Candida auris: An Emerging Yeast Pathogen Posing Distinct Challenges for Laboratory Diagnostics, Treatment, and Infection Prevention.

Context.--Candida auris is an emerging yeast species that was first described in 2009. This ascomycetous yeast is notable for resistance to azole antifungal agents, for environmental persistence, and for its ability to contaminate health care environments, resulting in patient colonization and nosoc...

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Publicado en:Archives of Pathology & Laboratory Medicine Vol. 144; no. 1; pp. 107 - 115
Autores principales: Hata, D. Jane, Humphries, Romney, Lockhart, Shawn R.
Formato: pictorial review tables/charts Journal Article
Publicado: College of American Pathologists Jan2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2020
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      pub: College of American Pathologists
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        atl: Candida auris: An Emerging Yeast Pathogen Posing Distinct Challenges for Laboratory Diagnostics, Treatment, and Infection Prevention.
      aug:
        au:
          Hata, D. Jane
          Humphries, Romney
          Lockhart, Shawn R.
        affil: Department of Laboratory Medicine and Pathology, Mayo Clinic, Jacksonville, Florida
      sug:
        subj:
          Knowledge Evaluation
          Candidiasis Diagnosis
          Candidiasis Drug Therapy
          Candidiasis Prevention and Control
          Cross Infection Prevention and Control
          Candida Auris
          Antifungal Agents Therapeutic Use
          Candidiasis Microbiology
          Candidiasis Transmission
          Infection Control
          Systematic Review
          Microbial Contamination
      ab: Context.--Candida auris is an emerging yeast species that was first described in 2009. This ascomycetous yeast is notable for resistance to azole antifungal agents, for environmental persistence, and for its ability to contaminate health care environments, resulting in patient colonization and nosocomial infections. Objective.--To review the state of current knowledge addressing challenges in the accurate identification of C auris in the diagnostic microbiology laboratory, including application of phenotypic, proteomic, and genomic methodologies; characteristics that may predispose the human host to acquiring C auris; transmission; clinical presentations; treatment modalities; environmental decontamination; and infection prevention in health care settings. Data Sources.--The PubMed search engine was used to access peer-reviewed literature published from 2009 to 2019. Conclusions.--The rapid emergence of Cauris has presented unique challenges for the areas of laboratory diagnostics and infection prevention and in options for antifungal treatment, which are limited. The current lack of established antifungal susceptibility test breakpoints complicates therapeutic decision making. Enhanced awareness of this pathogen is essential to monitor outbreaks and to reduce the risk of spread within health care environments.
      pubtype: Academic Journal
      doctype:
        pictorial
        review
        tables/charts
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      ougenre: Article
    language: English
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