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April 24, 2026Clinical Microbiology Reviews3 citations

Global emergence and rapid spread of Candidozyma auris (syn. Candida auris ): epidemiology, biology, and antifungal resistance

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JBJian BingSLShuaihu LiLJLingyu Ji

Key Points

  • The review aims to synthesize knowledge regarding the emergence, transmission, and resistance of Candidozyma auris.
  • Analyzed published literature and surveillance data from health authorities worldwide.
  • Examined biological, genetic, and phenotypic characteristics of C. auris.
  • Discussed strategies to mitigate the spread of this fungal pathogen.
  • C. auris has been reported in 82 countries since its first appearance in 2009.
  • The pathogen shows significant multidrug resistance and can persist in various environments.
  • Transmission patterns have notably changed following the COVID-19 pandemic.

Abstract

SUMMARYThe emerging fungal pathogen Candidozyma auris (syn. Candida auris; C. auris) has attracted considerable attention from the scientific, clinical, and public health communities due to its multidrug resistance, environmental persistence, and high transmissibility. Since its first description in Japan in 2009, C. auris has spread rapidly worldwide, with a marked acceleration following the coronavirus disease 2019 (COVID-19) pandemic. As of December 2025, 84,941 colonization or infection cases have been reported across 82 countries spanning 6 continents. In this review, we summarize the current knowledge of the biology and global epidemiology of C. auris. We first examine its taxonomy, proposed origins, and key biological, genetic, and phenotypic characteristics, with particular emphasis on factors underlying environmental persistence, transmission dynamics, antifungal resistance, and virulence. Drawing on published literature and publicly available surveillance data from national public health authorities worldwide, we provide an updated overview of the global epidemiological landscape and evolving transmission patterns of C. auris. Finally, we discuss potential strategies to mitigate the continued and escalating global spread of this emerging multidrug-resistant fungal pathogen.

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Cite This Study

Bing et al. (2026) studied this question.

synapsesocial.com/papers/69eb0b50553a5433e34b523chttps://doi.org/10.1128/cmr.00394-25
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