ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2024
Rapid Environmental Contamination With Candida auris and Multidrug-Resistant Bacterial Pathogens Near Colonized Patients.
Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
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Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.
- Methods for skin load reduction of Candida auris: a systematic review.Antimicrobial resistance and infection control · 2026Pooled it
- Transfer ofOpen forum infectious diseases · 2026Article
- Active Screening forJournal of fungi (Basel, Switzerland) · 2026Review
- Multicenter performance evaluation of the SimplexaJournal of clinical microbiology · 2026Article
- Decolonization vs Enhanced Cleaning for Multidrug-Resistant Organism Reduction in Nursing Homes.JAMA network open · 2026Article
- Multidrug-resistant organism (MDRO) contamination of nursing home staff hands and forearms when entering the breakroom or going home.Infection control and hospital epidemiology · 2026Article
- Can Chlorhexidine Bathing Reduce Candidozyma auris Shedding?Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026Article
- Environmental Disinfection in Long-Term Care Facilities-A Scoping Review.Microorganisms · 2026Review
- Comparative Analysis of Virulence Traits and Fluconazole-Response Mechanisms in Clinical Isolates ofMicroorganisms · 2026Article
- Microbes and minutes: The hidden but key role of time in infection control and stewardship.New microbes and new infections · 2026Article
- Isolation of a multidrug-resistantMedical mycology case reports · 2026Article
- Genome sequencing for prevention of health-care-associated bacterial infections.Nature reviews. Microbiology · 2026Review
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- Article
- Infection prevention and control ofAntimicrobial stewardship & healthcare epidemiology : ASHE · 2026Review
- Outcomes of patients withAntimicrobial stewardship & healthcare epidemiology : ASHE · 2026Article
- Invasive candidiasis in intensive care medicine: shaping the future of diagnosis and therapy.Intensive care medicine · 2025Review
- Nasal Iodophor to ReduceOpen forum infectious diseases · 2025Article
- Biocide, antifungal susceptibility and virulence characteristics of Clade 1 Candidozyma auris strains.Annals of clinical microbiology and antimicrobials · 2025Article
- Impact of routine chlorhexidine bathing and nasal iodophor on MDRO colonization and environmental contamination in nursing homes.Infection control and hospital epidemiology · 2025Article
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Authors and funding
28 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundEnvironmental contamination is suspected to play an important role in Candida auris transmission. Understanding speed and risks of contamination after room disinfection could inform environmental cleaning recommendations.
methodsWe conducted a prospective multicenter study of environmental contamination associated with C. auris colonization at 6 ventilator-capable skilled nursing facilities and 1 acute care hospital in Illinois and California. Known C. auris carriers were sampled at 5 body sites followed by sampling of nearby room surfaces before disinfection and at 0, 4, 8, and 12 hours after disinfection. Samples were cultured for C. auris and bacterial multidrug-resistant organisms (MDROs). Odds of surface contamination after disinfection were analyzed using multilevel generalized estimating equations.
resultsAmong 41 known C. auris carriers, colonization was detected most frequently on palms/fingertips (76%) and nares (71%). C. auris contamination was detected on 32.2% (66/205) of room surfaces before disinfection and 20.5% (39/190) of room surfaces by 4 hours after disinfection. A higher number of C. auris-colonized body sites was associated with higher odds of environmental contamination at every time point following disinfection, adjusting for facility of residence. In the rooms of 38 (93%) C. auris carriers co-colonized with a bacterial MDRO, 2%-24% of surfaces were additionally contaminated with the same MDRO by 4 hours after disinfection.
conclusionsC. auris can contaminate the healthcare environment rapidly after disinfection, highlighting the challenges associated with environmental disinfection. Future research should investigate long-acting disinfectants, antimicrobial surfaces, and more effective patient skin antisepsis to reduce the environmental reservoir of C. auris and bacterial MDROs in healthcare settings.
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