Usefulness of screening for Candida auris colonisation in international patients admitted to a large university hospital.
Mycoses
; 66(2): 138-143, 2023 Feb.
Article
in En
| MEDLINE
| ID: mdl-36135346
ABSTRACT
INTRODUCTION:
Candida auris is an emerging pathogen in health care-associated infections. In contrast to many other countries with rising numbers of C. auris, only seven cases have been reported in Germany from 2015 to 2017, mostly from patients who received prior medical treatment abroad. We therefore established a mandatory screening for C. auris colonisation at our tertiary care centre for all patients who were admitted as international patients or previously hospitalised in a foreign country within the past 6 months.METHODS:
Colonisation of patients was assessed using a previously established screening protocol for multidrug resistant bacteria. Since 2017, all screening samples were additionally analysed for C. auris using CHROMagar Candida (CHROMagar, Paris, France). Yeast isolates were identified using matrix-assisted laser ionisation time-of-flight (MALDI TOF), except for C. albicans (identified by the typical green colour on chromogenic agar). Data were analysed retrospectively.RESULTS:
Our study cohort included 655 patients and an overall number of 1399 samples. Fifty-three patients were colonised with Candida species (C. albicans, n = 37; C. glabrata, n = 14; others n = 9). No case of C. auris was detected. Candida spp. were mainly detected from respiratory samples (5.4% positive) and gastrointestinal specimen (5.2%). Laboratory costs were 14,689 and analyses resulted in 98.7 h of additional technician's work.CONCLUSION:
No colonisation with C. auris was detected among patients with previous hospitalisation abroad. Universal C. auris screening of patients with any contact to foreign health care does not seem to be cost-effective in our setting and more targeted screening strategies have to be developed.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Medical Tourism
/
Antifungal Agents
Type of study:
Diagnostic_studies
/
Guideline
/
Screening_studies
Limits:
Humans
Language:
En
Journal:
Mycoses
Journal subject:
MICROBIOLOGIA
Year:
2023
Document type:
Article
Affiliation country:
Germany
Country of publication:
ALEMANHA
/
ALEMANIA
/
DE
/
DEUSTCHLAND
/
GERMANY