The characteristics, diagnosis and management of Candida auris (C. auris).
Candida auris is a yeast species first isolated from the external ear canal of a patient in Japan in 2009. Since then C. auris has been associated with bloodstream infections, wound and ear infections in several countries globally. It has caused prolonged hospital outbreaks in India, Pakistan, Venezuela, and Colombia.
Commonly C. auris is resistant to the first-line antifungal drug fluconazole and this species can rapidly evolve to develop resistance, so specific antifungal susceptibility testing is indicated.
In UK laboratories, Candida species isolated from superficial sites are not routinely identified to species level or tested for antifungal susceptibility. Even if species identification is undertaken, isolates can be misidentified by some commercial kits.
Therefore any presumptive isolates of C. auris should be subjected to further testing at Public Health England’s network of public health laboratories or the national PHE Mycology Reference Laboratory.
- Research and analysis