Evidence map›Paper›PMID 42560405›Full record

ArticleMedical mycology2026

Short tandem repeat genotyping of Pichia kudriavzevii isolates reveals long-standing clinical clade with high transmission potential.

Bram Spruijtenburg, Kusum Jain, Merlijn H I van Haren, Jacques F Meis, Theun de Groot, Eelco F J Meijer, Anuradha Chowdhary

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Article in Medical mycology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Bram SpruijtenburgDepartment of Medical Microbiology, Radboudumc, 6525 GA, Nijmegen, The Netherlands.ORCID 0000-0002-6734-361X
Kusum JainMedical Mycology Unit, Department of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, 110007, Delhi, India.ORCID 0009-0005-8417-5784
Merlijn H I van HarenDepartment of Medical Microbiology, Radboudumc, 6525 GA, Nijmegen, The Netherlands.
Jacques F MeisDepartment of Medical Microbiology, Radboudumc, 6525 GA, Nijmegen, The Netherlands.ORCID 0000-0003-3253-6080
Theun de GrootRadboudumc-CWZ Center of Expertise for Mycology, 6532 SZ, Nijmegen, The Netherlands.
Eelco F J MeijerDepartment of Medical Microbiology, Radboudumc, 6525 GA, Nijmegen, The Netherlands.ORCID 0000-0002-0226-024X
Anuradha ChowdharyMedical Mycology Unit, Department of Microbiology, Vallabhbhai Patel Chest Institute, University of Delhi, 110007, Delhi, India.

Funding

Canisius-Wilhelmina Hospital CWZ_001421Indian Council of Medical Research DDR/IIRP23/3633
6 · The paper itself

Abstract

Pichia kudriavzevii (previously known as Candida krusei) is among the top five causative agents of candidemia, mainly affecting neonates. The yeast is intrinsically resistant to fluconazole, and nosocomial transmission has been reported. Recently, whole genome sequencing (WGS) analysis on 24 out of 165 clinical P. kudriavzevii isolates from Delhi, India showed two clusters, indicating nosocomial transmission. To further increase our insight into the transmission of this fungus in healthcare settings, we performed short tandem repeat (STR) genotyping of 106 isolates from Delhi, India, and compared outcomes to STR genotypes and WGS data of isolates originating from various countries. A total of 52 unique genotypes were identified, in addition to five clusters comprising two to 22 isolates. Four of these clusters were restricted to a single hospital, while the largest cluster included six hospitals. Interestingly, when compared to a global collection, Iranian clinical isolates were identical to the multicenter cluster and also related to isolates from the Netherlands and Sri Lanka, the latter isolate being collected in 1935. WGS analysis on a selection of isolates confirmed the clusters identified by STR analysis, underscoring the high discriminatory power of the STR genotyping scheme. In short, we report several events of single-center nosocomial transmission of P. kudriavzevii in India. One multicenter cluster was found, which was closely related to isolates originating from diverse countries, suggesting a fitness advantage or elevated transmission potential for this lineage.

Indexed as

CandidemiaCross InfectionGenotypeMicrosatellite RepeatsPichiaCluster AnalysisHumansIndiaIranMolecular EpidemiologySri LankaWhole Genome Sequencingantifungal resistanceCandidagenotypingnosocomial transmissionoutbreaksPichia

Identifiers

PMID42560405
PMCPMC13482982

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