Risk Factors for Candidozyma auris Among Admitted Patients in Riyadh, Saudi Arabia (2020–2022)

Fatimah S Alshahrani,1– 3 Abba Amsami Elgujja,3 Sarah Alsubaie,1,4 Salah Ezreqat,3 Ahmed Albarrag,1,5 Mazin Barry,1,2,6 Khalifa Binkhamis,5 Lulwah Alabdan,2,3 Hind Salih Bugshan,3 Dianah Rose Ledesma,3 Layla Abdulmonim Khalifa,3 Jesammal Santiago,3 Haifaa Abdulrahman Abuhemid,7 Reema Alassaf7 1Colle...

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Main Authors: Alshahrani FS, Elgujja AA, Alsubaie S, Ezreqat S, Albarrag A, Barry M, Binkhamis K, Alabdan L, Bugshan HS, Ledesma DR, Khalifa LA, Santiago J, Abuhemid HA, Alassaf R
Format: Article
Language:English
Published: Dove Medical Press 2025-07-01
Series:Infection and Drug Resistance
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Online Access:https://www.dovepress.com/risk-factors-for-candidozyma-auris-among-admitted-patients-in-riyadh-s-peer-reviewed-fulltext-article-IDR
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author Alshahrani FS
Elgujja AA
Alsubaie S
Ezreqat S
Albarrag A
Barry M
Binkhamis K
Alabdan L
Bugshan HS
Ledesma DR
Khalifa LA
Santiago J
Abuhemid HA
Alassaf R
author_facet Alshahrani FS
Elgujja AA
Alsubaie S
Ezreqat S
Albarrag A
Barry M
Binkhamis K
Alabdan L
Bugshan HS
Ledesma DR
Khalifa LA
Santiago J
Abuhemid HA
Alassaf R
author_sort Alshahrani FS
collection DOAJ
description Fatimah S Alshahrani,1– 3 Abba Amsami Elgujja,3 Sarah Alsubaie,1,4 Salah Ezreqat,3 Ahmed Albarrag,1,5 Mazin Barry,1,2,6 Khalifa Binkhamis,5 Lulwah Alabdan,2,3 Hind Salih Bugshan,3 Dianah Rose Ledesma,3 Layla Abdulmonim Khalifa,3 Jesammal Santiago,3 Haifaa Abdulrahman Abuhemid,7 Reema Alassaf7 1College of Medicine, King Saud University, Riyadh, 11362, Saudi Arabia; 2Division of Infectious Diseases, Department of Internal Medicine, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia; 3IPAC Department, King Saud University Medical City, Riyadh, 11362, Saudi Arabia; 4Pediatric Department (Pediatric Infectious Diseases) King Saud University Medical City, Riyadh, Saudi Arabia; 5Department of Pathology, College of Medicine, King Saud University, Riyadh, 11461, Saudi Arabia; 6Division of Infectious Diseases, Faculty of Medicine, University of Ottawa, Ottawa, ON, K1H 8M5, Canada; 7College of Medicine, Imam Mohammed Ibn Saud Islamic University, Riyadh, Saudi ArabiaCorrespondence: Abba Amsami Elgujja, Infection Control Coordinator, Infection Prevention and Control Department, King Saud University Medical City, Riyadh, Saudi Arabia, Tel +966559470423, Email elgujja@yahoo.comIntroduction: Candidozyma auris (formerly known as Candida auris (C. auris)) can cause invasive infections with high mortality rates and the ability to colonize the skin, persist in healthcare environments, and cause healthcare-associated outbreaks. Certain patients are at a significant risk of C. auris infection. Our hospital is a 1000-bed tertiary teaching hospital that caters to, among other patients, critically ill and immunocompromised patients.Objective: To identify the risk factors for C. auris infection/colonized patients in hospitals located in Riyadh, Saudi Arabia.Methodology: This was a descriptive cross-sectional study of the risk factors associated with 53 C. auris cases identified from the beginning of 2020 to the end of 2022. We performed a retrospective review of all patients who tested positive for C. auris within the reporting period of their risk factors. Patients were triaged via a risk assessment tool at the time of admission to inpatient locations.Results: Of the 53 patients identified, 20 were females, and 33 were males, with ages ranging from 15 to 98 years. The identified risk factors included comorbidities (n = 44 (85%)), previous admission to other hospitals (n = 27 (50.9%)), and admission to the high-risk unit (n = 19 (35%)). The other variables included the presence of wounds (n = 18 (34%)), medical devices (n = 17 (32.1%)), and prior antimicrobial use (n = 12 (22%)).Conclusion: These findings are similar to those of other studies in that certain identified risk factors contribute to infection or colonization with C. auris.Plain Language Summary: This study followed an unprecedented reporting of a case of C. auris at our tertiary teaching hospital after a recent reporting of the first few cases in the Kingdom.Therefore, we are worried about the potential prevalence and possible risk factors associated with this disease.Keywords: Candida auris, C. auris, Candida, candidaemia, multidrug-resistant organisms, MDRO, emerging pathogens, resistant pathogens
