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Emerging Microbes & Infections Volume 11, 2022 - Issue 1
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Antimicrobial Agents

Determinants of fluconazole resistance and echinocandin tolerance in C. parapsilosis isolates causing a large clonal candidemia outbreak among COVID-19 patients in a Brazilian ICU

Farnaz Daneshniaa Center for Discovery and Innovation, Hackensack Meridian Health, Nutley, NJ, USA;b Institute for Biodiversity and Ecosystem Dynamics, University of Amsterdam, Amsterdam, The NetherlandsORCID Iconhttps://orcid.org/0000-0002-8782-2036View further author information
ORCID Icon,
João N. de Almeida Júniorc Special Mycology Laboratory, Federal University of São Paulo, São Paulo, Brazil;d Clinical Laboratory, Hospital Israelita Albert Einstein, São Paulo, BrazilORCID Iconhttps://orcid.org/0000-0002-3766-026XView further author information
ORCID Icon,
Amir Arastehfara Center for Discovery and Innovation, Hackensack Meridian Health, Nutley, NJ, USACorrespondence[email protected]
ORCID Iconhttps://orcid.org/0000-0002-4361-4841View further author information
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Lisa Lombardie School of Biomolecular and Biomedical Science, Conway Institute, University College Dublin, Dublin, IrelandORCID Iconhttps://orcid.org/0000-0002-2522-1278View further author information
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Erika Shora Center for Discovery and Innovation, Hackensack Meridian Health, Nutley, NJ, USA;f Hackensack Meridian School of Medicine, Nutley, NJ, USAView further author information
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Lis Morenog Hospital São Rafael, Salvador, Brazil;h Instituto D’OR de Pesquisa e Ensino (IDOR)View further author information
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Ana Verena Mendesg Hospital São Rafael, Salvador, Brazil;h Instituto D’OR de Pesquisa e Ensino (IDOR)View further author information
,
Maria Goreth Barberinog Hospital São Rafael, Salvador, Brazil;h Instituto D’OR de Pesquisa e Ensino (IDOR)View further author information
,
Danilo Thomaz Yamamotoi Mycology Laboratory, Instituto de Medicina Tropical, Universidade de São Paulo, São Paulo, BrazilORCID Iconhttps://orcid.org/0000-0001-8999-5806View further author information
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Geraldine Butlere School of Biomolecular and Biomedical Science, Conway Institute, University College Dublin, Dublin, IrelandView further author information
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David S. Perlina Center for Discovery and Innovation, Hackensack Meridian Health, Nutley, NJ, USA;f Hackensack Meridian School of Medicine, Nutley, NJ, USA;j Georgetown University Lombardi Comprehensive Cancer Center, Washington, DC, USACorrespondence[email protected]
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&
Arnaldo Lopes Colomboc Special Mycology Laboratory, Federal University of São Paulo, São Paulo, Brazil;k Department of Medicine, Division of Infectious Diseases, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, BrazilCorrespondence[email protected]
ORCID Iconhttps://orcid.org/0000-0003-0793-8491View further author information
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Pages 2264-2274 | Received 17 May 2022, Accepted 21 Aug 2022, Published online: 27 Sep 2022

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Farnaz Daneshnia, Daniel J. Floyd, Adam P. Ryan, Pegah Mosharaf Ghahfarokhy, Arefeh Ebadati, Sebastian Jusuf, Julieta Munoz, Nathan Elias Jeffries, Emma Elizabeth Yvanovich, Anna Apostolopoulou, Austin M. Perry, Cornelia Lass-Flörl, Asuman Birinci, Süleyha Hilmioğlu-Polat, Macit Ilkit, Geraldine Butler, Clarissa J. Nobile, Amir Arastehfar & Michael K. Mansour. (2024) Evaluation of outbreak persistence caused by multidrug-resistant and echinocandin-resistant Candida parapsilosis using multidimensional experimental and epidemiological approaches. Emerging Microbes & Infections 13:1.
