Candida auris in US Correctional Facilities

Area of Science:

• Infectious Diseases
• Public Health
• Mycology

Background:

• Candida auris (C. auris) is an emerging, multidrug-resistant fungal pathogen.
• C. auris primarily affects patients in healthcare settings.
• Limited data exist on C. auris in correctional facilities.

Purpose of the Study:

• To describe cases of C. auris in incarcerated patients.
• To identify challenges in managing C. auris within correctional facilities.
• To inform public health recommendations for C. auris prevention in this setting.

Main Methods:

• Retrospective case series of 13 patients transferred to correctional facilities with positive C. auris specimens.
• Analysis of challenges reported by correctional facilities regarding patient management and infection control.
• Review of patient data from January 2020 to December 2022.

Main Results:

• Thirteen patients with C. auris were identified in correctional facilities.
• Facilities reported significant challenges in patient management and implementing C. auris prevention measures.
• Challenges differed based on patient housing (medical vs. general population units).

Conclusions:

• Candida auris cases can occur in incarcerated populations, especially those with risk factors.
• Correctional facilities require tailored strategies to manage C. auris and prevent transmission.
• Addressing setting-specific challenges is crucial for effective C. auris control in prisons.