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Candida auris: Epidemiology, Diagnosis, Pathogenesis, Antifungal Susceptibility, and Infection Control Measures to Combat the Spread of Infections in Healthcare Facilities
Open accessAbstract
Candida auris, a recently recognized, often multidrug-resistant yeast, has become a significant fungal pathogen due to its ability to cause invasive infections and outbreaks in healthcare facilities which have been difficult to control and treat. The extraordinary abilities of C. auris to easily contaminate the environment around colonized patients and persist for long periods have recently resulted in major outbreaks in many countries. C. auris resists elimination by robust cleaning and other decontamination procedures, likely due to the formation of ‘dry’ biofilms. Susceptible hospitalized patients, particularly those with multiple comorbidities in intensive care settings, acquire C. auris rather easily from close contact with C. auris-infected patients, their environment, or the equipment used on colonized patients, often with fatal consequences. This review highlights the lessons learned from recent studies on the epidemiology, diagnosis, pathogenesis, susceptibility, and molecular basis of resistance to antifungal drugs and infection control measures to combat the spread of C. auris infections in healthcare facilities. Particular emphasis is given to interventions aiming to prevent new infections in healthcare facilities, including the screening of susceptible patients for colonization; the cleaning and decontamination of the environment, equipment, and colonized patients; and successful approaches to identify and treat infected patients, particularly during outbreaks.
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“Candida auris is an emerging multidrug-resistant fungal pathogen that poses a serious threat to public health.”
From Yeast and filamentous Candida auris stimulate distinct immune responses in the skin (2024) · cites this paper as [1]
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“Candida auris is an emerging multidrug-resistant skin-tropic fungal pathogen that causes serious human infections.”
From The Emerging Fungal Pathogen Candida auris Induces IFNγ to Colonize the Skin (2025) · cites this paper as [1]
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“C. auris is an emerging fungal pathogen that can cause serious human infections [1,5,38,39].”
From The Emerging Fungal Pathogen Candida auris Induces IFNγ to Colonize the Skin (2025) · cites this paper as [1]
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“C. auris is an emerging multi-drug-resistant fungal pathogen that can cause fatal infections in humans (1, 19, 20).”
From Differential skin immune responses in mice intradermally infected with Candida auris and Candida albicans (2023) · cites this paper as [1]
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“Candida auris is an emerging multidrug-resistant fungal pathogen that preferentially colonizes and persists in skin tissue”
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“Candida auris was recently categorized as an urgent threat by the U.S. Centers for Disease Control and Prevention (CDC) and classified in the critical priority fungal pathogen group by the World Health Organization (1 – 3).”
From Differential skin immune responses in mice intradermally infected with Candida auris and Candida albicans (2023) · cites this paper as [1]
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Metadata
- Authors
- Ahmad, S., & Alfouzan, W.
- Affiliations
- Kuwait University (KW)
- Corresponding author
- Ahmad, Suhail
- Venue
- Microorganisms
- Publisher
- MDPI AG
- Published
- 2021-04-11
- Volume
- 9
- Issue
- 4
- Pages
- 807
- ISSN
- 2076-2607 (ISSN-L)
- PMC
- PMC8069182
- OpenAlex
- W3156847645
- Cited by
- 269
- References
- 187
- Citations by year
- 2026: 55 · 2025: 68 · 2024: 62 · 2023: 53 · 2022: 18 · 2021: 13
- FWCI
- 4.27
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Microorganisms (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Kuwait University (MI 01/15)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
- Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
- Health Sciences › Medicine › Infectious Diseases › Fungal Infections and Studies
- Keywords
- Candida auris, multidrug resistance, antifungal susceptibility, antifungal resistance mechanisms, nosocomial infections, infection control, environmental contamination, intensive care unit, colonization screening, decontamination, pathogenesis
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