Molecular Diagnostics in the Times of Surveillance for <i>Candida auris</i>

Recently, global health professionals have been significantly challenged by the emergence of <i>Candida auris</i> and its propensity to colonize human skin, persist in the healthcare environment, and cause healthcare-associated outbreaks. Additionally, <i>C. auris</i> isolate...

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Main Authors: Milena Kordalewska, David S. Perlin
Format: Article
Language:English
Published: MDPI AG 2019-08-01
Series:Journal of Fungi
Subjects:
Online Access:https://www.mdpi.com/2309-608X/5/3/77
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author Milena Kordalewska
David S. Perlin
author_facet Milena Kordalewska
David S. Perlin
author_sort Milena Kordalewska
collection DOAJ
description Recently, global health professionals have been significantly challenged by the emergence of <i>Candida auris</i> and its propensity to colonize human skin, persist in the healthcare environment, and cause healthcare-associated outbreaks. Additionally, <i>C. auris</i> isolates are often characterized by elevated minimal inhibitory concentration (MIC) values for antifungal drugs. Thus, rapid detection and accurate identification of <i>C. auris</i> together with an assessment of potential antifungal drug resistance has become essential for effective patient management, and infection prevention and control in healthcare facilities. Surprisingly, almost all of the commonly available diagnostic tools rely on recovery (growth) of yeast colonies from collected samples, which delays the diagnostic result by several days or longer. To circumvent these issues, molecular-based DNA amplification assays have been developed to identify <i>C. auris</i> DNA directly from patient samples. Moreover, allele discriminating detection probes can be used to rapidly assess validated mechanisms of echinocandin and azole resistance.
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spelling doaj.art-5fe2f1f135b444c98fb04fefc2b7a5402022-12-21T20:55:25ZengMDPI AGJournal of Fungi2309-608X2019-08-01537710.3390/jof5030077jof5030077Molecular Diagnostics in the Times of Surveillance for <i>Candida auris</i>Milena Kordalewska0David S. Perlin1Center for Discovery and Innovation, Hackensack Meridian Health, Nutley, NJ 07110, USACenter for Discovery and Innovation, Hackensack Meridian Health, Nutley, NJ 07110, USARecently, global health professionals have been significantly challenged by the emergence of <i>Candida auris</i> and its propensity to colonize human skin, persist in the healthcare environment, and cause healthcare-associated outbreaks. Additionally, <i>C. auris</i> isolates are often characterized by elevated minimal inhibitory concentration (MIC) values for antifungal drugs. Thus, rapid detection and accurate identification of <i>C. auris</i> together with an assessment of potential antifungal drug resistance has become essential for effective patient management, and infection prevention and control in healthcare facilities. Surprisingly, almost all of the commonly available diagnostic tools rely on recovery (growth) of yeast colonies from collected samples, which delays the diagnostic result by several days or longer. To circumvent these issues, molecular-based DNA amplification assays have been developed to identify <i>C. auris</i> DNA directly from patient samples. Moreover, allele discriminating detection probes can be used to rapidly assess validated mechanisms of echinocandin and azole resistance.https://www.mdpi.com/2309-608X/5/3/77<i>Candida auris</i>diagnosticsmolecular diagnosticsidentificationdetectionantifungal drug resistanceazolesechinocandins
spellingShingle Milena Kordalewska
David S. Perlin
Molecular Diagnostics in the Times of Surveillance for <i>Candida auris</i>
Journal of Fungi
<i>Candida auris</i>
diagnostics
molecular diagnostics
identification
detection
antifungal drug resistance
azoles
echinocandins
title Molecular Diagnostics in the Times of Surveillance for <i>Candida auris</i>
title_full Molecular Diagnostics in the Times of Surveillance for <i>Candida auris</i>
title_fullStr Molecular Diagnostics in the Times of Surveillance for <i>Candida auris</i>
title_full_unstemmed Molecular Diagnostics in the Times of Surveillance for <i>Candida auris</i>
title_short Molecular Diagnostics in the Times of Surveillance for <i>Candida auris</i>
title_sort molecular diagnostics in the times of surveillance for i candida auris i
topic <i>Candida auris</i>
diagnostics
molecular diagnostics
identification
detection
antifungal drug resistance
azoles
echinocandins
url https://www.mdpi.com/2309-608X/5/3/77
work_keys_str_mv AT milenakordalewska moleculardiagnosticsinthetimesofsurveillanceforicandidaaurisi
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