Inadvertent Selection of a Pathogenic Fungus Highlights Areas of Concern in Human Clinical Practices

In studying the development of tolerance to common hospital cleaners (Oxivir<sup>®</sup> and CaviCide™) in clinical isolate stocks of the emerging, multidrug-resistant yeast pathogen <i>Candida auris</i>, we selected for a cleaner-tolerant subpopulation of a more common nosoc...

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Bibliographic Details
Main Authors: Justin L. Eagan, Breanne N. Steffan, Sébastien C. Ortiz, Milton T. Drott, Gustavo H. Goldman, Christina M. Hull, Nancy P. Keller, Rafael W. Bastos
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Journal of Fungi
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Online Access:https://www.mdpi.com/2309-608X/8/2/157
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Summary:In studying the development of tolerance to common hospital cleaners (Oxivir<sup>®</sup> and CaviCide™) in clinical isolate stocks of the emerging, multidrug-resistant yeast pathogen <i>Candida auris</i>, we selected for a cleaner-tolerant subpopulation of a more common nosocomial pathogen, <i>Candida glabrata</i>. Through the purification of each species and subsequent competition and other analyses, we determined that <i>C. glabrata</i> is capable of readily dominating mixed populations of <i>C. auris</i> and <i>C. glabrata</i> when exposed to hospital cleaners. This result suggests that exposure to antimicrobial compounds can preferentially select for low-level, stress-tolerant fungal pathogens. These findings indicate that clinical disinfection practices could contribute to the selection of tolerant, pathogenic microbes that persist within healthcare settings.
ISSN:2309-608X