<?xml version="1.0"?>
<Articles JournalTitle="Iranian Journal of Microbiology">
  <Article>
    <Journal>
      <PublisherName>Tehran University of Medical Sciences</PublisherName>
      <JournalTitle>Iranian Journal of Microbiology</JournalTitle>
      <Issn>2008-3289</Issn>
      <Volume>14</Volume>
      <Issue>3</Issue>
      <PubDate PubStatus="epublish">
        <Year>2022</Year>
        <Month>06</Month>
        <Day>13</Day>
      </PubDate>
    </Journal>
    <title locale="en_US">Candida auris: outbreak fungal pathogen in COVID-19 pandemic: a systematic review and meta-analysis</title>
    <FirstPage>276</FirstPage>
    <LastPage>284</LastPage>
    <Language>EN</Language>
    <AuthorList>
      <Author>
        <FirstName>Kamran</FirstName>
        <LastName>Lankarani</LastName>
        <affiliation locale="en_US">Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran</affiliation>
      </Author>
      <Author>
        <FirstName>Maryam</FirstName>
        <LastName>Akbari</LastName>
        <affiliation locale="en_US">Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran</affiliation>
      </Author>
      <Author>
        <FirstName>Reza</FirstName>
        <LastName>Tabrizi</LastName>
        <affiliation locale="en_US">Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran; Clinical Research Development Unit of Vali Asr Hospital, Fasa University of Medical Sciences, Fasa, Iran</affiliation>
      </Author>
      <Author>
        <FirstName>Mohebat</FirstName>
        <LastName>Vali</LastName>
        <affiliation locale="en_US">Department of Epidemiology, Shiraz University of Medical Sciences, Shiraz, Iran</affiliation>
      </Author>
      <Author>
        <FirstName>Eghbal</FirstName>
        <LastName>Sekhavati</LastName>
        <affiliation locale="en_US">Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran</affiliation>
      </Author>
      <Author>
        <FirstName>Seyed Taghi</FirstName>
        <LastName>Heydari</LastName>
        <affiliation locale="en_US">Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran</affiliation>
      </Author>
      <Author>
        <FirstName>Hossein</FirstName>
        <LastName>Khodadadi</LastName>
        <affiliation locale="en_US">Department of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran</affiliation>
      </Author>
      <Author>
        <FirstName>Fariba</FirstName>
        <LastName>Ahmadizar</LastName>
        <affiliation locale="en_US">Department of Epidemiology, Erasmus University Medical Center, Rotterdam, The Netherlands.</affiliation>
      </Author>
    </AuthorList>
    <History>
      <PubDate PubStatus="received">
        <Year>2021</Year>
        <Month>10</Month>
        <Day>08</Day>
      </PubDate>
      <PubDate PubStatus="accepted">
        <Year>2022</Year>
        <Month>03</Month>
        <Day>18</Day>
      </PubDate>
    </History>
    <abstract locale="en_US">Background and Objectives: Candida auris (C. auris) is the first fungal pathogen considered a global health threat. Because, C. auris is associated with multidrug resistance and associated diseases such as diabetes, sepsis, lung and kidney disease. This study investigated the prevalence and mortality of C. auris infection during Covid-19 pandemic.
Materials and Methods: Databases were searched for peer-reviewed articles published in the English language up to Jan 18, 2022. Heterogeneity across studies was evaluated using Cochrane&#x2019;s Q test and the I2 index. The pooled point prevalences and their corresponding 95% confidence intervals (CIs) were estimated usingthe random-effects model.
Results: In our meta-analysis, 11 eligible articles were included. The total pooled prevalence estimation of C. auris infection among COVID-19 patients was 13% (95% CI: 8%, 19%). The estimated pooled mortality rate of C. auris infection was 37% (95% CI: 15%, 61%). In terms of specific conditions, the pooled risk of mortality was higher in people with diabetes 65% (95% CI: 0.45%, 83%), in cases with &gt;21 days admission inintensive care unit (ICU) 44% (95% CI: 21%, 0.68%), and after receiving steroids 43% (95% CI: 18%, 69%).
Conclusion: Our study highlights the high prevalence rate of C. auris infection, particularly among people with a history of metabolic disorders.</abstract>
    <web_url>https://ijm.tums.ac.ir/index.php/ijm/article/view/3355</web_url>
    <pdf_url>https://ijm.tums.ac.ir/index.php/ijm/article/download/3355/1453</pdf_url>
  </Article>
</Articles>
