Candida auris: Disinfectants and Implications for Infection Control

Ku, Tsun S. N.; Walraven, Carla J.; Lee, Samuel A.

doi:10.3389/fmicb.2018.00726

Cited by 177Infection Control in HealthcareAntifungal resistance and susceptibilityMedical Device Sterilization and Disinfection

Candida auris: Disinfectants and Implications for Infection Control

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Ku, Tsun S. N., Walraven, Carla J., Lee, Samuel A.·2018·Frontiers in Microbiology

DOI 10.3389/fmicb.2018.00726PMC PMC5906573

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Abstract

Candida auris is a rapidly emerging pathogen and is able to cause severe infections with high mortality rates. It is frequently misidentified in most clinical laboratories, thus requiring more specialized identification techniques. Furthermore, several clinical isolates have been found to be multidrug resistant and there is evidence of nosocomial transmission in outbreak fashion. Appropriate infection control measures will play a major role in controlling the management and spread of this pathogen. Unfortunately, there are very few data available on the effectiveness of disinfectants against C. auris. Chlorine-based products appear to be the most effective for environmental surface disinfection. Other disinfectants, although less effective than chlorine-based products, may have a role as adjunctive disinfectants. A cleaning protocol will also need to be established as the use of disinfectants alone may not be sufficient for maximal decontamination of patient care areas. Furthermore, there are fewer data on the effectiveness of antiseptics against C. auris for patient decolonization and hand hygiene for healthcare personnel. Chlorhexidine gluconate has shown some efficacy in in vitro studies but there are reports of patients with persistent colonization despite twice daily body washes with this disinfectant. Hand hygiene using soap and water, with or without chlorhexidine gluconate, may require the subsequent use of alcohol-based hand sanitizer for maximal disinfection. Further studies will be needed to validate the currently studied disinfectants for use in real-world settings.

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C. auris has emerged since 2013 as a cause of nosocomial outbreaks in multiple countries across 5 continents.
“C. auris, a novel Candida species first identified in 2009, has emerged since 2013 as a cause of nosocomial outbreaks in multiple countries across 5 continents.”
From Treatment of Invasive Candidiasis: A Narrative Review (2018) · cites this paper as [15]

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Self-citation
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Authors: Ku, T. S. N., Walraven, C. J., & Lee, S. A.
Affiliations: University of New Mexico (US)
Corresponding author: Ku, Tsun S. N.
ORCID: Ku, Tsun S. N.
Walraven, Carla J.
Lee, Samuel A.
Venue: Frontiers in Microbiology
Publisher: Frontiers Media SA
Published: 2018-04-12
Volume: 9
Pages: 726-726
ISSN: 1664-302X (ISSN-L)
DOI: 10.3389/fmicb.2018.00726
PMC: PMC5906573
OpenAlex: W2796969235
Cited by: 177
References: 74
Citations by year: 2026: 17 · 2025: 15 · 2024: 23 · 2023: 30 · 2022: 20 · 2021: 17 · 2020: 22 · 2019: 22 · 2018: 8
FWCI: 2.53
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
Locations: Frontiers in Microbiology (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics: Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
Life Sciences › Immunology and Microbiology › Microbiology › Medical Device Sterilization and Disinfection
Keywords: Candida auris, disinfectants, infection control, environmental surface disinfection, chlorine disinfectants, antiseptics, chlorhexidine gluconate, hand hygiene, nosocomial transmission, multidrug resistance, fungal identification, cleaning protocols

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Candida auris: Disinfectants and Implications for Infection Control

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