Nosocomial infection of C. auris in COVID-19 Intensive Care Unit in Türkiye and Phylogenetic Analysis of Isolates.

Autor: Erturk Sengel B; Department of Infectious Disease and Clinical Microbiology, Marmara University School of Medicine, Istanbul, Turkey. besengel@gmail.com., Ekren BY; Institute of Health Sciences, Department of Biostatistics and Bioinformatics, Acibadem University, Istanbul, Turkey., Sayin E; Department of Medical Microbiology, Marmara University School of Medicine, Istanbul, Turkey., Tukenmez Tigen E; Department of Infectious Disease and Clinical Microbiology, Marmara University School of Medicine, Istanbul, Turkey., Seydaliyeva A; Department of Infectious Disease and Clinical Microbiology, Marmara University School of Medicine, Istanbul, Turkey., Cerikcioglu N; Department of Medical Microbiology, Marmara University School of Medicine, Istanbul, Turkey., Cinel I; Department of Anesthesiology and Reanimation, Critical Care, Marmara University School of Medicine, Istanbul, Turkey., Korten V; Department of Infectious Disease and Clinical Microbiology, Marmara University School of Medicine, Istanbul, Turkey., Sezerman U; Institute of Health Sciences, Department of Biostatistics and Bioinformatics, Acibadem University, Istanbul, Turkey., Odabasi Z; Department of Infectious Disease and Clinical Microbiology, Marmara University School of Medicine, Istanbul, Turkey.
Jazyk: angličtina
Zdroj: Mycopathologia [Mycopathologia] 2023 Oct; Vol. 188 (5), pp. 765-773. Date of Electronic Publication: 2023 Aug 04.
DOI: 10.1007/s11046-023-00782-6
Abstrakt: Background: The difficulties in the identification of C. auris and the delays in the implementation of infection control precautions contribute to outbreaks. This study analyzed 10 patients with COVID-19 and C. auris candidemia, their characteristic and clinical features and phylogenetic features, and the antifungal susceptibilities of the isolates.
Method: C. auris were detected in the COVID-19 ICU of a university hospital between January and August 2021. Identification to species level was performed using MALDI-TOF MS. Antifungal susceptibilities were determined by the Sensititre YeastOne YO10 panel. The isolates were whole genome sequenced to assess genetic relatedness and a phylogenetic tree was drawn including various C. auris clades.
Results: The mean growth time in blood cultures was 38.8 h. C. auris candidemia developed on the average 27th day of ICU admission. All were susceptible to anidulafungin and micafungin, while they were resistant to fluconazole and amphotericin B. Only three isolates were found to be resistant to caspofungin. All patients died. With the WGS method, all isolates were found in a close resemblance to each other in terms of total nucleotide similarity (with a minimum of 96% pairwise alignment). Our isolates showed the closest similarity to South Asian clade (Clade I).
Conclusions: This study is the first to evaluate the phylogenetic characteristics of C. auris using WGS and to determine antifungal susceptibilities in Türkiye on COVID-19 patients. The mortality rate was very high in patients who have both COVID-19 and C. auris candidemia.
(© 2023. The Author(s), under exclusive licence to Springer Nature B.V.)
Databáze: MEDLINE
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