The Candida auris Infection After the COVID‐19 Pandemic Seems to be an Urgent Public Health Emergency: A Call to Attention

Abstract Background and Aims Inconsequential diseases can sometimes become extremely dangerous through mutation. Antifungal resistance has increased by 24%, and resistance only due to Candida auris (C. auris) species have increased by 60%. Here, we aimed to assess the knowledge of antifungal treatme...

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Main Authors: Md. Ashrafur Rahman, Evangelos Victoros, Yeasna Shanjana, Marie Roke Thomas, Md. Rabiul Islam
Format: Article
Language:English
Published: Wiley 2024-11-01
Series:Health Science Reports
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Online Access:https://doi.org/10.1002/hsr2.70160
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author Md. Ashrafur Rahman
Evangelos Victoros
Yeasna Shanjana
Marie Roke Thomas
Md. Rabiul Islam
author_facet Md. Ashrafur Rahman
Evangelos Victoros
Yeasna Shanjana
Marie Roke Thomas
Md. Rabiul Islam
author_sort Md. Ashrafur Rahman
collection DOAJ
description Abstract Background and Aims Inconsequential diseases can sometimes become extremely dangerous through mutation. Antifungal resistance has increased by 24%, and resistance only due to Candida auris (C. auris) species have increased by 60%. Here, we aimed to assess the knowledge of antifungal treatment and preventative measures to mitigate the consequences of infections caused by C. auris. Methods We performed a comprehensive literature search and gathered information for this review from publicly available published articles. We used C. auris, C. auris infection, mycoses, and antifungal resistance as search terms in Google Scholar, PubMed, and Scopus. We extracted the relevant information from the available article after careful evaluation. Results The genus C. auris was especially difficult to diagnose, as it was often mistaken for other types of yeast and led to incorrect treatment. The only effective method for diagnosing C. auris is through blood culture testing in laboratories and PCR tests. Because of its mutation, C. auris has grown increasingly resistant to all three classes of antifungals, with almost all strains resistant to fluconazole. These resistances were traced back to multiple‐point mutations in certain genes, such as ERG11 in the case of fluconazole and amphotericin B. In addition, C. auris is phylogenetically related to C. haemulonii, an emerging pathogen notably resistant to antifungals. So, it may be an evolutionary resistance that occurred earlier but has only begun to spread now. Echinoderm, a reliable treatment for C. auris infections showed ineffectively against FKS1 and ERG3 gene mutated Candida strains. Newly developed antifungal agents, like Ibrexafungerp, showed promising results against echinocandin‐resistant strains in clinical trials. Conclusion Without vaccines and effective treatment, its capacity to mutate and spread has detrimental effects on humans. Therefore, extensive research on drug development, quick, reliable diagnosis, and effective strategies for disease prevention and treatment are required to mitigate the health impact of C. auris.
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spelling doaj-art-0e4d320effe541c4957224dd7ff8e9c52024-11-27T05:20:45ZengWileyHealth Science Reports2398-88352024-11-01711n/an/a10.1002/hsr2.70160The Candida auris Infection After the COVID‐19 Pandemic Seems to be an Urgent Public Health Emergency: A Call to AttentionMd. Ashrafur Rahman0Evangelos Victoros1Yeasna Shanjana2Marie Roke Thomas3Md. Rabiul Islam4Nesbitt School of Pharmacy Wilkes University Wilkes‐Barre Pennsylvania USANesbitt School of Pharmacy Wilkes University Wilkes‐Barre Pennsylvania USADepartment of Environmental Sciences North South University Bashundhara Dhaka BangladeshNesbitt School of Pharmacy Wilkes University Wilkes‐Barre Pennsylvania USASchool of Pharmacy BRAC University Merul Badda Dhaka BangladeshAbstract Background and Aims Inconsequential diseases can sometimes become extremely dangerous through mutation. Antifungal resistance has increased by 24%, and resistance only due to Candida auris (C. auris) species have increased by 60%. Here, we aimed to assess the knowledge of antifungal treatment and preventative measures to mitigate the consequences of infections caused by C. auris. Methods We performed a comprehensive literature search and gathered information for this review from publicly available published articles. We used C. auris, C. auris infection, mycoses, and antifungal resistance as search terms in Google Scholar, PubMed, and Scopus. We extracted the relevant information from the available article after careful evaluation. Results The genus C. auris was especially difficult to diagnose, as it was often mistaken for other types of yeast and led to incorrect treatment. The only effective method for diagnosing C. auris is through blood culture testing in laboratories and PCR tests. Because of its mutation, C. auris has grown increasingly resistant to all three classes of antifungals, with almost all strains resistant to fluconazole. These resistances were traced back to multiple‐point mutations in certain genes, such as ERG11 in the case of fluconazole and amphotericin B. In addition, C. auris is phylogenetically related to C. haemulonii, an emerging pathogen notably resistant to antifungals. So, it may be an evolutionary resistance that occurred earlier but has only begun to spread now. Echinoderm, a reliable treatment for C. auris infections showed ineffectively against FKS1 and ERG3 gene mutated Candida strains. Newly developed antifungal agents, like Ibrexafungerp, showed promising results against echinocandin‐resistant strains in clinical trials. Conclusion Without vaccines and effective treatment, its capacity to mutate and spread has detrimental effects on humans. Therefore, extensive research on drug development, quick, reliable diagnosis, and effective strategies for disease prevention and treatment are required to mitigate the health impact of C. auris.https://doi.org/10.1002/hsr2.70160antifungal resistanceC. aurisCandida aurisCandida auris infectionCovid‐19 pandemicinfectious disease
spellingShingle Md. Ashrafur Rahman
Evangelos Victoros
Yeasna Shanjana
Marie Roke Thomas
Md. Rabiul Islam
The Candida auris Infection After the COVID‐19 Pandemic Seems to be an Urgent Public Health Emergency: A Call to Attention
Health Science Reports
antifungal resistance
C. auris
Candida auris
Candida auris infection
Covid‐19 pandemic
infectious disease
title The Candida auris Infection After the COVID‐19 Pandemic Seems to be an Urgent Public Health Emergency: A Call to Attention
title_full The Candida auris Infection After the COVID‐19 Pandemic Seems to be an Urgent Public Health Emergency: A Call to Attention
title_fullStr The Candida auris Infection After the COVID‐19 Pandemic Seems to be an Urgent Public Health Emergency: A Call to Attention
title_full_unstemmed The Candida auris Infection After the COVID‐19 Pandemic Seems to be an Urgent Public Health Emergency: A Call to Attention
title_short The Candida auris Infection After the COVID‐19 Pandemic Seems to be an Urgent Public Health Emergency: A Call to Attention
title_sort candida auris infection after the covid 19 pandemic seems to be an urgent public health emergency a call to attention
topic antifungal resistance
C. auris
Candida auris
Candida auris infection
Covid‐19 pandemic
infectious disease
url https://doi.org/10.1002/hsr2.70160
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