Prevention of Invasive Infections | Candida auris (C. auris)

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View All </a> </div> </div> </header> <main class="container cdc-main" role="main" aria-label="Main Content Area"> <section class="cdc-page-title-bar cdc-page-offset noindex"> <time class="cdc-page-title-bar__item cdc-page-title-bar__item--date" datetime="2024-04-24 00:00:00"> April 24, 2024 </time> </section> <div class="cdc-page-feature cdc-page-feature--ssi"></div> <div class="cdc-page-title cdc-page-offset syndicate"> <h1>Prevention of Invasive Infections</h1> </div> <div id="content" class="cdc-page-content cdc-page-offset syndicate container"> <div class="cdc-dfe-body "> <div class="cdc-dfe-body__top "> <div class="dfe-section dfe-section--page-summary summary-blurb summary-paragraph" data-section="cdc_infection_control_summary"> <div class="dfe-section__header"> <h2>At a glance</h2> </div> <div class="dfe-section__content"> <p>Patients who are colonized with <em>Candida auris</em> (<em>C. auris</em>) are at risk for invasive infections. Extra precautions are needed if these patients require invasive medical devices and surgical procedures.</p> </div> <div class="dfe-section__image" id="page-summary-image"> <figure class="dfe-image dfe-image__large"><div class="image-container calculated-ratio-16-9 aspect-ratio-16-9"><img src="/candida-auris/media/images/2024/05/invasive-medical-devices.jpg" alt="Arm of patient with invasive device"></div></figure> </div> <div id="nav-buttons"> </div> </div> </div> <div class="cdc-dfe-body__center "> <div class="dfe-section" data-section="cdc_infection_control_recomm"> <a class="onThisPageAnchor" id="cdc_infection_control_recomm-risk-for-infection" name="Risk%20for%20infection" title="Risk for infection"></a><h2>Risk for infection</h2> <p><em>C. auris</em> is found on the skin of patients who are colonized, as typically identified through screening with skin swabs. Patients with clinical infections may also be colonized, meaning they have <em>C. auris</em> on their skin or other body sites in addition to the site of infection.</p> <p> <em>C. auris</em> on the skin can enter the body through invasive devices, incisions, wounds, and during surgery. Special precautions should be taken to prevent invasive infections. The same infection prevention and control measures apply to patients with clinical infections and patients with colonization without infection.</p> <div class="dfe-block dfe-callout dfe-callout--standard"><div class="dfe-callout__icon" role="presentation"></div> <h3>Reminder&lrm;</h3> <div class="dfe-callout__body"><div class="callout-desc">CDC does <strong>not</strong> recommend treatment for patients who are colonized with <em>C. auris</em> at noninvasive sites, including the skin, and who have no signs of infection.</div> </div></div> </div> <div class="dfe-section" data-section="cdc_infection_control_det"> <a class="onThisPageAnchor" id="cdc_infection_control_det-appropriate-care-for-medical-devices" name="Appropriate%20care%20for%20medical%20devices" title="Appropriate care for medical devices"></a><h2>Appropriate care for medical devices</h2> <p><em>C. auris</em> typically affects patients with severe underlying medical conditions who may need invasive devices. These include lines and tubes, including central venous catheters, urinary catheters and tracheostomy tubes. These devices can provide ways for <em>C. auris</em> to enter the body.</p> <p>To help prevent invasive infections through medical devices, healthcare providers should ensure following recommendations for:</p> <ul class="nested-list"> <li class="level-1"><a href="/infection-control/hcp/cauti/summary-of-recommendations.html" class="">Central venous catheter</a> and urinary catheter insertion and care.<ul> </ul> </li> <li class="level-1">Care for tracheostomy sites.<ul> </ul> </li> <li class="level-1">Facility protocols for care for medical devices.<ul> </ul> </li> <li class="level-1">Staff adherence to recommendations and protocols.<ul> </ul> </li> </ul> <p> Clinicians should continually assess the need for invasive devices and promptly remove them when they are no longer needed.</p> <figure class="dfe-image dfe-image__small"><div class="image-container fluid aspect-ratio-16-9"><img src="/candida-auris/media/images/2024/03/C-auris-GettyImages-955511152.jpg" alt="Clinicians' gloved hands placing invasive medical tubing."></div> <div class="dfe-image-caption-container"><figcaption class="dfe-image-caption" id="caption-737">Follow infection prevention procedures for invasive medical devices.