Connect
MJA
MJA

Candida auris in an Australian health care facility: importance of screening high risk patients

Leon J Worth, Simon J Harrison, Michael Dickinson, Annaliese Diemen, Jennifer Breen, Susan Harper, Caroline Marshall, Deborah A Williamson, Karin A Thursky and Monica A Slavin
Med J Aust 2020; 212 (11): . || doi: 10.5694/mja2.50612
Published online: 25 May 2020

A 70‐year‐old man with multiple myeloma was admitted to our hospital in 2018, having been hospitalised 10 months previously in the United Kingdom. Following admission to our facility, routine collection of clinical specimens was performed in the setting of an episode of febrile neutropenia. Candida auris was isolated in a urine specimen collected in the presence of an indwelling urinary catheter, without accompanying pyuria.


  • 1 Victorian Healthcare Associated Infection Surveillance Coordinating Centre, Melbourne, VIC
  • 2 National Centre for Infections in Cancer, Melbourne, VIC
  • 3 Peter MacCallum Cancer Centre, Melbourne, VIC
  • 4 Victorian Department of Health and Human Services, Melbourne, VIC
  • 5 Victorian Infectious Diseases Service, Royal Melbourne Hospital, Melbourne, VIC
  • 6 University of Melbourne, Melbourne, VIC
  • 7 Microbiological Diagnostic Unit Public Health Laboratory, Doherty Institute, Melbourne, VIC


Correspondence: leon.worth@mh.org.au

Acknowledgements: 

We thank Dr Sarah Kidd for her assistance.

Competing interests:

No relevant disclosures.

  • 1. Eyre DW, Sheppard AE, Madder H, et al. A Candida auris outbreak and its control in an intensive care setting. N Engl J Med 2018; 379: 1322–1331.
  • 2. Chow NA, Muñoz JF, Gade L, et al. Tracing the evolutionary history and global expansion of Candida auris using population genomic analyses. mBio 2020; 11. e03364‐19.
  • 3. Osei Sekyere J. Candida auris: a systematic review and meta‐analysis of current updates on an emerging multidrug‐resistant pathogen. Microbiologyopen 2018; 7: e00578.
  • 4. Ruiz‐Gaitan A, Moret AM, Tasias‐Pitarch M, et al. An outbreak due to Candida auris with prolonged colonisation and candidaemia in a tertiary care European hospital. Mycoses 2018; 61: 498–505.
  • 5. Heath CH, Dyer JR, Pang S, et al. Candida auris sternal osteomyelitis in a man from Kenya visiting Australia, 2015. Emerg Infect Dis 2019; 25: 192–194.
  • 6. Centers for Disease Control and Prevention. Infection prevention and control for Candida auris. Atlanta, GA: CDC, 2018. https://www.cdc.gov/funga​l/candi​da-auris/​c-auris-infec​tion-contr​ol.html (viewed Oct 2018).
  • 7. Public Health England. Guidance for the laboratory investigation, management and infection prevention and control for cases of Candida auris. August 2017 v2.0. London: PHE, 2017. https://assets.publi​shing.servi​ce.gov.uk/gover​nment/​uploa​ds/syste​m/uploa​ds/attac​hment_data/file/63768​5/Updat​ed_Candi​da_auris_Guida​nce_v2.pdf (viewed Oct 2018).

Author

remove_circle_outline Delete Author
add_circle_outline Add Author

Comment
Do you have any competing interests to declare? *

I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article

Online responses are no longer available. Please refer to our instructions for authors page for more information.