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Candida auris Outbreak in a COVID-19 Specialty Care Unit — Florida, July–August 2020
Open accessAbstract
In July 2020, the Florida Department of Health was alerted to three Candida auris bloodstream infections and one urinary tract infection in four patients with coronavirus disease 2019 (COVID-19) who received care in the same dedicated COVID-19 unit of an acute care hospital (hospital A). C. auris is a multidrug-resistant yeast that can cause invasive infection. Its ability to colonize patients asymptomatically and persist on surfaces has contributed to previous C. auris outbreaks in health care settings (1-7). Since the first C. auris case was identified in Florida in 2017, aggressive measures have been implemented to limit spread, including contact tracing and screening upon detection of a new case. Before the COVID-19 pandemic, hospital A conducted admission screening for C. auris and admitted colonized patients to a separate dedicated ward.
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“Analyses of 2019–2021 large health care claims and vital statistics data found an increase in the rates of hospitalizations and deaths caused by fungal infections, including invasive candidiasis (18,19), potentially related to a COVID-19–related increase in patients with critical illness and limitations in enforcement of infection prevention and control measures (20).”
From Population-Based Active Surveillance for Culture-Confirmed Candidemia — 10 Sites, United States, 2017–2021 (2025) · cites this paper as [20]
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Chowdhary, A., Tarai, B., Singh, A. K., & Sharma, A. (2020) · Emerging infectious diseases · doi:10.3201/eid2611.203504 · Cited by 328
Vallabhaneni, S., Kallen, A., Tsay, S., Chow, N., Welsh, R., Kerins, J., Kemble, S. K., Pacilli, M., Black, S. R., Landon, E., et al. (2016) · MMWR. Morbidity and Mortality Weekly Report · doi:10.15585/mmwr.mm6544e1 · Cited by 302
Candida auris in Healthcare Facilities, New York, USA, 2013–2017
Adams, E., Quinn, M., Tsay, S., Poirot, E., Chaturvedi, S., Southwick, K., Greenko, J., Fernandez, R., Kallen, A., Vallabhaneni, S., et al. (2018) · Emerging Infectious Diseases · doi:10.3201/eid2410.180649 · Cited by 284
Vallabhaneni, S., Kallen, A., Tsay, S., Chow, N., Welsh, R., Kerins, J., Kemble, S. K., Pacilli, M., Black, S. R., Landon, E., et al. (2017) · American Journal of Transplantation · doi:10.1111/ajt.14121 · Cited by 247
Tsay, S. V., Welsh, R. M., Adams, E. H., Chow, N. A., Gade, L., Berkow, E. L., Poirot, E., Lutterloh, E. C., Quinn, M., Chaturvedi, S., et al. (2017) · MMWR Morbidity and Mortality Weekly Report · doi:10.15585/mmwr.mm6619a7 · Cited by 162
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Metadata
- Authors
- Prestel, C., Anderson, E., Forsberg, K., Lyman, M., de Perio, M. A., Kuhar, D., Edwards, K., Rivera, M., Shugart, A., Walters, M., & Dotson, N. Q.
- Affiliations
- Florida Department of Health (US)
- Corresponding author
- Prestel, Christopher
- ORCID
- Venue
- MMWR. Morbidity and Mortality Weekly Report
- Published
- 2021-01-15
- Volume
- 70
- Issue
- 2
- Pages
- 56-57
- ISSN
- 0149-2195 (ISSN-L)
- 1545-861X
- PMC
- PMC7808709
- OpenAlex
- W3119470202
- Cited by
- 237
- References
- 7
- Citations by year
- 2026: 18 · 2025: 24 · 2024: 28 · 2023: 49 · 2022: 74 · 2021: 44
- FWCI
- 15.44
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- MMWR Morbidity and Mortality Weekly Report (publishedVersion)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
- Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
- Life Sciences › Immunology and Microbiology › Microbiology › Yeasts and Rust Fungi Studies
- Keywords
- Candida auris, hospital outbreak, bloodstream infection, urinary tract infection, asymptomatic colonization, surface transmission, contact tracing, admission screening, infection control, Florida
- MeSH terms
- COVID-19, Adult, Aged, Aged, 80 and over, Candida, Candidiasis, Disease Outbreaks, Female, Florida, Hospital Units, Humans, Male, Middle Aged
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