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Giuseppina Caggiano, Simona Fioriti, Gianluca Morroni, Francesca Apollonio, Francesco Triggiano, Gloria D’Achille, Pasquale Stefanizzi, Lidia Dalfino, Luigi Ronga, Adriana Mosca, Eleonora Sparapano, Carmela De Carlo, Fabio Signorile, Salvatore Grasso, Francesco Barchiesi & Maria Teresa Montagna. (2024) Genotypic and phenotypic characteristics of Candida parapsilosis bloodstream isolates: Health Care Associated Infections in a teaching Hospital in Italy. Journal of Infection and Public Health 17:6, pages 967-974.
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Eun Jeong Won, Heungsup Sung & Mi-Na Kim. (2024) Changing Epidemiology of Clinical Isolates of Candida Species during the Coronavirus Disease 2019 Pandemic: Data Analysis from a Korean Tertiary Care Hospital for 6 Years (2017–2022). Journal of Fungi 10:3, pages 193.
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Lisa R. McTaggart, AliReza Eshaghi, Susy Hota, Susan M. Poutanen, Jennie Johnstone, Domenica G. De Luca, Amrita Bharat, Samir N. Patel & Julianne V. Kus. (2024) First Canadian report of transmission of fluconazole-resistant Candida parapsilosis within two hospital networks confirmed by genomic analysis . Journal of Clinical Microbiology 62:1.
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Ya-Ting Ning, Tian-Shu Sun, Rong-Chen Dai, Zheng-Yu Luo, Shu-Ying Yu, Ge Zhang, Ya-Ning Mei, Yu-Lan Lin, Chao-Lu Hasi, Sharon C A Chen, Fan-Rong Kong, Meng Xiao, Ying-Chun Xu & Li Zhang. (2024) Emergence of multiple fluconazole-resistant Candida parapsilosis sensu stricto clones with persistence and transmission in China . Journal of Antimicrobial Chemotherapy 79:1, pages 128-133.
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Miriam Govrins & Cornelia Lass-Flörl. (2023) Candida parapsilosis complex in the clinical setting. Nature Reviews Microbiology 22:1, pages 46-59.
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Mengyuan Wang, Chunyan Zhang, Zheng Li, Bing Ji, Sijin Man, Maoli Yi, Renzhe Li, Mingju Hao & Shifu Wang. (2024) Epidemiology and antifungal susceptibility of fungal infections from 2018 to 2021 in Shandong, eastern China: A report from the SPARSS program. Indian Journal of Medical Microbiology 47, pages 100518.
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Iacopo Franconi & Antonella Lupetti. (2023) In Vitro Susceptibility Tests in the Context of Antifungal Resistance: Beyond Minimum Inhibitory Concentration in Candida spp.. Journal of Fungi 9:12, pages 1188.
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Matthias Egger, Jon Salmanton-García, Aleksandra Barac, Jean-Pierre Gangneux, Hélène Guegan, Valentina Arsic-Arsenijevic, Tadeja Matos, Rok Tomazin, Nikolai Klimko, Matteo Bassetti, Helena Hammarström, Eelco F. J. Meijer, Jacques F. Meis, Juergen Prattes, Robert Krause, Oguz Resat Sipahi, Ulrike Scharmann, P. Lewis White, Guillaume Desoubeaux, Julio García-Rodríguez, Carolina Garcia-Vidal, Sonia Martín-Pérez, Maite Ruiz, Mario Tumbarello, Alida Fe Talento, Benedict Rogers, Katrien Lagrou, Jens van Praet, Sevtap Arikan-Akdagli, Maiken C. Arendrup, Philipp Koehler, Oliver A. Cornely, Martin Hoenigl, Ana Alastruey-Izquierdo, Nick Alexander de Jonge, Tihana Bicanic, Ola Blennow, Blandine Denis, Nina Khanna, Cornelia Lass-Flörl, Clare Logan, Laura Loughlin, Volkan Özenci, Zdenek Zdenek, Laman Rahimli, Riina Rautemaa-Richardson, Joerg Steinmann, Igor Stoma, Janina Trauth, François Danion, Jochem B. Buil, Julio Dávila-Valls & Eric van Wijngaerden. (2023) Predictors for Prolonged Hospital Stay Solely to Complete Intravenous Antifungal Treatment in Patients with Candidemia: Results from the ECMM Candida III Multinational European Observational Cohort Study. Mycopathologia 188:6, pages 983-994.
