<i>Candida auris</i>, what do paediatricians need to know?

Warris, Adilia · Arch Dis Child · 2018

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Abstract

The newly recognised and emerging fungal species, <i>Candida auris</i>, has caused worldwide invasive infections and has been implicated in difficult to control hospital outbreaks. Challenges are encountered in the correct identification of this fungus as commonly used phenotypic and biochemical methods fail to differentiate <i>C. auris</i> from other <i>Candida</i> species. Its resistance profile, over 90% of isolates are fluconazole resistant and 35% are resistant to amphotericin, confronts clinicians with the restricted arsenal of antifungals and concerns about optimal treatment. The very first <i>C. auris</i> isolate was recovered from a paediatric patient in retrospect. Although infections with the more antifungal-resistant <i>Candida</i> species are less frequently observed in paediatric patients, this seems to be different for <i>C. auris</i> infections.

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