ABSTRACT
Cats, as widely embraced companions in diverse environments, face significant health threats due to infection by ectoparasites. The present study investigates the prevalence of ectoparasite infestations in domestic cats (Felis catus) in Giza Governorate, Egypt. Spanning from December 2022 to November 2023, the study included 400 samples of diverse feline populations. Fleas and ear mites were detected in 20.75% and 11.25% of the examined cats, respectively. While ticks and myiasis were observed in 0.5% for each. Clinical manifestations and morphological structures of the detected parasites were documented. Moreover, the research integrates molecular characterization, utilizing the COI gene for Sarcophaga species identification. The study also analyzed risk factors, adjusting for age, sex, and season, revealing variations in infestation rates. Cats under one year old exhibited the highest infestation rate (48.35%). Seasonal variation showed the highest prevalence in autumn, followed by summer and winter, with a decline in spring. This survey study provides valuable insights into ectoparasite infestations in domestic cats to serve as a pivotal step toward promoting cat welfare and safeguarding public health.

Background

We investigated the spectrum of infection and risk factors for invasive fungal disease due to Candida auris (CA) in Qatar.

Methods

We performed structured chart reviews on individuals with any positive CA culture between May 2019 and December 2022 at three tertiary care hospitals in Qatar. Invasive CA disease (ICAD) was defined as a positive sterile site culture, or any positive culture for CA with appropriate antifungal prescription. Main outcomes included proportion of individuals who developed ICAD among those with positive cultures, and 30-day/in-hospital mortality.

Results

Among 331 eligible individuals, median age was 56 years, 83.1% were male, 70.7% were non-Qataris, and 37.5% had ≥ 3 comorbidities at baseline. Overall, 86.4% were deemed to have colonization and 13.6% developed ICAD. Those with ICAD were more likely to have invasive central venous or urinary catheterization and mechanical ventilation. Individuals with ICAD had longer prior ICU stay (16 vs 26 days, P = 0.002), and longer hospital length of stay (63 vs. 43 days; P = 0.003), and higher 30-day mortality (38% vs. 14%; P<0.001). In multivariable regression analysis, only mechanical ventilation was associated with a higher risk of ICAD (OR 3.33, 95% CI 1.09–10.17).

Conclusion

Invasive Candida auris Disease is associated with longer hospital stay and higher mortality. Severely ill persons on mechanical ventilation should be especially monitored for development of ICAD.