Candida auris is emerging as a prevalent urinary pathogen.

Urinary tract infections (UTIs) are one of the most common infections, with a subgroup of these infections, catheter-associated UTIs (CAUTIs), accounting for 40% of nosocomial infections. While the majority of CAUTI pathogens are bacterial, the second most common pathogen is the fungus Candida albic...

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Main Authors: Alyssa Ann La Bella, Felipe Hiram Santiago-Tirado, Ana Lidia Flores-Mireles
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-05-01
Series:PLoS Pathogens
Online Access:https://doi.org/10.1371/journal.ppat.1013138
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author Alyssa Ann La Bella
Felipe Hiram Santiago-Tirado
Ana Lidia Flores-Mireles
author_facet Alyssa Ann La Bella
Felipe Hiram Santiago-Tirado
Ana Lidia Flores-Mireles
author_sort Alyssa Ann La Bella
collection DOAJ
description Urinary tract infections (UTIs) are one of the most common infections, with a subgroup of these infections, catheter-associated UTIs (CAUTIs), accounting for 40% of nosocomial infections. While the majority of CAUTI pathogens are bacterial, the second most common pathogen is the fungus Candida albicans. However, in recent years, Candida auris has increasingly been isolated from urine, indicating C. auris' potential as a urinary pathogen. C. auris has rapidly emerged as a human pathogen worldwide, becoming a serious health threat. This is of great concern due to its antifungal resistance, adherence to inanimate surfaces, high mortality rates, and the extensive knowledge gap regarding C. auris' prevalence and pathophysiology. To understand whether C. auris is prevalent in the urinary tract, we analyzed 12,996 C. auris clinical strains and their frequency related to urine and urinary catheters. We identified urine as the second most common C. auris isolation source in the United States and the third most common worldwide. Anecdotally, C. auris urine isolates are often associated with urinary catheters and high mortality rates. Furthermore, there has been an early indication of urinary isolates developing echinocandin resistance. With the increasing incidence of uropathogenic C. auris, it is critical to have an in-depth understanding of C. auris pathogenesis in the urinary tract to effectively prevent and treat these infections.
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publishDate 2025-05-01
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spelling doaj-art-e4946fc0152f4339b0170a3c1334151e2025-08-20T03:32:20ZengPublic Library of Science (PLoS)PLoS Pathogens1553-73661553-73742025-05-01215e101313810.1371/journal.ppat.1013138Candida auris is emerging as a prevalent urinary pathogen.Alyssa Ann La BellaFelipe Hiram Santiago-TiradoAna Lidia Flores-MirelesUrinary tract infections (UTIs) are one of the most common infections, with a subgroup of these infections, catheter-associated UTIs (CAUTIs), accounting for 40% of nosocomial infections. While the majority of CAUTI pathogens are bacterial, the second most common pathogen is the fungus Candida albicans. However, in recent years, Candida auris has increasingly been isolated from urine, indicating C. auris' potential as a urinary pathogen. C. auris has rapidly emerged as a human pathogen worldwide, becoming a serious health threat. This is of great concern due to its antifungal resistance, adherence to inanimate surfaces, high mortality rates, and the extensive knowledge gap regarding C. auris' prevalence and pathophysiology. To understand whether C. auris is prevalent in the urinary tract, we analyzed 12,996 C. auris clinical strains and their frequency related to urine and urinary catheters. We identified urine as the second most common C. auris isolation source in the United States and the third most common worldwide. Anecdotally, C. auris urine isolates are often associated with urinary catheters and high mortality rates. Furthermore, there has been an early indication of urinary isolates developing echinocandin resistance. With the increasing incidence of uropathogenic C. auris, it is critical to have an in-depth understanding of C. auris pathogenesis in the urinary tract to effectively prevent and treat these infections.https://doi.org/10.1371/journal.ppat.1013138
spellingShingle Alyssa Ann La Bella
Felipe Hiram Santiago-Tirado
Ana Lidia Flores-Mireles
Candida auris is emerging as a prevalent urinary pathogen.
PLoS Pathogens
title Candida auris is emerging as a prevalent urinary pathogen.
title_full Candida auris is emerging as a prevalent urinary pathogen.
title_fullStr Candida auris is emerging as a prevalent urinary pathogen.
title_full_unstemmed Candida auris is emerging as a prevalent urinary pathogen.
title_short Candida auris is emerging as a prevalent urinary pathogen.
title_sort candida auris is emerging as a prevalent urinary pathogen
url https://doi.org/10.1371/journal.ppat.1013138
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