Evidence map›Paper›PMID 32984882›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2021

Factors Associated With Candida auris Colonization and Transmission in Skilled Nursing Facilities With Ventilator Units, New York, 2016-2018.

John Rossow, Belinda Ostrowsky, Eleanor Adams, Jane Greenko, Robert McDonald, Snigdha Vallabhaneni, Kaitlin Forsberg, Stephen Perez, Todd Lucas, Karen A Alroy and 7 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07544342 (Assessment of Risk Factors for Acquiring Colonization With Candida Auris During an Outbreak in ICU.), which is not on this map. Cited by 70 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07544342 completednot on this mapstarted 2026, after this paper: background citation

Assessment of Risk Factors for Acquiring Colonization With Candida Auris During an Outbreak in ICU.

TypeobservationalSponsorBarzilai Medical CenterRan2026 to 2026Enrolled771ConditionsCandida Auris Colonization
3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 1 synthesis or guideline pooled it, 115 citations in OpenAlex.

  1. Pooled it
  2. Active Screening forJournal of fungi (Basel, Switzerland) · 2026
    Review
  3. Colonization with multidrug-resistant organisms (MDROs) includingInfection control and hospital epidemiology · 2026
    Article
  4. Article
  5. Article
  6. Diabetes and Immunosuppression Drive Distinct Patterns ofbioRxiv : the preprint server for biology · 2026
    Article
  7. Risk Factors Associated With Progression to Clinical Candida auris Infection Among Adults With Previous Colonization-Florida, 2019-2023.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  8. Microbiology spectrum · 2026
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Microbiology spectrum · 2025
    Article
  15. Article
  16. Successful Treatment of RefractoryClinical case reports · 2025
    Article
  17. Article
  18. Article
  19. Absence of community-acquiredMicrobiology spectrum · 2025
    Article
  20. Patterns and Predictors ofJournal of fungi (Basel, Switzerland) · 2025
    Article

10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 3 institutions in 1 country.

John RossowEpidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Belinda OstrowskyDivision of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Eleanor AdamsNew York State Department of Health, Metropolitan Area Regional Office, New Rochelle, New York, USA.
Jane GreenkoNew York State Department of Health, Metropolitan Area Regional Office, New Rochelle, New York, USA.
Robert McDonaldEpidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Snigdha VallabhaneniMycotic Diseases Branch, Division of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Kaitlin ForsbergMycotic Diseases Branch, Division of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Stephen PerezEpidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Todd LucasEpidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Karen A AlroyEpidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Kara Jacobs SlifkaDivision of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Maroya WaltersDivision of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Brendan R JacksonMycotic Diseases Branch, Division of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Monica QuinnNew York State Department of Health, Albany, New York, USA.
Sudha ChaturvediWadsworth Laboratory, Albany, New York, USA.
Debra BlogNew York State Department of Health, Albany, New York, USA.
New York Candida auris Investigation Workgroup
Centers for Disease Control and Prevention · USNew York State Department of Health · USWadsworth Center · US

Funding

Intramural CDC HHS CC999999NCEZID CDC HHS U50 CK000423
6 · The paper itself

Abstract

backgroundCandida auris is an emerging, multidrug-resistant yeast that spreads in healthcare settings. People colonized with C. auris can transmit this pathogen and are at risk for invasive infections. New York State (NYS) has the largest US burden (>500 colonized and infected people); many colonized individuals are mechanically ventilated or have tracheostomy, and are residents of ventilator-capable skilled nursing facilities (vSNF). We evaluated the factors associated with C. auris colonization among vSNF residents to inform prevention interventions.

methodsDuring 2016-2018, the NYS Department of Health conducted point prevalence surveys (PPS) to detect C. auris colonization among residents of vSNFs. In a case-control investigation, we defined a case as C. auris colonization in a resident, and identified up to 4 residents with negative swabs during the same PPS as controls. We abstracted data from medical records on patient facility transfers, antimicrobial use, and medical history.

resultsWe included 60 cases and 218 controls identified from 6 vSNFs. After controlling for potential confounders, the following characteristics were associated with C. auris colonization: being on a ventilator (adjusted odds ratio [aOR], 5.9; 95% confidence interval [CI], 2.3-15.4), receiving carbapenem antibiotics in the prior 90 days (aOR, 3.5; 95% CI, 1.6-7.6), having ≥1 acute care hospital visit in the prior 6 months (aOR, 4.2; 95% CI, 1.9-9.6), and receiving systemic fluconazole in the prior 90 days (aOR, 6.0; 95% CI, 1.6-22.6).

conclusionsTargeted screening of patients in vSNFs with the above risk factors for C. auris can help identify colonized patients and facilitate the implementation of infection control measures. Antimicrobial stewardship may be an important factor in the prevention of C. auris colonization.

Indexed as

CandidaSkilled Nursing FacilitiesAntifungal AgentsFluconazoleHumansNew YorkVentilators, MechanicalAntifungal AgentsFluconazoleCandida auriscolonizationmechanical ventilationmultidrug-resistant organismsskilled nursing facilities

Identifiers

PMID32984882
PMCPMC8155826
OpenAlexW3088948418

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.