Evidence map›Paper›PMID 41773913›Full record

ArticleMycoses2026

Prevalence Rates, Species Distribution and Antifungal Susceptibility of Rare Candida and Related Saccharomycotina Yeasts Causing Bloodstream Infections in 28 Medical Centres.

Carolina Palamin Buonafine, Alexander E Dos Santos, Larissa Molina Favarello, Regielly C R Cognialli, Valerio R Aquino, Ana V A Mendes, Thais Guimarães, Teresa C T Sukiennik, Fabianne Carlesse, Paulo de Tarso O E Castro and 3 more

Abstract readMulticenter Study
In one paragraph

Article in Mycoses, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Silent Outbreaks ofAntibiotics (Basel, Switzerland) · 2026
    Article
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.

Carolina Palamin BuonafineLaboratório Especial de Micologia, Escola Paulista de Medicina-Universidade Federal de São Paulo, São Paulo, São Paulo, Brazil.ORCID https://orcid.org/0000-0003-4700-6605
Alexander E Dos SantosLaboratório Especial de Micologia, Escola Paulista de Medicina-Universidade Federal de São Paulo, São Paulo, São Paulo, Brazil.ORCID https://orcid.org/0009-0001-2143-0515
Larissa Molina FavarelloLaboratório Especial de Micologia, Escola Paulista de Medicina-Universidade Federal de São Paulo, São Paulo, São Paulo, Brazil.ORCID https://orcid.org/0000-0003-3739-9230
Regielly C R CognialliUniversidade Federal Do Paraná, Curitiba, Paraná, Brazil.ORCID https://orcid.org/0000-0002-3895-1982
Valerio R AquinoHospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.ORCID https://orcid.org/0000-0002-4161-3722
Ana V A MendesEscola Bahiana de Medicina e Saúde Pública, Salvador, Bahia, Brazil.ORCID https://orcid.org/0000-0002-5819-3955
Thais GuimarãesInfection Control Department, Hospital Do Servidor Público Estadual de São Paulo, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-7282-5453
Teresa C T SukiennikSanta Casa de Misericórdia de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.ORCID https://orcid.org/0000-0002-0655-3613
Fabianne CarlessePediatric Department, Federal University of São Paulo, São Paulo, São Paulo, Brazil.ORCID https://orcid.org/0000-0001-7037-3425
Paulo de Tarso O E CastroHospital de Câncer de Barretos, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-7667-0161
Vania A VicenteUniversidade Federal Do Paraná, Curitiba, Paraná, Brazil.ORCID https://orcid.org/0000-0002-2953-4861
Elaine C FranciscoLaboratório Especial de Micologia, Escola Paulista de Medicina-Universidade Federal de São Paulo, São Paulo, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-5530-1332
Arnaldo L ColomboLaboratório Especial de Micologia, Escola Paulista de Medicina-Universidade Federal de São Paulo, São Paulo, São Paulo, Brazil.ORCID https://orcid.org/0000-0003-0793-8491

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 383955/2024-6Conselho Nacional de Desenvolvimento Científico e Tecnológico 409184/2022-5Fundação de Amparo à Pesquisa do Estado de São Paulo 2021/10599-3Fundação de Amparo à Pesquisa do Estado de São Paulo 2024/13125-0
6 · The paper itself

Abstract

backgroundThere is a lack of contemporary studies addressing the prevalence rates and antifungal susceptibility of bloodstream infections (BSI) caused by rare yeasts (RY) from the Saccharomycotina subphylum.

objectivesThis 16-year multicentre study (2007-2023) aimed to assess the prevalence and antifungal susceptibility of rare yeasts isolated from BSIs in 28 Brazilian tertiary care hospitals.

methodsYeasts from the Saccharomycotina subphylum, excluding common Candida species and Basidiomycota, were selected from BSI episodes. Species were identified using proteomics and molecular methods. Antifungal susceptibility testing was performed by EUCAST broth microdilution.

resultsAmong 2655 BSI episodes, 100 (3.76%) involved rare yeasts. Prevalence showed a slight, non-significant increase from 3.16% (2007-2015) to 4.17% (2016-2023; p = 0.183). A total of 11 genera and 20 species were identified, with Clavispora lusitaniae (20%), Wickerhamomyces anomalus (16%), Candida haemulonii (14%) and Candida duobushaemulonii (12%) being the most frequent species. Eight species, including Pichia kluyveri and Kodamaea ohmeri, appeared only in the latter period. Most rare yeasts showed low MICs to amphotericin B and anidulafungin, except for Clavispora lusitaniae, Candida haemulonii and Candida duobushaemulonii, which were less susceptible to amphotericin B. Wickerhamomyces anomalus and Candida duobushaemulonii also showed reduced susceptibility to fluconazole.

conclusionsThis study provides valuable insights into the prevalence rates, species distribution and antifungal susceptibility of rare yeasts causing BSIs in tertiary care hospitals. Our findings highlight the need for continuous surveillance, incorporation of new diagnostic and tailored therapeutic strategies to mitigate morbidity and mortality due to invasive infections caused by emerging fungal pathogens.

Indexed as

Antifungal AgentsAscomycotaCandidaFungemiaSaccharomycetalesBrazilDrug Resistance, FungalHumansMicrobial Sensitivity TestsPrevalenceTertiary Care CentersAntifungal Agentsantifungal resistanceCandidaCandidemiaemerging yeast pathogensFungemiainvasive fungal infectionsrare yeast infectionsSaccharomycotina yeasts

Identifiers

PMID41773913
PMCPMC12955699

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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.