Candida auris admission screening pilot in select units of New York City health care facilities, 2017-2019

Details

• Alternative Title:
  Am J Infect Control
• Personal Author:
  Rowlands, Jemma ; Dufort, Elizabeth ; Chaturvedi, Sudha ; Zhu, YanChun ; Quinn, Monica ; Bucher, Coralie ; Erazo, Richard ; Haley, Valerie ; Kuang, Jiankun ; Ostrowsky, Belinda ; Southwick, Karen ; Vallabhaneni, Snigdha ; Greenko, Jane ; Tserenpuntsag, Boldtsetseg ; Blog, Debra ; Lutterloh, Emily
• Description:
  Background:
  
  This pilot project implemented admission screening for Candida auris (C. auris) using real-time polymerase chain reaction (rt-PCR) in select high-risk units within health care facilities in New York City.
  
  Methods:
  
  An admission screening encounter consisted of collecting 2 swabs, to be tested by rt-PCR, and a data collection form for individuals admitted to ventilator units at 2 nursing homes (NHA and NHB), and the ventilator/pulmonary unit, intensive care unit, and cardiac care unit at a hospital (Hospital C) located in New York City from November 2017 to November 2019.
  
  Results:
  
  C. auris colonization was identified in 6.9% (n = 188/2,726) of admissions to participating units. Rates were higher among admissions to NHA and NHB (20.7% and 22.0%, respectively) than Hospital C (3.6%). Within Hospital C, the ventilator/pulmonary unit had a higher rate (5.7%) than the intensive care unit (3.8%) or cardiac care unit (2.5%).
  
  Discussion:
  
  Consistent with prior research, we found that individuals admitted to ventilator units were at higher risk of C. auris colonization.
  
  Conclusions:
  
  This project demonstrates the utility of admission screening using rt-PCR testing to rapidly identify C. auris colonization among admissions to health care facilities so that appropriate transmission-based precautions and control measures can be implemented rapidly to help decrease transmission.
  
  
• Keywords:
  Antifungal Agents Candida Candida Auris Candida Auris Admission Screening Candidiasis Colonization Delivery Of Health Care Fungal Health Care Facility Humans Multidrug Resistance New York City Nursing Homes Pilot Projects

  More +
• Source:
  Am J Infect Control. 51(8):866-870
• Pubmed ID:
  36736380
• Pubmed Central ID:
  PMC10902794
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; U50 CK000199/CK/NCEZID CDC HHSUnited States/
• Volume:
  51
• Issue:
  8
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:e6d61ee908b5ffaeff00bb70772e06655ca0e8f5c0eec1dda61346bcd9a68ecf
• Download URL:
  https://stacks.cdc.gov/view/cdc/150378/cdc_150378_DS1.pdf
• File Type:
  [PDF - 398.96 KB ]