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Hospital-Associated Multicenter Outbreak of Emerging Fungus Candida auris, Colombia, 2016

Paige A Armstrong, Sandra M Rivera, Patricia Escandon

    Emerging Infectious Diseases
    |June 19, 2019
    PubMed

    Insights

    A multidrug-resistant fungus, Candida auris, caused a deadly outbreak in Colombia. Person-to-person transmission in hospitals was suggested by case clustering and skin colonization, emphasizing infection control.

    Area of Science:

    • Infectious Diseases
    • Mycology
    • Epidemiology

    Background:

    • Candida auris is an emerging multidrug-resistant fungus.
    • It causes severe hospital-associated invasive infections with high mortality rates.

    Observation:

    • An outbreak of Candida auris (C. auris) occurred in Colombia during 2015-2016.
    • 40 cases of C. auris candidemia were identified across 4 hospitals in 3 cities.
    • Patients were predominantly young (median age 23 years, 30% <1 year) and male (60%).

    Findings:

    • The 30-day mortality rate was high at 43%.
    • Cases exhibited temporal and spatial clustering.
    • The axilla and groin were the most common sites of skin colonization.
    • Evidence suggests person-to-person transmission.

    Implications:

    • This study highlights the significant threat of C. auris in healthcare settings.
    • Findings underscore the critical importance of strict adherence to infection control protocols.
    • Further research into transmission dynamics and reservoir identification is warranted.
    Keywords:
    Candida aurisColombiaantimicrobial resistancecandidemiafungihealthcare-associatednosocomial infections

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