Xia,Jinxing, Huang,Wei, Lu,Fanbo, Li,Moyan, Wang,Bo, Xia,Jinxing, Huang,Wei, Lu,Fanbo, Li,Moyan, and Wang,Bo
Jinxing Xia,1 Wei Huang,2 Fanbo Lu,1 Moyan Li,1 Bo Wang1 1Department of Clinical Laboratory, First Affiliated Hospital of Anhui Medical University, Hefei, Peopleâs Republic of China; 2Department of Oncology, First Affiliated Hospital of Anhui Medical University, Hefei, Peopleâs Republic of ChinaCorrespondence: Jinxing Xia; Bo Wang, Department of Clinical Laboratory, First Affiliated Hospital of Anhui Medical University, Hefei, Peopleâs Republic of China, Email xiajinxing@ahmu.edu.cn; wangbo8711@126.comObjective: Invasive infections due to Candida spp. have unique epidemiology, strain distribution, antimicrobial susceptibility, and clinical features. This study aimed to compare and evaluate these characteristic variables between invasive Candida infection and colonization of critically ill patients in local China to potentially improve differential diagnosis and therapy.Methods: A total of 193 critically ill patients were recruited and followed up for the study, and 133 Candida isolates were obtained from invasive Candida-infected or -colonized subjects. The strains were identified to species level through matrix-assisted laser desorption/ionizationâtime-of-flight mass spectrometry, assisted by DNA sequencing. Candida susceptibility to common antifungals, including azoles, was determined by microbroth ATB Fungus 3 methodology. Azole resistanceârelated gene sequencing and homologous 3D-structure modeling were employed. Patient demographics and clinical risk factors were documented and comparatively analyzed from the hospital information-management system.Results: NonâC. albicans Candida (56%) principally caused invasive Candida infections, while C. albicans (55.17%) contributed more to Candida colonization in critically ill patients. Additional risk factors exerted significant impact on both Candida cohorts, primarily including invasive interventions, cancers, and concurrent infections in common. Most colonized Candida spp. harbored relatively higher sensi