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Candida auris in Healthcare Facilities, New York, USA, 2013–2017
Open accessAbstract
Candida auris is an emerging yeast that causes healthcare-associated infections. It can be misidentified by laboratories and often is resistant to antifungal medications. We describe an outbreak of C. auris infections in healthcare facilities in New York City, New York, USA. The investigation included laboratory surveillance, record reviews, site visits, contact tracing with cultures, and environmental sampling. We identified 51 clinical case-patients and 61 screening case-patients. Epidemiologic links indicated a large, interconnected web of affected healthcare facilities throughout New York City. Of the 51 clinical case-patients, 23 (45%) died within 90 days and isolates were resistant to fluconazole for 50 (98%). Of screening cultures performed for 572 persons (1,136 total cultures), results were C. auris positive for 61 (11%) persons. Environmental cultures were positive for samples from 15 of 20 facilities. Colonization was frequently identified during contact investigations; environmental contamination was also common.
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“C. auris has been demonstrated to colonize the skin of patients for months, and to persist as viable in the environment for weeks (Adams et al., 2018; Welsh et al., 2017), which both likely contribute to the nosocomial transmission of C. auris.”
From Murine model of colonization with fungal pathogen Candida auris to explore skin tropism, host risk factors and therapeutic strategies (2021) · cites this paper as Adams et al., 2018
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“C. auris skin colonization results in environmental shedding, which underlies hospital transmissions, and predisposes patients to subsequent infections.”
From Murine model of colonization with fungal pathogen Candida auris to explore skin tropism, host risk factors and therapeutic strategies (2021) · cites this paper as Adams et al., 2018
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“C. auris has been demonstrated to colonize the skin of patients for months, and to persist as viable in the environment for weeks (Adams et al., 2018; Welsh et al., 2017), which both likely contribute to the nosocomial transmission of C. auris.”
From Murine model of colonization with fungal pathogen Candida auris to explore skin tropism, host risk factors and therapeutic strategies (2021) · cites this paper as Adams et al., 2018
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“Candida auris is an emerging fungal species responsible for healthcare-associated outbreaks and infections associated with relatively poor patient outcomes (1–6).”
From Dual function of Candida auris mannosyltransferase, MNT5, in biofilm community protection from antifungal therapy and the host (2025) · cites this paper as [1]
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“These outbreaks are marked by the pathogen’s ability to persistently colonize patient skin and adhere to abiotic surfaces, creating reservoirs that enable prolonged transmission within healthcare settings9–15.”
From Adhesin Als4112 promotes Candida auris skin colonization through interactions with keratinocytes and extracellular matrix proteins (2025) · cites this paper as [11]
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“C. auris has burst onto the scene as a major cause of MDR, healthcare-associated candidiasis with mortality rates ranging from 30 to 45% [10, 11].”
From Investigational Agents for the Treatment of Resistant Yeasts and Molds (2021) · cites this paper as [10]
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Metadata
- Authors
- Adams, E., Quinn, M., Tsay, S., Poirot, E., Chaturvedi, S., Southwick, K., Greenko, J., Fernandez, R., Kallen, A., Vallabhaneni, S., Haley, V., Hutton, B., Blog, D., Lutterloh, E., Zucker, H., & Workgroup, C. A. I.
- Affiliations
- New York State Department of Health (US)
- Centers for Disease Control and Prevention (US)
- New York City Department of Health and Mental Hygiene (US)
- Corresponding author
- Lutterloh, Emily
- ORCID
- Venue
- Emerging Infectious Diseases
- Published
- 2018-10
- Volume
- 24
- Issue
- 10
- Pages
- 1816-1824
- ISSN
- 1080-6040 (ISSN-L)
- 1080-6059
- PMC
- PMC6154128
- OpenAlex
- W2890220120
- Cited by
- 284
- References
- 20
- Citations by year
- 2026: 26 · 2025: 42 · 2024: 34 · 2023: 28 · 2022: 24 · 2021: 27 · 2020: 55 · 2019: 42 · 2018: 6
- FWCI
- 24.54
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Emerging infectious diseases (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Centers for Disease Control and Prevention (NU50CK000423, U50CK000423)
- 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, nosocomial infections, outbreak investigation, antifungal resistance, fluconazole resistance, environmental contamination, contact tracing, New York City
- MeSH terms
- Adult, Aged, Aged, 80 and over, Antifungal Agents, Candida, Candidiasis, Cross Infection, Environmental Microbiology, Female, Health Facilities, Humans, Male, Microbial Sensitivity Tests, Middle Aged, New York, Sentinel Surveillance, History, 21st Century, Young Adult, Public Health Surveillance
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