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spelling doaj-art-e33af9b0e6be41dca8ee475f0a107e892025-08-20T03:49:51ZengDove Medical PressInfection and Drug Resistance1178-69732025-07-01Volume 18Issue 133693381104595Risk Factors for Candidozyma auris Among Admitted Patients in Riyadh, Saudi Arabia (2020–2022)Alshahrani FS0Elgujja AA1Alsubaie S2Ezreqat S3Albarrag A4Barry M5Binkhamis K6Alabdan L7Bugshan HS8Ledesma DR9Khalifa LA10Santiago J11Abuhemid HA12Alassaf R13Division of infectious diseasesInfection Prevention and ControlPediatric DepartmentInfection Prevention and ControlDepartment of PathologyCollege of MedicineDepartment of PathologyAdult Infectious Diseases, Internal Medicine DepartmentInfection Prevention and ControlInfection Prevention and ControlInfection Prevention and ControlInfection Prevention and ControlCollege of MedicineCollege of MedicineFatimah S Alshahrani,1– 3 Abba Amsami Elgujja,3 Sarah Alsubaie,1,4 Salah Ezreqat,3 Ahmed Albarrag,1,5 Mazin Barry,1,2,6 Khalifa Binkhamis,5 Lulwah Alabdan,2,3 Hind Salih Bugshan,3 Dianah Rose Ledesma,3 Layla Abdulmonim Khalifa,3 Jesammal Santiago,3 Haifaa Abdulrahman Abuhemid,7 Reema Alassaf7 1College of Medicine, King Saud University, Riyadh, 11362, Saudi Arabia; 2Division of Infectious Diseases, Department of Internal Medicine, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia; 3IPAC Department, King Saud University Medical City, Riyadh, 11362, Saudi Arabia; 4Pediatric Department (Pediatric Infectious Diseases) King Saud University Medical City, Riyadh, Saudi Arabia; 5Department of Pathology, College of Medicine, King Saud University, Riyadh, 11461, Saudi Arabia; 6Division of Infectious Diseases, Faculty of Medicine, University of Ottawa, Ottawa, ON, K1H 8M5, Canada; 7College of Medicine, Imam Mohammed Ibn Saud Islamic University, Riyadh, Saudi ArabiaCorrespondence: Abba Amsami Elgujja, Infection Control Coordinator, Infection Prevention and Control Department, King Saud University Medical City, Riyadh, Saudi Arabia, Tel +966559470423, Email elgujja@yahoo.comIntroduction: Candidozyma auris (formerly known as Candida auris (C. auris)) can cause invasive infections with high mortality rates and the ability to colonize the skin, persist in healthcare environments, and cause healthcare-associated outbreaks. Certain patients are at a significant risk of C. auris infection. Our hospital is a 1000-bed tertiary teaching hospital that caters to, among other patients, critically ill and immunocompromised patients.Objective: To identify the risk factors for C. auris infection/colonized patients in hospitals located in Riyadh, Saudi Arabia.Methodology: This was a descriptive cross-sectional study of the risk factors associated with 53 C. auris cases identified from the beginning of 2020 to the end of 2022. We performed a retrospective review of all patients who tested positive for C. auris within the reporting period of their risk factors. Patients were triaged via a risk assessment tool at the time of admission to inpatient locations.Results: Of the 53 patients identified, 20 were females, and 33 were males, with ages ranging from 15 to 98 years. The identified risk factors included comorbidities (n = 44 (85%)), previous admission to other hospitals (n = 27 (50.9%)), and admission to the high-risk unit (n = 19 (35%)). The other variables included the presence of wounds (n = 18 (34%)), medical devices (n = 17 (32.1%)), and prior antimicrobial use (n = 12 (22%)).Conclusion: These findings are similar to those of other studies in that certain identified risk factors contribute to infection or colonization with C. auris.Plain Language Summary: This study followed an unprecedented reporting of a case of C. auris at our tertiary teaching hospital after a recent reporting of the first few cases in the Kingdom.Therefore, we are worried about the potential prevalence and possible risk factors associated with this disease.Keywords: Candida auris, C. auris, Candida, candidaemia, multidrug-resistant organisms, MDRO, emerging pathogens, resistant pathogenshttps://www.dovepress.com/risk-factors-for-candidozyma-auris-among-admitted-patients-in-riyadh-s-peer-reviewed-fulltext-article-IDRCandida aurisC. auriscandidacandidaemiamultidrug-resistant organismsMDRO
spellingShingle Alshahrani FS
Elgujja AA
Alsubaie S
Ezreqat S
Albarrag A
Barry M
Binkhamis K
Alabdan L
Bugshan HS
Ledesma DR
Khalifa LA
Santiago J
Abuhemid HA
Alassaf R
Risk Factors for Candidozyma auris Among Admitted Patients in Riyadh, Saudi Arabia (2020–2022)
Infection and Drug Resistance
Candida auris
C. auris
candida
candidaemia
multidrug-resistant organisms
MDRO
title Risk Factors for Candidozyma auris Among Admitted Patients in Riyadh, Saudi Arabia (2020–2022)
title_full Risk Factors for Candidozyma auris Among Admitted Patients in Riyadh, Saudi Arabia (2020–2022)
title_fullStr Risk Factors for Candidozyma auris Among Admitted Patients in Riyadh, Saudi Arabia (2020–2022)
title_full_unstemmed Risk Factors for Candidozyma auris Among Admitted Patients in Riyadh, Saudi Arabia (2020–2022)
title_short Risk Factors for Candidozyma auris Among Admitted Patients in Riyadh, Saudi Arabia (2020–2022)
title_sort risk factors for candidozyma auris among admitted patients in riyadh saudi arabia 2020 amp ndash 2022
topic Candida auris
C. auris
candida
candidaemia
multidrug-resistant organisms
MDRO
url https://www.dovepress.com/risk-factors-for-candidozyma-auris-among-admitted-patients-in-riyadh-s-peer-reviewed-fulltext-article-IDR
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