• English
    X

    Google Translate Disclaimer

    The Maryland Department of Information Technology (“DoIT”) offers translations of the content through Google Translate. Because Google Translate is an external website, DoIT does not control the quality or accuracy of translated content. All DoIT content is filtered through Google Translate which may result in unexpected and unpredictable degradation of portions of text, images and the general appearance on translated pages. Google Translate may maintain unique privacy and use policies. These policies are not controlled by DoIT and are not associated with DoIT’s privacy and use policies. After selecting a translation option, users will be notified that they are leaving DoIT’s website. Users should consult the original English content on DoIT’s website if there are any questions about the translated content.

    DoIT uses Google Translate to provide language translations of its content. Google Translate is a free, automated service that relies on data and technology to provide its translations. The Google Translate feature is provided for informational purposes only. Translations cannot be guaranteed as exact or without the inclusion of incorrect or inappropriate language. Google Translate is a third-party service and site users will be leaving DoIT to utilize translated content. As such, DoIT does not guarantee and does not accept responsibility for, the accuracy, reliability, or performance of this service nor the limitations provided by this service, such as the inability to translate specific files like PDFs and graphics (e.g. .jpgs, .gifs, etc.).

    DoIT provides Google Translate as an online tool for its users, but DoIT does not directly endorse the website or imply that it is the only solution available to users. All site visitors may choose to use alternate tools for their translation needs. Any individuals or parties that use DoIT content in translated form, whether by Google Translate or by any other translation services, do so at their own risk. DoIT is not liable for any loss or damages arising out of, or issues related to, the use of or reliance on translated content. DoIT assumes no liability for any site visitor’s activities in connection with use of the Google Translate functionality or content.

    The Google Translate service is a means by which DoIT offers translations of content and is meant solely for the convenience of non-English speaking users of the website. The translated content is provided directly and dynamically by Google; DoIT has no direct control over the translated content as it appears using this tool. Therefore, in all contexts, the English content, as directly provided by DoIT is to be held authoritative.

    Maryland C. auris

    Candida auris

    Updated Dec. 9, 2019

     

    Candida-auris_2016-250px_CDC.jpg

    The Maryland Department of Health (MDH) has been investigating several cases of a yeast, or fungus, called Candida auris, or “C. auris.” This fungus can be hard for laboratories to identify, is often resistant to many types of anti-fungal drugs making it difficult to treat, and can spread easily in healthcare settings. C. auris was first identified in Japan in 2009, and has been detected in many different countries and in parts of the United States, including in Maryland. Previous cases in Maryland were likely acquired in places outside of Maryland where C. auris was already known to be spreading; however, recently detected cases were likely acquired in Maryland.

     

    Symptoms and Treatment of C. auris

    ·       Patients can carry C. auris on their body, even if it is not making them sick, which is called colonization.

    ·       Most people who carry C. auris do not get sick from it and do not require treatment.

    ·       If someone develops an infection with C. auris, their symptoms might not be noticeable because patients with C. auris infection are often already sick in the hospital with another serious illness or condition.

    ·       Symptoms of C. auris infection will depend on the part of the body affected. C. auris can cause many different types of infections, such as bloodstream infections, wound infections, and ear infections.

    ·       Because symptoms can vary greatly, a laboratory test is needed to determine whether a patient has a C. auris infection.

    ·       C. auris mainly affects patients who already have many medical problems, and who have weakened immune systems or have devices like tubes going into their body.

    ·       Healthy people, including healthy healthcare workers, usually don’t get C. auris.

    ·       While C. auris is often resistant to some medications used to treat infections with fungus, most C. auris infections can be treated with a class of medications called echinocandins.

     

    Transmission of C. auris

    ·      Patients can spread C. auris from their body to other people or nearby objects, especially in healthcare settings such as hospitals and nursing homes.

    ·      Spread can occur even when patients are not sick with C. auris and only have it living on their skin (i.e. when they are colonized).

    ·      C. auris commonly spreads to and lives on equipment and surfaces in healthcare settings; special cleaning products are needed to kill C. auris on these surfaces. Specifically, products registered on the U.S. Environmental Protection Agency (EPA) List K are recommended for cleaning and disinfecting environments possibly contaminated with C. auris.

    ·      Healthcare providers should use special precautions around patients known to have C. auris to reduce the chance of spreading the fungus to other patients. In acute care settings (i.e. hospitals), these precautions include placing the patient in a room without a roommate, wearing gowns and gloves when caring for the patient, and ensuring good hand hygiene is performed by providers, family members, and the patient. Specific precautions used in nursing homes might differ, and facilities should contact Maryland Department of Health to discuss individual situations.

     

    Testing for C. auris

    ·      The Maryland Department of Health recommends testing for patients currently admitted to hospitals or residing in certain nursing homes, who have spent time in the same unit in a hospital or nursing home as another person with known C. auris, to see if they are carrying the fungus. There is no cost for this testing, which is currently only available through CDC’s Antibiotic Resistance (AR) Laboratory Network. Contact the Maryland Department of Health or see Maryland’s AR Lab Network website for more information.

    ·      In general, testing is not recommended for persons who do not have symptoms of infection with C. auris and who are not currently hospitalized or likely to be hospitalized soon.

    ·      Testing of the environment or equipment for C. auris is not routinely recommended.

    ·      Testing of healthcare workers or family members who care for patients with C. auris (or an exposure to C. auris) is not routinely recommended. 

     ​Cases of C. auris in Maryland, as of December 9, 2019:

    ​                 Year                                        Confirmed Clinical Cases    Confirmed Screening Cases

    2016                                                                1                                              0

                2017                                                                1                                              0

                2018                                                                1                                              1

                2019                                                                6                                              9

    Clinical cases are based on cultures or culture-independent diagnostic testing from specimens collected during the course of clinical care for the purpose of diagnosing or treating disease and have been confirmed as C. auris in the laboratory. Screening is when swabs are collected from patients to determine whether or not they may unknowingly be carrying the organism somewhere on their bodies without signs of active infection. [See Council of State and Territorial Epidemiologists case definition].

    Information for the Public

    ·       ​  MDH Candida auris Fact Sheet

    ·         CDC: Candida auris General Information fact Sheet

    o   Español

    o   Vietnamese

    o   Korean

    ·         CDC: Candida auris Information for Patients and Family Members

    ·         CDC: Additional fact sheets for patients about testing and colonization

     

    Information for Infection Preventionists

    ·         General Information

    o   Español

    ·         CDC Infection Prevention and Control for Candida auris

    ·         List K: EPA’s Registered Antimicrobial Products Effective against Clostridium difficile Spores

    Information for Healthcare Providers

    ·         Healthcare Professionals Fact Sheet

    ·         Treatment and Management of Infections and Colonization

    ·         MDH C. auris Clinician Letter

    o   Clinician Letter 8/26/19 Update