In vivo evolution to echinocandin resistance and increasing clonal heterogeneity in Candida auris during a difficult-to-control hospital outbreak, Italy, 2019 to 2022

A difficult-to-control outbreak of Candida auris is ongoing in a large tertiary care hospital in Liguria, Italy, where it first emerged in 2019. In a retrospective analysis, 503 cases of C. auris carriage or infection were observed between July 2019 and December 2022. Genomic surveillance identified putative cases that no longer occurred as part of one defined outbreak and the emergence of echinocandin (pandrug) resistance following independent selection of FKS1S639F and FKS1F635Y mutants upon prolonged exposure to caspofungin and/or anidulafungin.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:28

Enthalten in:

Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin - 28(2023), 14 vom: 29. Apr.

Sprache:

Englisch

Beteiligte Personen:

Codda, Giulia [VerfasserIn]
Willison, Edward [VerfasserIn]
Magnasco, Laura [VerfasserIn]
Morici, Paola [VerfasserIn]
Giacobbe, Daniele Roberto [VerfasserIn]
Mencacci, Antonella [VerfasserIn]
Marini, Daniele [VerfasserIn]
Mikulska, Malgorzata [VerfasserIn]
Bassetti, Matteo [VerfasserIn]
Marchese, Anna [VerfasserIn]
Di Pilato, Vincenzo [VerfasserIn]

Links:

Volltext

Themen:

Anidulafungin
Antifungal Agents
Antifungal resistance
Candida auris
Caspofungin
Echinocandins
Epidemic
Fungal infections
Genomic surveillance
Journal Article
Pandrug

Anmerkungen:

Date Completed 10.04.2023

Date Revised 01.07.2023

published: Print

Citation Status MEDLINE

doi:

10.2807/1560-7917.ES.2023.28.14.2300161

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM355269023