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    CDC warns about emergence of multidrug-resistant Candida

    In a new clinical alert, the Centers for Disease Control and Prevention (CDC) is warning healthcare facilities to be on the watch for Candida auris, a new strain of yeast that is multidrug resistant and associated with high mortality. First identified in 2009 in Japan, C auris is now known to exist in 9 countries and a single case was detected in the United States in 2013.

    Infections with C auris typically are hospital-acquired and occur several weeks into a patient’s hospital stay. The fungus can cause bloodstream and wound infections and otitis in individuals of all ages and it has been cultured from urine and the respiratory tract. As with other Candida species, risk factors for C auris include diabetes mellitus, recent surgery, recent exposure to antibiotics, and presence of central venous catheters.

    The CDC noted that more than half of C auris isolates are resistant to voriconazole, one-third are resistant to amphotericin B and a few are resistant to echinocandins. Healthcare facilities that suspect they have a patient with C auris should contact state and local public health authorities and CDC at [email protected]. Patients with colonization or infection should be placed in single rooms and Standard and Contact Precautions followed as well as thorough daily and terminal cleaning and disinfection of the room using an EPA-registered hospital-grade disinfectant with a fungal claim.

    Judith M. Orvos, ELS
    Judith M. Orvos, ELS, is a a BELS-certified medical writer and editor and an editorial consultant for Contemporary OB/GYN.
    Miranda Hester
    Ms. Hester is Content Specialist with Contemporary OB/GYN and Contemporary Pediatrics.

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