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- Title
Hospital-Associated Multicenter Outbreak of Emerging Fungus Candida auris, Colombia, 2016.
- Authors
Armstrong, Paige A.; Rivera, Sandra M.; Escandon, Patricia; Caceres, Diego H.; Chow, Nancy; Stuckey, Matthew J.; Díaz, Jorge; Gomez, Adriana; Vélez, Norida; Espinosa-Bode, Andres; Salcedo, Soraya; Marin, Adriana; Berrio, Indira; Varón, Carmen; Guzman, Angel; Pérez-Franco, Jairo E.; Escobar, Julian D.; Villalobos, Nohora; Correa, Juan M.; Litvintseva, Anastasia P.
- Abstract
Candida auris is an emerging multidrug-resistant fungus that causes hospital-associated outbreaks of invasive infections with high death rates. During 2015-2016, health authorities in Colombia detected an outbreak of C. auris. We conducted an investigation to characterize the epidemiology, transmission mechanisms, and reservoirs of this organism. We investigated 4 hospitals with confirmed cases of C. auris candidemia in 3 cities in Colombia. We abstracted medical records and collected swabs from contemporaneously hospitalized patients to assess for skin colonization. We identified 40 cases; median patient age was 23 years (IQR 4 months-56 years). Twelve (30%) patients were <1 year of age, and 24 (60%) were male. The 30-day mortality was 43%. Cases clustered in time and location; axilla and groin were the most commonly colonized sites. Temporal and spatial clustering of cases and skin colonization suggest person-to-person transmission of C. auris. These cases highlight the importance of adherence to infection control recommendations.
- Subjects
COLOMBIA; CANDIDEMIA; CANDIDA; INFECTION prevention; FUNGI; DEATH rate; HOSPITAL patients
- Publication
Emerging Infectious Diseases, 2019, Vol 25, Issue 7, p1339
- ISSN
1080-6040
- Publication type
journal article
- DOI
10.3201/eid2507.180491