In December 2020, Candida auris emerged in Brazil in the city of Salvador. The first two C. auris colonized patients were in the same COVID-19 intensive care unit. Antifungal susceptibility testing showed low minimal inhibitory concentrations of 1 µg/mL, 2 µg/mL, 0.03 µg/L, and 0.06 µg/mL for amphotericin B, fluconazole, voriconazole, and anidulafungin, respectively. Microsatellite typing revealed that the strains are clonal and belong to the South Asian clade C. auris. The travel restrictions during the COVID-19 pandemic and the absence of travel history among the colonized patients lead to the hypothesis that this species was introduced several months before the recognition of the first case and/or emerged locally in the coastline Salvador area.

Candida auris has been reported worldwide, but only in December 2020, the first strain from a COVID-19 patient in Brazil was isolated. Here, we describe the genome sequence of this susceptible C. auris strain and performed variant analysis of the genetic relatedness with strains from other geographic localities.

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Com o objetivo de caracterizar o perfil dos usuários do SUS na faixa etária de 35–44 anos e a utilização dos serviços odontológicos de Salvador, Bahia, por essa população, foi realizado um estudo de corte transversal utilizando dados secundários do Inquérito de Saúde Bucal realizado no município, em 2015. Foram analisadas as variáveis da entrevista realizada com 1.321 usuários de unidades básicas de saúde dos 12 Distritos Sanitários. Observou-se predominância do sexo feminino (78,1%), pardos e pretos (88,1%), alfabetizados (99,2%), que não recebiam benefício social (70,4%) e com necessidade de tratamento percebida (80,8%). Quanto ao uso dos serviços odontológicos no último ano observou-se: 62,4% de acesso ao dentista (consultas), 26,1% de exodontia, 31,3% de restauração, 10,2% de endodontia, 8,0% de prótese, 8,8% de cirurgia/periodontia e 23% participaram de atividades educativas. Prevaleceu a utilização dos serviços de financiamento público (p=0,02), exceto para as especialidades de endodontia e prótese (p<0,00). Verificou-se baixa utilização dos serviços e participação em atividades educativas. Há diferenças importantes na distribuição e cobertura dos serviços odontológicos entre os Distritos, que promovem desigualdades no acesso e utilização dos serviços públicos. Sugere-se a ampliação da oferta de serviços odontológicos, reorganização dos serviços quanto à marcação de consultas, horário de funcionamento, distribuição dos profissionais e modelo de atenção. INEQUALITIES IN SUS DENTAL SERVICES UTILIZATION AMONG ADULTS AGED 35–44 YEARS, IN SALVADOR, BAHIA ABSTRACTAiming to characterize the profile of users of the Unified Health System (SUS) aging 35–44 years old and the use of dental services in Salvador, Bahia, a cross-sectional study was conducted using secondary data from the Oral Health Survey taken in 2015 in the city. Interview variables with 1.321 users of basic health units in the 12 Health Districts about service utilization were analyzed. There was predominance of females (78.1%), brown and black (88.1%), literate (99.2%), who received no social assistance (70.4%) and in need of perceived treatment (80.8%). Regarding the use of dental services in the last year we obtained: 62.4% dental access (consultations), 26.1% dental extraction, 31.3% restoration, 10.2% endodontics, 8.0% prosthesis, 8.8% of surgery/ periodontics and 23% participated in educational activities. The use of publicly-funded services prevailed (p = 0.02), except for the specialties of endodontics and prosthesis (p < 0.00). There was low utilization of services and participation in educational activities. It is suggested to expand the offer of dental services, reorganization of services regarding appointment scheduling, opening hours, distribution of professionals and care model.