During 2009–2011, 12 C. auris isolates were obtained from patients at two hospitals in Delhi, India.[21] The same genotype was found in distinct settings: intensive care, surgical, medical, oncologic, neonatal, and pediatric wards, which were mutually exclusive with respect to health care personnel.[21] Most had persistent candidemia and a high mortality rate was observed.[21] All isolates were of the same clonal strain, however, and were only identified positively by DNA sequence analysis.[21] As previously, the strain was misidentified with established diagnostic laboratory tests.[21] The Indian researchers wrote in 2013 that C. auris was much more prevalent than published reports indicate since most diagnostic laboratories do not use sequence-based methods for strain identification.[21]