Management of Candida auris in an inpatient acute rehabilitation setting

Walits, Emily; Patel, Gopi; Lavache, Selina; Faotto, Rose-Marie; Pobliner, Adam; Wilson, Sheron; Schaefer, Sarah

doi:10.1016/j.ajic.2019.09.023

Cited by 2 publications

(5 citation statements)

References 6 publications

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“…It commonly occurs among persons who have had multiple and/or prolonged encounters in healthcare facilities and among those who have received broad-spectrum antimicrobial drugs. Mechanical ventilation and the use of invasive devices are principal risk factors for the development of invasive infections (Ahmad & Alfouzan, 2021; Rossow et al, 2021; Sears & Schwartz, 2017; Walits et al, 2020).…”

Section: Patient Populations At Riskmentioning

confidence: 99%

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Navigating the Challenges of Candida auris Colonization in Rehabilitation Settings

Shapiro,

Valecillos,

McDade

et al. 2024

Rehabilitation Nursing

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Candida auris is a highly transmissible yeast that is capable of causing invasive and fatal infections, particularly among persons with underlying medical conditions. Its incidence is rising, especially among patients cared for in post-acute care facilities. Individuals colonized with the yeast may be cared for in inpatient rehabilitation settings, without heightened risk for invasive infection and/or transmission to others, as long as appropriate infection control measures are followed. This article reviews key information for rehabilitation nurses caring for persons with C. auris, including risk factors for infection, the need for contact precautions, appropriate disinfection practices for therapy and diagnostic equipment, and critical components of safe transitions in the care of these patients.

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Section: Patient Populations At Riskmentioning

confidence: 99%

“…Individuals colonized with C. auris may receive care in post-acute care facilities when appropriate protocols are established and preventive measures are taken (Walits et al, 2020). Many facilities have not yet had experience in the care of patients colonized with C. auris and need additional resources specific to these settings to prepare to do so.…”

mentioning

confidence: 99%

Navigating the Challenges of Candida auris Colonization in Rehabilitation Settings

Shapiro,

Valecillos,

McDade

et al. 2024

Rehabilitation Nursing

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“…Although literature is sparse on this subject, there have been reports of successful care in inpatient rehabilitation with patients with C. auris . 60 , 61 In light of the risk of cross-contamination, 6 , 39 , 62 , 63 physical therapy (PT) and occupational therapy (OT) were performed in the patient room. The report on inpatient rehabilitation experience in a large academic center located in New York, NY, illustrates a patient who was hospitalized in a two-bed patient room.…”

Section: Infection Controlmentioning

confidence: 99%

“…Additional resources required for the prevention of in-facility spread of C. auris , including dedicated environmental service, staff education, private therapy sessions, and blocking a patient bed, can pose a significant burden to patient care. 60 The impact of C. auris on cost, efficacy, or infection prevention associated with rehabilitation in skilled nursing facilities is not well described. Strategies adopted by inpatient rehabilitation facilities for prevention of C. auris cross-transmission during PT and OT sessions could be adapted for skilled nursing facilities.…”

Section: Infection Controlmentioning

confidence: 99%

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Candida auris in skilled nursing facilities

Yune

Coe

Rao³

et al. 2023

Therapeutic Advances in Infection

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Candida auris is a fungal organism resistant to several classes of antifungals. Since its identification in 2009, it has gained worldwide attention in healthcare for its virulence and resistance to commonly used antifungal therapeutics. Although its origin and mechanisms of transmission are not fully elucidated, it is widely recognized as a high priority healthcare-associated pathogen. Infection control efforts in skilled nursing facilities have been very challenging due to the tendency of C. auris to persist in the environment and colonize residents. In this narrative review, we discuss the epidemiology and infection prevention of C. auris in skilled nursing facilities. We also identify challenges in the diagnosis and management of both symptomatic infections and asymptomatic colonization.

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Management of Candida auris in an inpatient acute rehabilitation setting

Cited by 2 publications

References 6 publications

Navigating the Challenges of Candida auris Colonization in Rehabilitation Settings

Navigating the Challenges of Candida auris Colonization in Rehabilitation Settings

Candida auris in skilled nursing facilities

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