Epidemiology, clinical characteristics, resistance, and treatment of infections by Candida auris

Abstract Candida spp. infections are a major cause of morbidity and mortality in critically ill patients. Candida auris is an emerging multi-drug-resistant fungus that is rapidly spreading worldwide. Since the first reports in 2009, many isolates across five continents have been identified as agents...

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Main Authors: Andrea Cortegiani, Giovanni Misseri, Teresa Fasciana, Anna Giammanco, Antonino Giarratano, Anuradha Chowdhary
Format: Article
Language:English
Published: BMC 2018-10-01
Series:Journal of Intensive Care
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40560-018-0342-4
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author Andrea Cortegiani
Giovanni Misseri
Teresa Fasciana
Anna Giammanco
Antonino Giarratano
Anuradha Chowdhary
author_facet Andrea Cortegiani
Giovanni Misseri
Teresa Fasciana
Anna Giammanco
Antonino Giarratano
Anuradha Chowdhary
author_sort Andrea Cortegiani
collection DOAJ
description Abstract Candida spp. infections are a major cause of morbidity and mortality in critically ill patients. Candida auris is an emerging multi-drug-resistant fungus that is rapidly spreading worldwide. Since the first reports in 2009, many isolates across five continents have been identified as agents of hospital-associated infections. Independent and simultaneous outbreaks of C. auris are becoming a major concern for healthcare and scientific community. Moreover, laboratory misidentification and multi-drug-resistant profiles, rarely observed for other non-albicans Candida species, result in difficult eradication and frequent therapeutic failures of C. auris infections. The aim of this review was to provide an updated and comprehensive report of the global spread of C. auris, focusing on clinical and microbiological characteristics, mechanisms of virulence and antifungal resistance, and efficacy of available control, preventive, and therapeutic strategies.
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spelling doaj.art-f883a559753a4d4296771c8c74f35b032022-12-21T22:33:10ZengBMCJournal of Intensive Care2052-04922018-10-016111310.1186/s40560-018-0342-4Epidemiology, clinical characteristics, resistance, and treatment of infections by Candida aurisAndrea Cortegiani0Giovanni Misseri1Teresa Fasciana2Anna Giammanco3Antonino Giarratano4Anuradha Chowdhary5Department of Surgical, Oncological and Oral Science (Di.Chir.On.S.). Section of Anesthesia, Analgesia, Intensive Care and Emergency. Policlinico Paolo Giaccone. University of Palermo, Italy, University of PalermoDepartment of Surgical, Oncological and Oral Science (Di.Chir.On.S.). Section of Anesthesia, Analgesia, Intensive Care and Emergency. Policlinico Paolo Giaccone. University of Palermo, Italy, University of PalermoDepartment of Sciences for Health Promotion and Mother and Child Care, University of PalermoDepartment of Sciences for Health Promotion and Mother and Child Care, University of PalermoDepartment of Surgical, Oncological and Oral Science (Di.Chir.On.S.). Section of Anesthesia, Analgesia, Intensive Care and Emergency. Policlinico Paolo Giaccone. University of Palermo, Italy, University of PalermoDepartment of Medical Mycology, Vallabhbhai Patel Chest Institute, University of DelhiAbstract Candida spp. infections are a major cause of morbidity and mortality in critically ill patients. Candida auris is an emerging multi-drug-resistant fungus that is rapidly spreading worldwide. Since the first reports in 2009, many isolates across five continents have been identified as agents of hospital-associated infections. Independent and simultaneous outbreaks of C. auris are becoming a major concern for healthcare and scientific community. Moreover, laboratory misidentification and multi-drug-resistant profiles, rarely observed for other non-albicans Candida species, result in difficult eradication and frequent therapeutic failures of C. auris infections. The aim of this review was to provide an updated and comprehensive report of the global spread of C. auris, focusing on clinical and microbiological characteristics, mechanisms of virulence and antifungal resistance, and efficacy of available control, preventive, and therapeutic strategies.http://link.springer.com/article/10.1186/s40560-018-0342-4C. aurisCandidaCandidemiaInvasive fungal infectionAntimicrobial resistanceAntifungal resistance
spellingShingle Andrea Cortegiani
Giovanni Misseri
Teresa Fasciana
Anna Giammanco
Antonino Giarratano
Anuradha Chowdhary
Epidemiology, clinical characteristics, resistance, and treatment of infections by Candida auris
Journal of Intensive Care
C. auris
Candida
Candidemia
Invasive fungal infection
Antimicrobial resistance
Antifungal resistance
title Epidemiology, clinical characteristics, resistance, and treatment of infections by Candida auris
title_full Epidemiology, clinical characteristics, resistance, and treatment of infections by Candida auris
title_fullStr Epidemiology, clinical characteristics, resistance, and treatment of infections by Candida auris
title_full_unstemmed Epidemiology, clinical characteristics, resistance, and treatment of infections by Candida auris
title_short Epidemiology, clinical characteristics, resistance, and treatment of infections by Candida auris
title_sort epidemiology clinical characteristics resistance and treatment of infections by candida auris
topic C. auris
Candida
Candidemia
Invasive fungal infection
Antimicrobial resistance
Antifungal resistance
url http://link.springer.com/article/10.1186/s40560-018-0342-4
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