Perioperative approaches to Candida auris colonization in surgical and transplant patients: insights from an EIN

Dana Hassneiah1, Dana Pepe1, Preeti Mehrotra1

  • 1BIDMC: Infectious Diseases, Beth Israel Deaconess Medical Center, Boston, USA.

Insights

Multidrug-resistant Candida auris poses a growing threat, with few U.S. professionals using specific guidelines for its prevention during surgery. This highlights an urgent need for standardized strategies to combat this emerging fungal pathogen.

Area of Science:

  • Infectious Diseases
  • Medical Microbiology
  • Public Health

Background:

  • Emerging threat of multidrug-resistant *Candida auris*.
  • Limited existing perioperative prevention guidance for *C. auris*.
  • Increasing clinical encounters with *C. auris* infections.

Purpose of the Study:

  • To assess current practices and awareness regarding *Candida auris* prevention in the perioperative setting among U.S. infectious diseases professionals.
  • To identify gaps in perioperative guidelines, preoperative screening, and antifungal prophylaxis for *C. auris*.
  • To underscore the need for research and standardized prevention strategies.

Main Methods:

  • A poll of U.S. infectious diseases professionals was conducted.
  • Survey questions focused on perioperative guidelines, preoperative screening, and antifungal prophylaxis for *C. auris*.
  • Data on the incidence of postoperative *C. auris* infections was collected.

Main Results:

  • The use of specific *Candida auris* perioperative guidelines was uncommon among respondents.
  • Preoperative screening and antifungal prophylaxis for *C. auris* were infrequently implemented.
  • 19% of surveyed professionals reported encountering postoperative *C. auris* infections.

Conclusions:

  • Current perioperative prevention strategies for *Candida auris* are insufficient.
  • There is a significant need for the development and implementation of standardized prevention protocols.
  • Further research is crucial to address the challenges posed by this multidrug-resistant pathogen.

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