Candida auris in a U.S. Patient with Carbapenemase-Producing Organisms and Recent Hospitalization in Kenya

MMWR. Morbidity and Mortality Weekly Report
Richard B BrooksSnigdha Vallabhaneni

Abstract

Candida auris is an emerging drug-resistant yeast that causes outbreaks in health care facilities; cases have been reported from approximately 30 countries. U.S. cases of C. auris are likely the result of importation from abroad followed by extensive local transmission in health care settings (1). Early detection of Candida auris is key to preventing its spread. C. auris frequently co-occurs with carbapenemase-producing organisms (CPOs), like carbapenem-resistant Enterobacteriaceae (CRE), organisms for which testing and public health response capacity substantially increased beginning in 2017. In September 2018, the Maryland Department of Health (MDH) was notified of a hospitalized resident with CPO infection and colonization and recent hospitalization in Kenya. In light of this history, the patient was screened for C. auris and found to be colonized. Public health responses to CPOs can aid in the early identification of C. auris. As part of CPO investigations, health departments should assess whether the patient has risk factors for C. auris and ensure that patients at risk are tested promptly.

References

Oct 26, 2016·Antimicrobial Resistance and Infection Control·Silke SchelenzMatthew C Fisher
Apr 6, 2018·MMWR. Morbidity and Mortality Weekly Report·Kate Russell WoodworthDenise M Cardo
Jun 8, 2018·Current Opinion in Infectious Diseases·Katja SarisAndreas Voss

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Citations

Oct 3, 2019·Journal of Fungi·Erik H VogelzangKarin van Dijk
Jun 12, 2020·Antimicrobial Resistance and Infection Control·Hector Felipe Garcia-JeldesAmrita Bharat
Jul 30, 2019·Annals of Internal Medicine·Snigdha VallabhaneniTom M Chiller

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