作者
Xin Hou, Annie Lee, Cristina Jiménez-Ortigosa, Milena Kordalewska, David S Perlin, Yanan Zhao
发表日期
2019/1
期刊
Antimicrobial agents and chemotherapy
卷号
63
期号
1
页码范围
10.1128/aac. 01811-18
出版商
American Society for Microbiology
简介
Candida auris is an emerging multidrug-resistant yeast that can cause serious invasive infections. The accurate and rapid assessment of antifungal resistance is important for effective patient management. A novel and highly accurate diagnostic platform was established for the rapid identification of ERG11 mutations conferring azole resistance and FKS1 mutations associated with echinocandin resistance in C. auris. Using allele-specific molecular beacons and DNA melting curve analysis following asymmetric PCR, a duplex ERG11 assay and a simplex FKS1 HS1 assay were developed to identify the most prominent resistance-associated mutations (Y132F and K143R in ERG11; S639F in FKS1 HS1) within 2 h. Assays were validated by testing a panel of 94 C. auris clinical isolates in a blind manner. The molecular diagnostic results from the assays were 100% concordant with DNA sequencing results. This …
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