Hospital Clonal Outbreak of Fluconazole-Resistant Candida parapsilosis Harboring the Y132F ERG11p Substitution in a French Intensive Care Unit.
Simona PresenteChristine BonnalAnne-Cecile NormandYannick GaudonnetArnault FekkarJean François TimsitSolen KerneisPublished in: Antimicrobial agents and chemotherapy (2023)
We report the first identification of a fluconazole-resistant Candida parapsilosis (FR- Cp ) strain in our hospital, which subsequently caused an outbreak involving 17 patients (12 deaths) within a 26-bed French intensive care unit. Microsatellite genotyping confirmed that all FR- Cp isolates belonged to the same clone. Given recent reports of rapid dissemination of these emerging clones, routine testing of azole susceptibility for all Candida parapsilosis isolates should be encouraged, at least in ICU patients.
Keyphrases
- intensive care unit
- candida albicans
- end stage renal disease
- newly diagnosed
- ejection fraction
- chronic kidney disease
- peritoneal dialysis
- prognostic factors
- mechanical ventilation
- genetic diversity
- gene expression
- escherichia coli
- high throughput
- dna methylation
- sensitive detection
- electronic health record
- bioinformatics analysis