Evidence map›Paper›PMID 37870721›Full record

ArticleJournal of epidemiology and global health2023

Characteristics and Mitigation Measures of Candida auris Infection: Descriptive Analysis from a Quaternary Care Hospital in Saudi Arabia, 2021-2022.

Hala A Amer, Sarah AlFaraj, Kholoud Alboqami, Faleh Alshakarh, Mona Alsalam, Deva Kumar, Juhaina Altayieb, Antisar Alsunid, Nazia Khanum, Nadeem Gul Dar and 3 more

Abstract read
In one paragraph

Article in Journal of epidemiology and global health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Blood Stream Infections due toInternational journal of microbiology · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. The rising challenge ofFrontiers in microbiology · 2025
    Review
  8. IJID regions · 2024
    Article
  9. Article
  10. Hospital-acquiredJournal of family & community medicine
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Hala A AmerPrevention and Control of Infection Administration, King Saud Medical City, Riyadh, Saudi Arabia. amerhala16@gmail.com.ORCID 0000-0003-2032-0346
Sarah AlFarajPrevention and Control of Infection Administration, King Saud Medical City, Riyadh, Saudi Arabia.
Kholoud AlboqamiPrevention and Control of Infection Administration, King Saud Medical City, Riyadh, Saudi Arabia.
Faleh AlshakarhPrevention and Control of Infection Administration, King Saud Medical City, Riyadh, Saudi Arabia.
Mona AlsalamPrevention and Control of Infection Administration, King Saud Medical City, Riyadh, Saudi Arabia.
Deva KumarPrevention and Control of Infection Administration, King Saud Medical City, Riyadh, Saudi Arabia.
Juhaina AltayiebPrevention and Control of Infection Administration, King Saud Medical City, Riyadh, Saudi Arabia.
Antisar AlsunidPrevention and Control of Infection Administration, King Saud Medical City, Riyadh, Saudi Arabia.
Nazia KhanumPrevention and Control of Infection Administration, King Saud Medical City, Riyadh, Saudi Arabia.
Nadeem Gul DarPrevention and Control of Infection Administration, King Saud Medical City, Riyadh, Saudi Arabia.
Muhammad BadawiPrevention and Control of Infection Administration, King Saud Medical City, Riyadh, Saudi Arabia.
Hassan AbdallahPrevention and Control of Infection Administration, King Saud Medical City, Riyadh, Saudi Arabia.
Ziad A MemishResearch and Innovation Center, King Saud Medical City, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze the characteristics of C. auris cases, and to describe the interventions applied for improving the diagnosis and controlling the transmission.

methodMedical records of C. auris cases reported between January 2021 until June 2022 at King Saud Medical City (KSMC), Riyadh, Kingdom of Saudi Arabia have been reviewed. We analyzed the demographic and clinical characteristics of the cases to illustrate the possible contributing factors with C. auris infection. A multidisciplinary committee has been formulated to investigate the potential source of the outbreak among clusters of cases in the intensive care units (ICU). A bundle of mitigation measures has been applied which was successful to contain the outbreak.

resultsDuring the study period, a total of 129 cases of C. auris were identified, their mean age is 47 ± 22.3 SD, and 72.1% are males. 57% of cases were colonized, all of them were identified through active screening. A number of comorbidities were present including 27.9% were having hypertension, 27.1% with diabetes, 22.5% with COVID-19 and 20.2% with respiratory diseases. The average length of stay before reported positive was 36.23 days. 78.3% of those patients were in the critical care unit, 73.6% with vascular catheter, 88% with urinary catheters and 66.7% with mechanical ventilation. The vast majority of patients were using multiple antibiotics (86%). As per the univariate logistic model, risk factors significantly associated with mortality were (Age, Trauma RTA, ICU, Vascular Access, Foley Catheters, Mechanical Ventilation, Tracheostomy and Endotracheal Tubes) with p values (0.0038, 0.0159, 0.0108, 0.0122, 0.0071, <.0001, 0.0148 and 0.0107), respectively. Multivariate logistic regression showed that having a Foley Catheter was the only statistically significant factor associated with mortality.

conclusionThis retrospective analysis  highlights the main characteristics associated with C. auris-infected patients. In addition, it highlights the effectiveness of the bundle of mitigation strategies applied to limit the spread of C. auris in healthcare facilities.

Indexed as

CandidaHospitalsCandidiasis, InvasiveFemaleHumansMaleRetrospective StudiesSaudi ArabiaC. aurisPreventive measuresRisk factors

Identifiers

PMID37870721
PMCPMC10686928

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.