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Maiken Cavling Arendrup, Sevtap Arikan-Akdagli, Karin Meinike Jørgensen, Aleksandra Barac, Jörg Steinmann, Cristina Toscano, Valentina Arsic Arsenijevic, Assunta Sartor, Cornelia Lass-Flörl, Axel Hamprecht, Tadeja Matos, Benedict R.S. Rogers, Inmaculada Quiles, Jochem Buil, Volkan Özenci, Robert Krause, Matteo Bassetti, Laura Loughlin, Blandine Denis, Anna Grancini, P. Lewis White, Katrien Lagrou, Birgit Willinger, Riina Rautemaa-Richardson, Petr Hamal, Beyza Ener, Tugce Unalan-Altintop, Ebru Evren, Suleyha Hilmioglu-Polat, Yasemin Oz, Ozlem Koyuncu Ozyurt, Faruk Aydin, Filip Růžička, Eelco F.J. Meijer, Jean Pierre Gangneux, Deborah E.A. Lockhart, Nina Khanna, Clare Logan, Ulrike Scharmann, Guillaume Desoubeaux, Emmanuel Roilides, Alida Fe Talento, Karin van Dijk, Philipp Koehler, Jon Salmanton-García, Oliver A. Cornely & Martin Hoenigl. (2023) European candidaemia is characterised by notable differential epidemiology and susceptibility pattern: Results from the ECMM Candida III study. Journal of Infection 87:5, pages 428-437.
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Abby P. Douglas, Adam G. Stewart, Catriona L. Halliday & Sharon C.-A. Chen. (2023) Outbreaks of Fungal Infections in Hospitals: Epidemiology, Detection, and Management. Journal of Fungi 9:11, pages 1059.
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Iacopo Franconi, Cosmeri Rizzato, Noemi Poma, Arianna Tavanti & Antonella Lupetti. (2023) Candida parapsilosis Sensu Stricto Antifungal Resistance Mechanisms and Associated Epidemiology. Journal of Fungi 9:8, pages 798.
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Farnaz Daneshnia, Amir Arastehfar, Lisa Lombardi, Ulrike Binder, Jakob Scheler, Roya Vahedi Shahandashti, Ferry Hagen, Cornelia Lass-Flörl, Michael K. Mansour, Geraldine Butler & David S. Perlin. (2023) Candida parapsilosis isolates carrying mutations outside FKS1 hotspot regions confer high echinocandin tolerance and facilitate the development of echinocandin resistance. International Journal of Antimicrobial Agents 62:1, pages 106831.
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Farnaz Daneshnia, Süleyha Hilmioğlu-Polat, Macit Ilkit, Diego Fuentes, Lisa Lombardi, Ulrike Binder, Jakob Scheler, Ferry Hagen, Michael K Mansour, Geraldine Butler, Cornelia Lass-Flörl, Toni Gabaldon & Amir Arastehfar. (2023) Whole-genome sequencing confirms a persistent candidaemia clonal outbreak due to multidrug-resistant Candida parapsilosis . Journal of Antimicrobial Chemotherapy 78:6, pages 1488-1494.
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Farnaz Daneshnia, João N de Almeida Júnior, Macit Ilkit, Lisa Lombardi, Austin M Perry, Marilyn Gao, Clarissa J Nobile, Matthias Egger, David S Perlin, Bing Zhai, Tobias M Hohl, Toni Gabaldón, Arnaldo Lopes Colombo, Martin Hoenigl & Amir Arastehfar. (2023) Worldwide emergence of fluconazole-resistant Candida parapsilosis: current framework and future research roadmap. The Lancet Microbe 4:6, pages e470-e480.
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Liu-liu Sun, Hao Li, Tian-hua Yan, Yong-bing Cao, Yuan-ying Jiang & Feng Yang. (2023) Aneuploidy enables cross-tolerance to unrelated antifungal drugs in Candida parapsilosis. Frontiers in Microbiology 14.
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Magdalena Mnichowska-Polanowska, Magdalena Adamowicz, Iwona Wojciechowska-Koszko, Anna Kisiel, Bartosz Wojciuk, Konrad Jarosz & Barbara Dołęgowska. (2023) Molecular Investigation of the Fatal Bloodstream Candida orthopsilosis Infection Case following Gastrectomy. International Journal of Molecular Sciences 24:7, pages 6541.
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