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Candida auris in skilled nursing facilities.
Philip S Yune1,2, Jared Coe2, Mana Rao3
1Division of Infectious Disease, Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY, USA.
Therapeutic Advances in Infectious Disease
|August 2, 2023
Summary
Candida auris, a drug-resistant fungus, poses significant healthcare challenges, especially in skilled nursing facilities. This review covers its spread, prevention, and difficulties in managing infections and colonization.
Area of Science:
- Infectious Diseases
- Mycology
- Healthcare Epidemiology
Background:
- Candida auris is a multidrug-resistant fungal pathogen identified in 2009.
- It has emerged as a global healthcare concern due to its virulence and antifungal resistance.
- Healthcare-associated infections caused by C. auris are particularly challenging to control.
Purpose of the Study:
- To review the epidemiology of Candida auris in skilled nursing facilities.
- To discuss infection prevention strategies for C. auris in these settings.
- To identify challenges in diagnosing and managing C. auris infections and colonization.
Main Methods:
- This study is a narrative review.
- Literature search on Candida auris epidemiology, transmission, and infection control.
- Analysis of challenges in diagnosis and management within skilled nursing facilities.
Main Results:
- Candida auris demonstrates high persistence in healthcare environments and resident colonization.
- Effective infection control in skilled nursing facilities is difficult.
- Diagnosis and management of C. auris present significant clinical hurdles.
Conclusions:
- Candida auris is a high-priority pathogen requiring enhanced surveillance and infection control.
- Skilled nursing facilities need tailored strategies to combat C. auris.
- Further research is needed to address diagnostic and therapeutic challenges.
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