Ann Clin Microbiol 2024;27(3):185-196. Seasonality and epidemiological trends in species distribution and antifungal susceptibility of Candida species isolated from various clinical specimens conducted during 2011–2022, Korea: a retrospective surveillance study

Table 2. Species distribution of Candida isolates from sterile and nonsterile clinical specimens
Species Respiratory Pus/Wound Urine Stool Tissue Vaginal discharge Cath tip Non-sterile Total Blood Ascitic fluid Pleural fluid Other sterile fluidb Sterile Total Sterile vs. Non-sterile p-value
Ear discharge Eye discharge Other pus/wound
C. albicans 194 10 3 87 2,967 1 165 56 3,483 461 19 15 178 673 0.2725
C. tropicalis 117 4 36 1,632 9 25 1,823 154 8 12 56 230 < 0.0001a
C. glabrata 4 1 13 1,131 2 23 13 1,187 206 12 6 16 240 0.2272
C. parapsilosis 2 108 4 19 271 1 14 419 123 1 7 131 < 0.0001a
C. utilis 1 1 85 1 88 4 4 0.0026a
C. famata 3 7 135 2 147 9 1 1 11 0.0021a
C. krusei 11 2 31 3 47 4 1 12 5 22 0.0001a
C. lusitaniae 6 44 1 51 8 4 12 0.4218
C. haemulonii 31 1 3 35 0 0
C. orthopsilosis 3 9 1 13 11 11 0.0002a
C. guilliermondii 2 11 1 14 15 1 16 < 0.0001a
C. kefyr 0 1 1
C. auris 8 1 9 0 0
C. ciferrii 3 1 4 0 0
C. norvegensis 2 2 0 0
C. lipolytica 1 1 0 0
C. inconspicua 1 1 0 0
Total 338 178 8 158 6,320 1 3 203 115 7,324 996 42 47 266 1,351

ap < 0.05.
bOther sterile fluids included bile, amniotic fluid, intraocular (vitreous and aqueous) fluid, homovac drainage, and percutaneous transhepatic biliary drainage.
Overall, C. albicans was the most commonly identified species in almost all samples, except pus. The most common non-albicans Candida species isolated from respiratory specimens was C. tropicalis whereas those isolated from urine and pus specimens were C. tropicalis and C. parapsilosis, respectively. In vaginal discharge, C. albicans was the most common species identified, followed by C. glabrata. Candida was the most common species with 996 strains isolated from blood, (73.7%), pleural fluid (3.5%), and ascitic fluid (3.1%).