Evidence map›Paper›PMID 39752459›Full record

ArticlePloS one2025

An overview of healthcare-associated Candida auris outbreaks in Ministry of Health hospitals-Saudi Arabia 2020-2022; Retrospective multicentric study.

Khalid H Alanazi, Hala M Roushdy, Waad I ALzubaidi, Arwa S Alanazi, Nawal M Alanazi, Ahlam H Alamri, Yahya I Alnshbah, Nawaf M Al Almatrafi, Zainah M Al Shahrani, Adel S Alanazi and 1 more

Abstract readMulticenter Study
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Journal of fungi (Basel, Switzerland) · 2026
    Review
  2. IJID regions · 2026
    Review
  3. Diabetes and Immunosuppression Drive Distinct Patterns ofbioRxiv : the preprint server for biology · 2026
    Article
  4. Article
  5. Microbiology spectrum · 2026
    Article
  6. Review
  7. Review
  8. Article
  9. Blood Stream Infections due toInternational journal of microbiology · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. The rising challenge ofFrontiers in microbiology · 2025
    Review
  14. 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

11 authors.

Khalid H AlanaziGeneral Directorate of Infection Prevention & Control, Ministry of Health-Saudi Arabia, Riyadh, Saudi Arabia.ORCID 0000-0002-1016-3714
Hala M RoushdyGeneral Directorate of Infection Prevention & Control, Ministry of Health-Saudi Arabia, Riyadh, Saudi Arabia.ORCID 0009-0009-8595-3102
Waad I ALzubaidiResearch and Scientific Center in Prince Sultan bin Abdulaziz Humanitarian City, Riyadh, Saudi Arabia.ORCID 0009-0007-1597-8393
Arwa S AlanaziResearch and Scientific Center in Prince Sultan bin Abdulaziz Humanitarian City, Riyadh, Saudi Arabia.ORCID 0009-0005-0393-4022
Nawal M AlanaziGeneral Directorate of Infection Prevention & Control, Ministry of Health-Saudi Arabia, Riyadh, Saudi Arabia.
Ahlam H AlamriGeneral Directorate of Infection Prevention & Control, Ministry of Health-Saudi Arabia, Riyadh, Saudi Arabia.
Yahya I AlnshbahGeneral Directorate of Infection Prevention & Control, Ministry of Health-Saudi Arabia, Riyadh, Saudi Arabia.
Nawaf M Al AlmatrafiGeneral Directorate of Infection Prevention & Control, Ministry of Health-Saudi Arabia, Riyadh, Saudi Arabia.
Zainah M Al ShahraniGeneral Directorate of Infection Prevention & Control, Ministry of Health-Saudi Arabia, Riyadh, Saudi Arabia.ORCID 0009-0008-2113-8400
Adel S AlanaziGeneral Directorate of Infection Prevention & Control, Ministry of Health-Saudi Arabia, Riyadh, Saudi Arabia.
Nasser H AlshanbariGeneral Directorate of Infection Prevention & Control, Ministry of Health-Saudi Arabia, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCandida auris (C. auris) is an emerging fungus pathogen associated with nosocomial infections that is seen as a serious global health issue.

aimTo describe the epidemiology and features of hospital-acquired Candida auris outbreaks in the Ministry of Health hospitals (MOH).

methodsA three-year (2020-2022) retrospective analysis of Candida auris outbreaks in the Saudi MOH hospitals. A total of 45 hospitals were involved, with 511 cases of Candida auris. The data collected from the General Directorate of Infection Prevention and Control (GDIPC) platform comprises all patients' data for C. auris instances, whether infected or colonized.

resultsOut of the 511 Candida auris recruited cases, 291 (56.9%) were infected, whereas 220 (43.1%) were colonized. 32.9% of cases were above the age of 65, and 68.9% were male. The majority of cases were admitted in the ICU unit (95.5%). Approximately 18.8% of cases were diabetes, and 18.5% were hypertensive. Central lines were discovered in 37.7% of the cases. Approximately 85.9% of cases had Foley catheters, 68.5% were on ventilators, and 53.8% had a tracheostomy. The crude mortality rate was particularly high (41.5%) among the study cases. It was non-significantly higher among infected individuals (44.7%) than colonized patients (37.3%) at (p value = 0.093). The prevalence of hypertension (p = 0.001), DM (p = 0.003), and peripheral line insertion (p = 0.004) was significantly higher among colonized patients. While the presence of COVID-19 (p = 0.001), and central line insertion (p = 0.001) was significantly higher among infected patients.

conclusionC. auris is a new pathogen that causes hospital outbreaks. Strict adherence to infection prevention and control criteria established by the Centre for Disease Control (CDC) and GDPIC has significantly contained and reduced the spread of these outbreaks. One-month retrospective surveillance before diagnosing the index case and a prospective surveillance strategy for at least three months is highly recommended.

Indexed as

Candida aurisCandidiasisCross InfectionDisease OutbreaksHospitalsAdultAgedAged, 80 and overCandidiasis, InvasiveFemaleHumansIntensive Care UnitsMaleMiddle AgedRetrospective StudiesSaudi Arabia

Identifiers

PMID39752459
PMCPMC11698452

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LicenceCC BY
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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.