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

Authors
  • Rowlands, Jemma1
  • Dufort, Elizabeth2
  • Chaturvedi, Sudha3
  • Zhu, YanChun4
  • Quinn, Monica2
  • Bucher, Coralie2
  • Erazo, Richard2
  • Haley, Valerie5
  • Kuang, Jiankun2
  • Ostrowsky, Belinda6
  • Southwick, Karen2
  • Vallabhaneni, Snigdha7
  • Greenko, Jane2
  • Tserenpuntsag, Boldtsetseg2
  • Blog, Debra2
  • Lutterloh, Emily5
  • 1 New York State Department of Health, Albany, NY, USA. Electronic address: [email protected].
  • 2 New York State Department of Health, Albany, NY, USA.
  • 3 New York State Department of Health, Wadsworth Center, Albany, NY, USA; School of Public Health, Epidemiology and Biostatistics, and Department of Biomedical Sciences, State University of New York, University at Albany, Albany, NY, USA.
  • 4 New York State Department of Health, Wadsworth Center, Albany, NY, USA.
  • 5 New York State Department of Health, Albany, NY, USA; School of Public Health, Epidemiology and Biostatistics, and Department of Biomedical Sciences, State University of New York, University at Albany, Albany, NY, USA.
  • 6 New York State Department of Health, Albany, NY, USA; Centers for Disease Control and Prevention, Atlanta, GA, USA.
  • 7 Centers for Disease Control and Prevention, Atlanta, GA, USA.
Type
Published Article
Journal
American journal of infection control
Publication Date
Aug 01, 2023
Volume
51
Issue
8
Pages
866–870
Identifiers
DOI: 10.1016/j.ajic.2023.01.012
PMID: 36736380
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

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. 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. 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%). Consistent with prior research, we found that individuals admitted to ventilator units were at higher risk of C. auris colonization. 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. Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine. This record was last updated on 07/27/2023 and may not reflect the most current and accurate biomedical/scientific data available from NLM. The corresponding record at NLM can be accessed at https://www.ncbi.nlm.nih.gov/pubmed/36736380
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