood (76%); echinocandins showed highest sensitivity.
  • Thirty-day all-cause mortality was 37%, reduced by antifungal therapy and source removal.

Conclusions:

  • Candida auris infections are associated with significant mortality.
  • Resistance to azoles and amphotericin-B is common.
  • Echinocandin-based therapy and source control are crucial for effective management.