Autor: |
Melinte V; Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.; 'Agrippa Ionescu' Clinical Emergency Hospital, 011356 Bucharest, Romania., Tudor AD; 'Agrippa Ionescu' Clinical Emergency Hospital, 011356 Bucharest, Romania., Bujoi AG; 'Agrippa Ionescu' Clinical Emergency Hospital, 011356 Bucharest, Romania., Radu MA; Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.; 'Agrippa Ionescu' Clinical Emergency Hospital, 011356 Bucharest, Romania., Văcăriou MC; 'Agrippa Ionescu' Clinical Emergency Hospital, 011356 Bucharest, Romania., Cismaru IM; 'Agrippa Ionescu' Clinical Emergency Hospital, 011356 Bucharest, Romania., Holban TS; 'Agrippa Ionescu' Clinical Emergency Hospital, 011356 Bucharest, Romania., Mîrzan CL; 'Agrippa Ionescu' Clinical Emergency Hospital, 011356 Bucharest, Romania., Popescu R; 'Agrippa Ionescu' Clinical Emergency Hospital, 011356 Bucharest, Romania., Ciupan RC; 'Agrippa Ionescu' Clinical Emergency Hospital, 011356 Bucharest, Romania., Baciu A; 'Agrippa Ionescu' Clinical Emergency Hospital, 011356 Bucharest, Romania., Moraru OE; Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.; 'Agrippa Ionescu' Clinical Emergency Hospital, 011356 Bucharest, Romania., Popa-Cherecheanu M; Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.; 'Agrippa Ionescu' Clinical Emergency Hospital, 011356 Bucharest, Romania., Gheorghiță V; Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.; 'Agrippa Ionescu' Clinical Emergency Hospital, 011356 Bucharest, Romania. |
Abstrakt: |
Candida auris is a newly emerging yeast, which is raising public health concerns due to its outbreak potential, lack of protocols for decontamination and isolation of patients or contacts, increased resistance to common antifungals, and associated high mortality. This research aimed to describe the challenges related to identifying the outbreak, limiting further contamination, and treating affected individuals. We retrospectively analyzed all cases of C. auris detected between October 2022 and August 2023, but our investigation focused on a three-month-long outbreak in the department of cardio-vascular surgery and the related intensive care unit. Along with isolated cases in different wards, we identified 13 patients who became infected or colonized in the same area and time, even though the epidemiological link could only be traced in 10 patients, according to the epidemiologic investigation. In conclusion, our study emphasizes the substantial challenge encountered in clinical practice when attempting to diagnose and limit the spread of an outbreak. Therefore, it is crucial to promptly apply contact precaution measures and appropriate environmental cleaning, from the first positive case detected. |