Isolation, identification and antimicrobial susceptibility of environmental/colonized Candida auris
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1.Department of Laboratory Medicine, Anhui Tongling People's Hospital, Tongling 244002, China;2.Department of Healthcare-associated Infection Management, Anhui Tongling People's Hospital, Tongling 244002, China

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R379.4

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    Abstract:

    Objective To isolate and identify Candida auris (C. auris) colonized in the environment of intensive care unit (ICU) and patients' body surface, and analyze the antimicrobial susceptibility. Methods Ninety-six environmental specimens from ICU and 14 specimens from body surfaces of ICU patients with C. auris infection were taken and cultured. Culture products were identified by mass spectrometry and Vitek 2 Compact automated microbial identification system. Species were confirmed by whole genome sequencing (WGS) technology. Antimicrobial susceptibility was determined through minimum inhibitory concentration (MIC). Results 16 strains of C. auris were identified by mass spectrometry, 8 of which were environmental strains and 8 were colonized on the patients' body surface. Vitek 2 Compact system only identified 5 strains. Sixteen environmental/colonized isolates were confirmed to be C. auris through sequencing, exhibiting high genomic similarity with the South Asian branch (Ⅰ) of C. auris. Antimicrobial susceptibility testing results of the 16 C. auris strains were consistent, all of which were resistant to amphotericin and fluconazole, susceptible to 5-fluorocytosine and voriconazole, and susceptible to or intermediated to itraconazole. Conclusion Patients infected with C. auris can cause environmental contamination and colonization on body surface of other patients. Establishing effective monitoring methods for environmental/colonized C. auris can promote infection control.

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朱娟娟,范琼,张珺琳,等.环境/定植耳念珠菌的分离鉴定及药敏分析[J].中国感染控制杂志英文版,2023,(11):1345-1350. DOI:10.12138/j. issn.1671-9638.20234436.
Juan-juan ZHU, Qiong FAN, Jun-lin ZHANG, et al. Isolation, identification and antimicrobial susceptibility of environmental/colonized Candida auris[J]. Chin J Infect Control, 2023,(11):1345-1350. DOI:10.12138/j. issn.1671-9638.20234436.

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History
  • Received:May 08,2023
  • Revised:
  • Adopted:
  • Online: April 28,2024
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