Cited by 178Antifungal resistance and susceptibilityYeasts and Rust Fungi StudiesOcular Infections and Treatments

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Emerging multidrug-resistant Candida species

Colombo, Arnaldo L., Júnior, João N. de Almeida, Guinea, Jesus·2017·Current Opinion in Infectious Diseases

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Abstract

Purpose of review: To describe the epidemiology, strategies for early detection, and clinical management of infections caused by the most commonly found multidrug-resistant (MDR)Candida spp. Recent findings: Increasing numbers of reports describing invasive infections by MDR Candida auris and Candida glabrata has been reported in medical centers worldwide. Summary: We checked all papers published along the last 10 years describing epidemiological, diagnostic, and clinical aspects of infections by MDR Candida spp., with emphasis on C. auris and C. glabrata spp.C. auris has been reported in 15 countries and multidrug resistance rates is usually above 30%. Horizontal transmission is a great concern regarding C. auris.C. glabrata ranks the second most reported Candida spp. in deep-seated infections from United States and some European Centers, although multidrug resistance rates above 10% are restricted to some US centers.Candida haemulonii complex isolates with poor susceptibility to azoles and amphotericin B have been isolated in superficial and deep-seated infections, whereas Candida guilliiermondii complex isolates with poor susceptibility to azoles and echinocandins have been recovered from catheter-related bloodstream infections. Other potential MDR Candida species are Candida krusei,Candida lusitaniae,Candida kefyr,Yarrowia(Candida)lypolitica,and Candida rugosa.

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Authors: Colombo, A. L., Júnior, J. N. D. A., & Guinea, J.
Affiliations: Universidade Federal de São Paulo (BR)
Central Laboratory Division (LIM03), Laboratory of Medical Mycology (LIM53), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil
Medicine Department, Instituto de Investigación Sanitaria Gregorio Marañón, Hospital General Universitario Gregorio Marañón, CIBER Enfermedades Respiratorias-CIBERES (CB06/06/0058), School of Medicine, Universidad Complutense de Madrid, Madrid, Spain
Corresponding author: Colombo, Arnaldo L.
ORCID: Colombo, Arnaldo L.
Venue: Current Opinion in Infectious Diseases
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2017-12
Volume: 30
Issue: 6
Pages: 528-538
ISSN: 0951-7375 (ISSN-L)
1473-6527
DOI: 10.1097/qco.0000000000000411
OpenAlex: W2765742851
Semantic Scholar: e4e3cc325bd6f2e43de0c05a4f19c50193ddf27c
Cited by: 177
References: 136
Citations by year: 2026: 11 · 2025: 12 · 2024: 18 · 2023: 30 · 2022: 23 · 2021: 27 · 2020: 20 · 2019: 31 · 2018: 3 · 2017: 2
FWCI: 2.35
Type: journal article
Language: en
Open access: closed
Locations: Current Opinion in Infectious Diseases (publishedVersion)
PubMed (publishedVersion)
UNIFESP Institutional Repository (Universidade Federal de São Paulo) (submittedVersion)
Topics: Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
Life Sciences › Immunology and Microbiology › Microbiology › Yeasts and Rust Fungi Studies
Health Sciences › Medicine › Ophthalmology › Ocular Infections and Treatments
Keywords: Candida auris, Candida glabrata, Candida krusei, Candida lusitaniae, Candida kefyr, Candida rugosa, invasive candidiasis, candidemia, azole resistance, echinocandin resistance, amphotericin B resistance, horizontal transmission, early detection, clinical management, catheter-related bloodstream infection
MeSH terms: Antifungal Agents, Candida, Candidiasis, Humans, Communicable Diseases, Emerging, Drug Resistance, Multiple, Fungal

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