</figcaption></div></figure> <div class="dfe-block dfe-block--keep_reading"><b>Keep Reading:</b> <a href="/infectioncontrol/guidelines/index.html">Guidelines & Guidance Library</a></div> </div> <div class="dfe-section" data-section="cdc_infection_control_impleme"> <a class="onThisPageAnchor" id="cdc_infection_control_impleme-precautions-for-surgical-procedures" name="Precautions%20for%20surgical%20procedures" title="Precautions for surgical procedures"></a><h2>Precautions for surgical procedures</h2> <p>Patients who are colonized or infected with<em> C. auris</em> are at risk for surgical site infections. Strict adherence to the <a href="https://jamanetwork.com/journals/jamasurgery/fullarticle/2623725" class="tp-link-policy" data-domain-ext="com">CDC Guideline for the Prevention of Surgical Site Infection<span class="visually-hidden sr-only" aria-label=" external icon" role="img"></span><span class="cdc-icon-external cdc-link-icon" aria-hidden="true" alt="external icon"></span></a> is critical. Meticulous skin preparation in the operating room should be performed using an alcohol-based agent unless contraindicated. </p> </div> </div> <div class="cdc-dfe-body__right page-right-rail"> <aside class="page-right-rail__static noindex" role="complementary"> <div class="on-this-page " data-sid=""> <h2 class="on-this-page__heading"> On This Page </h2> <div class="card-body"> <ul> <li><a href="#cdc_infection_control_recomm-risk-for-infection">Risk for infection</a></li> <li><a href="#cdc_infection_control_det-appropriate-care-for-medical-devices">Appropriate care for medical devices</a></li> <li><a href="#cdc_infection_control_impleme-precautions-for-surgical-procedures">Precautions for surgical procedures</a></li> </ul> </div> </div> </aside> <aside class="page-right-rail__dynamic noindex" role="complementary"> <div data-related-nav></div> </aside> </div> </div> <div data-journey-next></div> <section class="container page-mobile-bar"> <time class="page-mobile-bar__item page-mobile-bar__item--date" datetime="2024-04-24 00:00:00"> April 24, 2024 </time> </section> <div class="page-content-sources noindex"> <div class="page-content-sources__header"> <a data-action="summary" class="collapsed" href="#content-sources" role="button" data-bs-toggle="collapse" aria-expanded="false" aria-controls="content-sources" data-cs-toggle="">Sources</a> <a data-action="print" href="#print" class="d-none d-md-block" aria-label="print this page" onclick="window.print()">Print</a> <a data-action="share" href="#share" data-bs-toggle="dropdown" aria-label="share this page" aria-expanded="false">Share</a> <div class="dropdown-menu page-share-bar" data-popper-placement="bottom-start"> <a href="#" class="page-share-facebook"><span class="cdc-icon-facebook"></span></a> <a href="#" class="page-share-linkedin"><span class="cdc-icon-linkedin"></span></a> <a href="#" class="page-share-twitter"><span class="cdc-icon-twitter"></span></a> <a href="#" class="page-share-syndication"><span class="cdc-icon-rss"></span></a> </div> </div> <div class="page-share-container"> <div class="page-share-popup" id="page-share-popup" role="dialog"> <a target="_blank" title="Share to Facebook" rel="noreferrer noopener" class="page-share-facebook metrics-share-facebook" href="https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fwww.cdc.gov"> <span class="sr-only">Facebook</span> <span class="cdc-icon-facebook-inverse"></span> </a> <a target="_blank" title="Share to LinkedIn" rel="noreferrer noopener" class="page-share-linkedin metrics-share-linkedin" href="https://www.linkedin.com/shareArticle?url=https%3A%2F%2Fwww.cdc.gov&title=Living%20with%20High%20Blood%20Pressure"> <span class="sr-only">LinkedIn</span> <span class="cdc-icon-linkedin-inverse"></span> </a> <a target="_blank" title="Share to Twitter" rel="noreferrer noopener" class="page-share-twitter metrics-share-twitter" href="https://twitter.com/share?url=https%3A%2F%2Fwww.cdc.gov&text=Living%20with%20High%20Blood%20Pressure"> <span class="sr-only">Twitter</span> <span class="cdc-icon-twitter-inverse"></span> </a> <a target="_blank" title="Embed this Page" rel="noreferrer noopener" class="page-share-syndication metrics-share-syndicate" href="https://tools.cdc.gov/medialibrary/index.aspx#/sharecontent/https://https://www.cdc.gov/candida-auris/hcp/infection-control/invasive-infection-prevention.html"> <span class="sr-only">Syndicate</span> <span class="fi cdc-icon-syndication-round"></span> </a> </div> </div> <div id="content-sources" class="page-content-sources__body accordion-collapse collapse"> <div class="callout callout-content-source" role="status"> <div class="callout-heading">Content Source:</div> <a class="cdc-block-link" href="/ncezid/index.html">National Center for Emerging and Zoonotic Infectious Diseases (NCEZID)</a> </div> </div> </div> <section class="container related-pages related-pages__mobile"> <div data-related-nav-mobile></div> </section> </div> </main> <section class="site-footer container noindex"> <div class="row cdc-footer__inner"> <div class="col-lg-3 site-footer__heading"> <h2> <a href="/candida-auris/index.html"> <i class="cdc-icon cdc-fa-solid cdc-fa-house"></i> <span class="cdc-footer__super-title" aria-label="<em>Candida auris (C. auris)</em>"> <a href="/candida-auris/index.html"> <em>Candida auris (C. auris)</em> </a> <i class="cdc-icon cdc-fa-light cdc-fa-angle-right"></i> </span> </a> </h2> <p><em>C. auris</em> is an emerging fungus that can cause severe, often multidrug-resistant, infections. 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