Skilled Nursing Facility

Antifungal-resistant yeast infections found in D.C. nursing home residents

The CDC identified 101 cases of antifungal-resistant yeast infections among Washington D.C. nursing home residents between January and April. These infections included cases of candida auris, an infection resistant to all known treatments, primarily Echinocandins, and is cause for alarm, according to the CDC.

“Echinocandin resistance is a concerning clinical and public health threat, particularly when coupled with resistance to azole and amphotericin B (pan-resistance),” CDC investigators wrote in their report.

The CDC has released infection control guidelines for the prevention of candida auris transmission in nursing homes:

  • Adherence to hand hygiene,
  • Appropriate use of transmission-based precautions based on setting,
  • Cleaning and disinfecting the patient care environment (daily and terminal cleaning) and reusable equipment with recommended products,
  • Inter-facility communication about patients’ Candida auris status when patients are transferred to another healthcare facility,
  • Screening contacts of newly identified case patients to identify Candida auris colonization, and
  • Laboratory surveillance of clinical specimens to detect additional cases.