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Candida auris: An Emerging Global Fungal Disease

Posted on by CDC's Safe Healthcare Blog
A strain of Candida auris cultured at the CDC laboratories. C. auris is a yeast that can cause serious infections.
A strain of Candida auris cultured at the CDC laboratories. C. auris is a yeast that can cause serious infections.

Content provided by CDC’s Division of Foodborne, Waterborne, and Environmental Diseases

Antimicrobial resistance isn’t just a challenge with bacteria. Fungi can develop resistance, too.

In its 2013 Antibiotic Resistance Threats Report, CDC called attention to severe and resistant infections caused by a group of fungi called Candida. Since then, a new species, Candida auris, has emerged, far more resistant to antifungal drugs than those seen before.

C. auris is one of more than 400 species of Candida. Many people know Candida can cause mouth infections (known as thrush), vaginal infections, and diaper rashes. However, Candida also can cause invasive infections in the bloodstream, particularly in hospital or nursing home patients with weakened immune systems. About 30% of patients with an invasive Candida infection die.

What sets C. auris apart from other Candida species—aside from its high antifungal resistance rates—is its ability to spread between patients in healthcare settings and survive at least a month on surfaces. This makes C. auris a serious infection control challenge.

What CDC is Doing

  • Detect & Respond: Through the AR Lab Network and HAI/AR Detect & Respond Programs, CDC is working with epidemiologists and laboratorians nationwide to rapidly find and contain the threat of C. auris across healthcare settings.
  • Prevent: CDC’s infection control guidance can help providers prevent spread of C. auris.
  • Innovate: Diagnostic labs can use CDC’s C. auris samples to calibrate, or standardize, their diagnostic tests so they can accurately identify and characterize this emerging threat.

C. auris has affected hospitalized patients in more than a dozen countries on five continents since 2009. It was first detected in the United States in 2016.

Healthcare workers, patients, and family members all have a role to play in controlling the spread of C.auris as well as antifungal resistance.

Healthcare providers can learn when to suspect C. auris, how to stop it from spreading (with hand hygiene, thorough room cleaning, and using gowns and gloves), and how to treat it. Patients and their family members can clean their hands frequently and remind healthcare workers to do the same.

CDC has been working closely with international partners and U.S. health departments and healthcare facilities to control the spread of C. auris.

As scientists began detecting C. auris around the globe, they wondered how it was spreading. CDC scientists examined C. auris’s DNA using whole-genome sequencing to understand how strains were related. They found that strains from within each region were very similar but were very different between regions, suggesting that C. auris likely appeared independently in at least four areas rather than spreading from one central location. No one knows why or how this happened, but it could be related to antibiotic or antifungal use.

CDC encourages the public and healthcare providers to “Think Fungus” when a patient’s symptoms of infection are not improving with treatment. Learn more about the inaugural Fungal Disease Awareness Week, August 14-18, 2017.

Learn more about Candida auris.

 

Candida auris – What is it? Where did it come from? What can be done? Read CDC’s Safe Healthcare Blog: https://go.usa.gov/xRv3B

 

Posted on by CDC's Safe Healthcare Blog

5 comments on “Candida auris: An Emerging Global Fungal Disease”

Comments listed below are posted by individuals not associated with CDC, unless otherwise stated. These comments do not represent the official views of CDC, and CDC does not guarantee that any information posted by individuals on this site is correct, and disclaims any liability for any loss or damage resulting from reliance on any such information. Read more about our comment policy ».

    I’ve been ill for nearly two years and I am sure C. auris is involved, yet I cannot find a doctor who will perform even minimal testing. What is wrong with the medical profession today when, instead of trusting that the patient knows their own body well enough to make a determination that something abnormal is occurring, it is easier to send that same patient to the psychiatrist? For instance, not one doctor has questioned my 65 lb weight loss in 30 days, my hair loss, phantom rashes, severe mental impairment, hearing loss, extremely enlarged and tender lymph glands where I had no idea they existed… and all the opportunistic nasties which have decided to take up residence are just delusions. I’m not only sick, but sick with disgust at the medical community.

    I have spent several years developing a rapid enzymatic test for detection mannose in serum, without deproteinization. It is intended for the diagnosis of Candida infections. I would like to explore several possibilities and would like to brainstorm with anyone interested., especially from CDC.

    I have been struggling with what I thought was a candida overload. I started a candida cleanse took several of the supplements. It’s all seemed ineffective and my symptoms are so many, at night my head heats up like a furnace, my thoughts become horrifying, of death. My personality been one of calmness, peace Ann’s love turning into angry cruel irrtable words. I feel lots of panic and fear for no reason. My neck has gotten so stiff it feels like a metal rod through it. I’m feeling like I’m going die. I have no Dr. that’s in anyway helpful. I started over taking supplements by lot…. to over taking lorazapam to stop the panic and the restless muscles. I’m desparate for any help.

    Nice information on Candida auris.
    Am a researcher from India and working on natural flavonoids which are active against Many fungi including many Candida species. Can anybody help me to use this compound on Candida auris.

    Why, I’ll be the millionth pt to ask: Why do we have to remind healtcare workers to clean their hands?

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