Table 2 Infections outbreaks caused by Candida parapsilosis harbouring the Y132F substitution reported over the last 20 years
From: Emerging antifungal resistance in Candida parapsilosis: the end of the innocence
References | Outbreak description | Other comments |
|---|---|---|
No genotyping analysis | First report of the Y132F substitution in Turkey (isolates from 2004) | |
Isolates belonging to two genotypes, each one affecting a different hospital | First report of the Y132F substitution in South Korea (isolates from 2006) | |
Clonal outbreaks in different hospitals Isolates mostly from Atlanta hospitals | First report of the Y132F substitution in the United States of America (isolates from 2008) Patients in a given hospital affected by different clones; conversely, a given clone found in different hospitals | |
Isolates collected in hospitals from Atlanta’s area in 2021 Increasing number of resistant isolates One clade (whole genome sequencing) included resistant isolates and spread across hospitals | Genotypes identical to those previously found in 2019 and 2020 | |
Four clonally related genotypes involving fluconazole-susceptible isolates, and fluconazole-resistant isolates harbouring either the Y132F substitution or other substitutions | First report of the Y132F substitution in South Africa (isolates from 2009) | |
No genotyping analysis | First report of the Y132F substitution in Kuwait (isolates from 2012) | |
Clonal spread across an intensive care unit of a hospital in Brazil | First report of the Y132F substitution in Brazil (isolates from 2013) | |
Clonal spread across an intensive care unit of a hospital in Brazil | The first clonal fluconazole-resistant isolate appeared in June 2013. Additional eight patients at the same unit harboured fluconazole-resistant isolates afterwards | |
Oncology ICU in a Brazilian hospital Four genotypes involving resistant isolates | One large cluster involving isolates harbouring the Y132F substitution which consisted of both clinical isolates, and for the first time reported, environmental isolates | |
Clonal spread of Brazilian genotypes across a cardiology referral centre; genotypes previously reported in the hospital | Genotypes transferred during the COVID-19 pandemic to an oncology adjacent hospital which had been unaffected | |
Increasing number of non-susceptible isolates Several clones in a single hospital, but one clone was dominating Multiple wards affected | First report of the Y132F substitution in Italy (isolates from 2014) | |
Increasing number of non-susceptible isolates All but one isolate were included into two clonally related genotypes; some wards affected, mostly the ICU | First report of the Y132F substitution in Mexico (isolates from 2014) | |
Isolates sent to a referral centre in Germany Clonal outbreaks detected at some hospitals and patients transfers may explain the presence of identical clones at different hospitals in Berlin | First report of the Y132F substitution in Germany (isolates from 2014) Isolates from Canada were genetically related to the ones from Germany | |
Two large clusters, clonally related, and found at 11 hospitals scattered all over India | First report of the Y132F substitution in India (isolates from 2015) Five additional clusters involving only 2–3 isolates each and randomly distributed in seven hospitals | |
20 hospitals with isolates harbouring the Y132F substitution, some clones were endemic clusters and were even present in different hospitals | First report of the Y132F substitution in China (isolates from 2012–2017) | |
Isolates from the SENTRY program (2016–2017) and no genotyping analysis | First report of the Y132F substitution in France (isolates from 2017), before the description of the first clonal outbreak in this country113 First report of a fluconazole-susceptible isolate harbouring the Y132F substitution Isolates harbouring the Y132F were particularly frequent in Italy | |
No genotyping analysis | First report of the Y132F substitution in Colombia (isolates from 2016–2020) | |
No genotyping analysis | First report of the Y132F substitution in Pakistan (isolates from 2018–2020) | |
Clonal outbreak | First report of the Y132F substitution in Lebanon (isolates from 2016–2018) | |
Clonal outbreak, many wards affected One dominating genotype and some others clonally related | First report of the Y132F substitution in Spain (isolates from 2019) | |
No genotyping analysis | First report of the Y132F substitution in Greece (isolates from 2019) and Israel (isolates from 2020) | |
Clonal outbreak in the neonatology unit affecting three neonates | First report of the Y132F substitution in the UK (isolates from 2024) |