Title |
Candida auris in Healthcare Facilities, New York, USA, 2013–2017 - Volume 24, Number 10—October 2018 - Emerging Infectious Diseases journal - CDC
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Published in |
Emerging Infectious Diseases, October 2018
|
DOI | 10.3201/eid2410.180649 |
Pubmed ID | |
Authors |
Eleanor Adams, Monica Quinn, Sharon Tsay, Eugenie Poirot, Sudha Chaturvedi, Karen Southwick, Jane Greenko, Rafael Fernandez, Alex Kallen, Snigdha Vallabhaneni, Valerie Haley, Brad Hutton, Debra Blog, Emily Lutterloh, Howard Zucker, Candida auris Investigation Workgroup |
Abstract |
Candida auris is an emerging yeast that causes healthcare-associated infections. It can be misidentified by laboratories and often is resistant to antifungal medications. We describe an outbreak of C. auris infections in healthcare facilities in New York City, New York, USA. The investigation included laboratory surveillance, record reviews, site visits, contact tracing with cultures, and environmental sampling. We identified 51 clinical case-patients and 61 screening case-patients. Epidemiologic links indicated a large, interconnected web of affected healthcare facilities throughout New York City. Of the 51 clinical case-patients, 23 (45%) died within 90 days and isolates were resistant to fluconazole for 50 (98%). Of screening cultures performed for 572 persons (1,136 total cultures), results were C. auris positive for 61 (11%) persons. Environmental cultures were positive for samples from 15 of 20 facilities. Colonization was frequently identified during contact investigations; environmental contamination was also common. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 17 | 50% |
United Kingdom | 4 | 12% |
Saudi Arabia | 1 | 3% |
Egypt | 1 | 3% |
Venezuela, Bolivarian Republic of | 1 | 3% |
Spain | 1 | 3% |
Australia | 1 | 3% |
Unknown | 8 | 24% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 13 | 38% |
Scientists | 10 | 29% |
Practitioners (doctors, other healthcare professionals) | 9 | 26% |
Science communicators (journalists, bloggers, editors) | 2 | 6% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 167 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 19 | 11% |
Student > Master | 18 | 11% |
Other | 15 | 9% |
Student > Bachelor | 12 | 7% |
Student > Ph. D. Student | 12 | 7% |
Other | 26 | 16% |
Unknown | 65 | 39% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 21 | 13% |
Biochemistry, Genetics and Molecular Biology | 17 | 10% |
Agricultural and Biological Sciences | 15 | 9% |
Immunology and Microbiology | 12 | 7% |
Nursing and Health Professions | 6 | 4% |
Other | 22 | 13% |
Unknown | 74 | 44% |