ECMM Candi Reg—A ready to use platform for outbreaks and epidemiological studies

Philipp Koehler (1) , Maiken Cavling Arendrup (2) , Sevtap Arikan‐akdagli (3) , Matteo Bassetti (4) , Stéphane Bretagne (5, 6) , Lena Klingspor (7) , Katrien Lagrou (8) , Jacques Meis , Riina Rautemaa‐richardson , Silke Schelenz , Axel Hamprecht (1) , Felix Koehler , Oliver Kurzai (9) , Jon Salmanton‐garcía , Jörg‐janne Vehreschild , Alexandre Alanio (5, 6) , Ana Alastruey‐izquierdo , Valentina Arsic Arsenijevic , Jean‐pierre Gangneux (10, 11) , Neil A Gow , Suzana Hadina , Petr Hamal , Elizabeth Johnson , Nikolay Klimko , Cornelia Lass‐flörl , Mihai Mares , Volkan Özenci , Tamas Papp (12) , Emmanuel Roilides , Raquel Sabino , Esther Segal (13) , Alida Fe Talento , Anna Maria Tortorano , Paul Verweij , Martin Hoenigl , Oliver Cornely (1)

1 University Hospital of Cologne [Cologne]
2 Rigshospitalet [Copenhagen]
3 Hacettepe University = Hacettepe Üniversitesi
4 Università degli Studi di Udine - University of Udine [Italie]
5 Mycologie moléculaire - Molecular Mycology
6 Groupe Hospitalier Saint Louis - Lariboisière - Fernand Widal [Paris]
7 Karolinska University Hospital [Stockholm]
8 UCL - Université Catholique de Louvain = Catholic University of Louvain
9 Leibniz Institute for Natural Product Research and Infection Biology (Hans Knoell Institute)
10 Irset - Institut de recherche en santé, environnement et travail
11 CHU Pontchaillou [Rennes]
12 Department of Microbiology [Szeged]
13 TAU - Tel Aviv University

BACKGROUND : Recent outbreaks of Candida auris further exemplify that invasive Candida infections are a substantial threat to patients and healthcare systems. Even short treatment delays are associated with higher mortality rates. Epidemiological shifts towards more resistant Candida spp. require careful surveillance.OBJECTIVES : Triggered by the emergence of C auris and by increasing antifungal resistance rates the European Confederation of Medical Mycology developed an international Candida Registry (FungiScope™ CandiReg) to allow contemporary multinational surveillance.METHODS : CandiReg serves as platform for international cooperation to enhance research regarding invasive Candida infections. CandiReg uses the General Data Protection Regulation compliant data platform ClinicalSurveys.net that holds the electronic case report forms (eCRF). Data entry is supported via an interactive macro created by the software that can be accessed via any Internet browser.RESULTS : CandiReg provides an eCRF for invasive Candida infections that can be used for a variety of studies from cohort studies on attributable mortality to evaluations of guideline adherence, offering to the investigators of the 28 ECMM member countries the opportunity to document their cases of invasive Candida infection. CandiReg allows the monitoring of epidemiology of invasive Candida infections, including monitoring of multinational outbreaks. Here, we describe the structure and management of the CandiReg platform.CONCLUSION : CandiReg supports the collection of clinical information and isolates to improve the knowledge on epidemiology and eventually to improve management of invasive Candida infections. CandiReg promotes international collaboration, improving the availability and quality of evidence on invasive Candida infection and contributes to improved patient management.

Keywords: invasive fungal infection; invasive candidiasis; epidemiology; Candidemia; outbreak

Domains: Life Sciences [q-bio]

Philipp Koehler, Maiken Cavling Arendrup, Sevtap Arikan‐akdagli, Matteo Bassetti, Stéphane Bretagne, et al.. ECMM Candi Reg—A ready to use platform for outbreaks and epidemiological studies. Mycoses, 2019, 62 (10), pp.920-927. ⟨10.1111/myc.12963⟩. ⟨hal-02303551⟩