A positive Candida auris test can completely alter the course of your day as an Infection Preventionist. But before diving into response protocols, let’s briefly discuss what Candida auris is.
Candida auris is a multidrug-resistant fungus that poses a serious threat in healthcare settings. It spreads easily in hospitals and can be extremely difficult to eradicate once introduced into a facility. For already vulnerable patients—especially those with invasive devices or compromised immune systems—it can lead to serious infections and increased mortality.
As Infection Preventionists, preventing the spread of Candida auris within our facilities is a top priority. So, what should you do when you receive that dreaded call from the lab confirming a positive Candida auris test?
1. Notify the Unit Manager and Facility Leaders
When a patient tests positive for C. auris, it is critical to inform the unit manager and key leaders immediately. Identify the best communication channel to ensure the proper allocation of resources. This includes ensuring the patient’s room is equipped with a well-stocked isolation cart and dedicated medical instruments whenever possible.
2. Educate the Healthcare Team
Unlike more commonly recognized organisms like Staphylococcus aureus, many team members may not be familiar with Candida auris—its mode of transmission or how to prevent it. Address this knowledge gap proactively:
- Distribute educational materials to answer frequently asked questions
- Be available to respond to concerns in collaboration with Infectious Disease physicians
- Reinforce key messages during rounds or huddles
Timely education builds team confidence and reduces errors in isolation practices.
3. Isolate the Patient and Support the Care Team
Prompt and proper isolation is central to controlling C. auris transmission. Most facilities will place a patient on Enhanced Contact Precautions, though specific protocols may vary. All team members and visitors entering the patient’s room must wear appropriate personal protective equipment (PPE).
Ensure the care team has access to necessary PPE, educational support, and clear guidance on isolation procedures.
4. Notify Ancillary Departments
Patients with Candida auris often require care from ancillary departments, such as dialysis. If a positive patient is receiving hemodialysis, it is crucial to notify the dialysis team immediately. Given the invasive nature of the procedure, preventing transmission in the dialysis unit is essential.
Also inform Environmental Services (EVS). The isolation sign should remain on the patient’s door even after discharge to alert EVS that the room requires terminal cleaning. Many facilities now use UV-C light disinfection as an added layer of protection, especially for rooms previously occupied by Candida auris patients.
5. Report the Case to the Health Department
Timely reporting of Candida auris cases to the local or state health department is not just a regulatory requirement—it’s a public health imperative. These agencies track infections to identify emerging patterns, detect potential outbreaks, and coordinate broader prevention efforts.
The data you provide helps shape regional and national responses to Candida auris.
6. Initiate Long-Term Isolation Protocols
Once a patient tests positive for Candida auris, they should be flagged for long-term isolation in your facility’s electronic health record (EHR). This ensures that isolation precautions are automatically triggered upon future admissions or transfers, reducing the risk of exposure during admission workflows.
7. Notify External Facilities as Needed
Most Candida auris cases involve patients who reside in extended care facilities (ECFs) such as skilled nursing facilities or assisted living centers. If a positive result is identified, it is vital to notify the sending or receiving facility. This allows them to take necessary precautions and limit further spread within their environment.
Final Thoughts
A positive Candida auris test calls for immediate, coordinated action from Infection Preventionists. From initiating isolation and notifying key departments to educating the care team and ensuring regulatory reporting, your response plays a critical role in stopping the spread of this dangerous pathogen.
While it may disrupt your daily workflow, a swift and informed response can make all the difference in protecting your patients, staff, and community.
