{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T01:58:50Z","timestamp":1785808730295,"version":"3.56.0"},"reference-count":61,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:00:00Z","timestamp":1775520000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Microbiol."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>\n                      <jats:italic>Kodamaea ohmeri<\/jats:italic>\n                      is an emerging opportunistic yeast pathogen associated with high mortality yet reports of nosocomial outbreaks\u2014particularly in neonatal intensive care units\u2014remain scarce.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We retrospectively identified five cases of\n                      <jats:italic>K. ohmeri<\/jats:italic>\n                      fungemia occurring within a 2-month period in the NICU of a tertiary general hospital in China. Clinical and epidemiological data were collected. Isolates were identified by MALDI-TOF MS and characterized by CHROMagar\u2122 Candida chromogenic medium, antifungal susceptibility testing (Sensititre YeastOne\u2122), and microsatellite genotyping. A systematic literature review of\n                      <jats:italic>K. ohmeri<\/jats:italic>\n                      bloodstream infections was also performed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All five neonates (median age 1 month) had indwelling catheters, received mechanical ventilation and broad-spectrum antibiotics, and all survived following antifungal therapy and catheter removal. Seven isolates from the five patients exhibited identical microsatellite genotypes across three highly polymorphic loci, confirming clonal transmission and a common nosocomial origin. Morphological dimorphism (smooth\/rough colony types) was observed in one isolate. Fluconazole MICs were elevated (4\u20138 \u03bcg\/mL), whereas echinocandins and amphotericin B showed low MICs. The literature review identified 30 sporadic cases and two prior outbreaks (total 38 patients; mortality 32%), with prematurity, indwelling catheters, and broad-spectrum antibiotic use as predominant risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      This cluster describes an outbreak of\n                      <jats:italic>K. ohmeri<\/jats:italic>\n                      fungemia in neonates. Microsatellite genotyping proved valuable for confirming nosocomial transmission. Accurate identification (MALDI-TOF MS), prompt catheter removal, and appropriate antifungal therapy are crucial. Enhanced hand hygiene and environmental disinfection remain essential for NICU infection control.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmicb.2026.1810513","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T05:34:31Z","timestamp":1775540071000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Outbreak of Kodamaea ohmeri fungemia in neonates: case series and literature review"],"prefix":"10.3389","volume":"17","author":[{"given":"Kehong","family":"Lou","sequence":"first","affiliation":[{"name":"State Key Laboratory of Complex Severe and Rare Diseases, Department of Clinical Laboratory, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences","place":["Beijing, China"]},{"name":"Department of Clinical Laboratory, Ningbo No.2 Hospital, Ningbo","place":["Zhejiang, 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