{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T21:49:59Z","timestamp":1793137799061,"version":"4.5.0"},"reference-count":71,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T00:00:00Z","timestamp":1705017600000},"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. Public Health"],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>The Centers for Disease Prevention and Control lists <jats:italic>Candida auris<\/jats:italic>, given its global emergence, multidrug resistance, high mortality, and persistent transmissions in health care settings as one of five urgent threats. As a new threat, the need for surveillance of <jats:italic>C. auris<\/jats:italic> is critical. This is particularly important for a cosmopolitan setting and global hub such as the United Arab Emirates (UAE) where continued introduction and emergence of resistant variant strains is a major concern.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The United Arab Emirates has carried out a 12\u2009years of antimicrobial resistance surveillance (2010\u20132021) across the country, spanning all seven Emirates. A retrospective analysis of <jats:italic>C. auris<\/jats:italic> emergence from 2018\u20132021 was undertaken, utilising the demographic and microbiological data collected via a unified WHONET platform for AMR surveillance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Nine hundred eight non-duplicate <jats:italic>C. auris<\/jats:italic> isolates were reported from 2018\u20132021. An exponential upward trend of cases was found. Most isolates were isolated from urine, blood, skin and soft tissue, and the respiratory tract. UAE nationals nationals comprised 29% (<jats:italic>n<\/jats:italic>\u2009=\u2009186 of 632) of all patients; the remainder were from 34 other nations. Almost all isolates were from inpatient settings (89.0%, <jats:italic>n<\/jats:italic>\u2009=\u2009809). The cases show widespread distribution across all reporting sites in the country. <jats:italic>C. auris<\/jats:italic> resistance levels remained consistently high across all classes of antifungals used. <jats:italic>C. auris<\/jats:italic> in this population remains highly resistant to azoles (fluconazole, 72.6% in 2021) and amphotericin. Echinocandin resistance has now emerged and is increasing annually. There was no statistically significant difference in mortality between <jats:italic>Candida auris<\/jats:italic> and <jats:italic>Candida<\/jats:italic> spp. (non-auris) patients (<jats:italic>p<\/jats:italic>-value: 0.8179), however <jats:italic>Candida auris<\/jats:italic> patients had a higher intensive care unit (ICU) admission rate (<jats:italic>p<\/jats:italic>-value &amp;lt;0.0001) and longer hospital stay (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.0001) compared to <jats:italic>Candida<\/jats:italic> spp. (non-auris) patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The increasing trend of <jats:italic>C. auris<\/jats:italic> detection and associated multidrug resistant phenotypes in the UAE is alarming. Continued <jats:italic>C. auris<\/jats:italic> circulation in hospitals requires enhanced infection control measures to prevent continued dissemination.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2023.1244358","type":"journal-article","created":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T12:45:03Z","timestamp":1705063503000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":23,"title":["Emergence of highly resistant Candida auris in the United Arab Emirates: a retrospective analysis of evolving national trends"],"prefix":"10.3389","volume":"11","author":[{"given":"Jens","family":"Thomsen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Najiba 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Antony","family":"Menezes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carole Ayoub","family":"Moubareck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abiola","family":"Senok","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dean B.","family":"Everett","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,1,12]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1040","DOI":"10.1093\/cid\/cix460","article-title":"Donor-derived transmission of Candida auris during lung transplantation","volume":"65","author":"Azar","year":"2017","journal-title":"Clin Infect Dis"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"S121","DOI":"10.1093\/cid\/ciaa1751","article-title":"EORTC\/MSGERC definitions of 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