{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T18:50:07Z","timestamp":1787683807246,"version":"build-2784847793"},"reference-count":76,"publisher":"King Faisal Specialist Hospital and Research Centre","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ann Saudi Med"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n            <jats:title>BACKGROUND:<\/jats:title>\n            <jats:p>\n              <jats:italic toggle=\"yes\">Candidozyma auris<\/jats:italic>\n              is resistant to many antifungals, spreads rapidly and causes deaths in patient groups with comorbid factors.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>OBJECTIVES:<\/jats:title>\n            <jats:p>\n              The aim of this study was to determine the virulence of\n              <jats:italic toggle=\"yes\">C. auris<\/jats:italic>\n              , antifungal resistance genes and clinical characteristics of the patients.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>DESIGN:<\/jats:title>\n            <jats:p>Retrospective cohort<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>SETTING:<\/jats:title>\n            <jats:p>Single-center<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>MATERIAL AND METHODS:<\/jats:title>\n            <jats:p>\n              This study was conducted between August 2022 and December 2023 at \u00dcmraniye Training and Research Hospital. ITS1-5.8S-ITS2 and ITS1-ITS4 gene regions of the rDNA gene of\n              <jats:italic toggle=\"yes\">C. auris<\/jats:italic>\n              isolates identified by VITEK MS v.3.2 were amplified by polymerase chain reaction (PCR) method. These regions were partially sequenced using the Sanger method. The presence of\n              <jats:italic toggle=\"yes\">C. auris<\/jats:italic>\n              specific\n              <jats:italic toggle=\"yes\">CDR1, ERG11, MDR1, ACT1, SAP5, HYR3, ALS5, IFF4, FUR1, PLB3, PGA26<\/jats:italic>\n              and\n              <jats:italic toggle=\"yes\">PGA52<\/jats:italic>\n              gene regions were determined by PCR. Antifungal susceptibility testing of\n              <jats:italic toggle=\"yes\">C. auris<\/jats:italic>\n              was performed with VITEK 2 Compact AST YS08 and SYO.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>MAIN OUTCOME MEASURES:<\/jats:title>\n            <jats:p>\n              Variations in\n              <jats:italic toggle=\"yes\">C. auris<\/jats:italic>\n              isolates, antifungal resistance and clinical characteristics of patients\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>SAMPLE SIZE:<\/jats:title>\n            <jats:p>Forty-four isolates from 31 patients<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS:<\/jats:title>\n            <jats:p>According to gene regions, nine different variations were identified in our hospital, with VAR-1 being the most common. Twenty-five (80.6%) of the patients died and isolation of the causative agent was between days 1\u201330 in 13 (41.9%) patients. Antibiotic use, ICU admission rate, and central venous catheter use in patients were 29 (93.6%), 28 (90.3%), and 21 (67.7%), respectively. Hypertension, diabetes mellitus (DM) and septic shock were found in 14 (45.2%), 13 (41.9%) and 10 (32.3%) patients, respectively. Antifungal resistance rates of the isolates were determined as 97.7% and 84.1% for amphotericin B and fluconazole, respectively. No resistance to micafungin and caspofungin was detected. The survival rate with echinocandin use was 22% (4 patients).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSION:<\/jats:title>\n            <jats:p>\n              Identification of gene regions is valuable in determining the pathogenicity of\n              <jats:italic toggle=\"yes\">C. auris<\/jats:italic>\n              . Due to the presence of comorbidities in patients with\n              <jats:italic toggle=\"yes\">C. auris<\/jats:italic>\n              , it is not possible to determine the exact proportion of deaths attributable to\n              <jats:italic toggle=\"yes\">C. auris<\/jats:italic>\n              alone.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>LIMITATIONS:<\/jats:title>\n            <jats:p>Single center setting; gene regions could not be expressed.<\/jats:p>\n          <\/jats:sec>","DOI":"10.5144\/0256-4947.2025.313","type":"journal-article","created":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T06:58:41Z","timestamp":1759733921000},"page":"313-325","source":"Crossref","is-referenced-by-count":3,"title":["Detection of\n            <i>Candida (Candidozyma) auris<\/i>\n            by molecular methods and investigation of clinical symptoms of patients in a tertiary hospital in Istanbul"],"prefix":"10.5144","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1297-944X","authenticated-orcid":true,"given":"Y\u00fcksel","family":"Akkaya","sequence":"first","affiliation":[{"name":"From the Department of Medical Microbiology, Hamidiye Faculty of Medicine, University of Health Sciences, \u0130stanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beg\u00fcm Nal\u00e7a","family":"Erdin","sequence":"additional","affiliation":[{"name":"From the Department of Medical Microbiology Laboratory of Dar\u0131ca Training and Research Hospital, University of Health Sciences, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u0130rfan","family":"Ayd\u0131n","sequence":"additional","affiliation":[{"name":"From the Pharmacy Services Department, Health Services Vocational School, Fenerbah\u00e7e University, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ay\u015fe Serra","family":"\u00d6zel","sequence":"additional","affiliation":[{"name":"From the Infectious Diseases Clinic of \u00dcmraniye Training and Research Hospital, University of Health Sciences, \u0130stanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet M\u00fcnir","family":"Y\u0131lmaz","sequence":"additional","affiliation":[{"name":"From the Department of Emergency Medicine, Abdulkadir Y\u00fcksel State Hospital Gaziantep, \u015eahinbey, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa","family":"\u00c7\u0131lk\u0131z","sequence":"additional","affiliation":[{"name":"From the Soil and Crop Science College Station, Texas A&amp;M University, Texas, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u0130brahim Halil","family":"K\u0131l\u0131\u00e7","sequence":"additional","affiliation":[{"name":"From the Molecular Biology Department, Faculty of Arts and Sciences, Gaziantep University, Gaziantep, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Z\u00fclal A\u015f\u00e7\u0131","family":"Toraman","sequence":"additional","affiliation":[{"name":"From the Department of Medical Microbiology, Faculty of Medicine, Firat University, Elazig, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3134","reference":[{"issue":"1","key":"e_1_3_3_2_2","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1111\/j.1348-0421.2008.00083.x","article-title":"Candida auris sp. nov. a novel ascomycetous yeast isolated from the external ear canal of an inpatient in a Japanese hospital","volume":"53","author":"Satoh K","year":"2009","unstructured":"Satoh K, Makimura K, Hasumi Y, Nishiyama Y, Uchida K, Yamaguchi H. 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