Candida Auris


What is Candida auris?

Candida auris (C. auris) is a type of yeast, first described in 2009, causing a serious global threat due to the increasing occurrence of patients infected or colonized with this difficult to treat and difficult to control organism.

Why should I be concerned about C. auris?

  1. C. auris can easily be transmitted from person-to-person and can persist on surfaces in healthcare settings.
  2. C. auris can be misidentified when using traditional yeast identification methods.
  3. C. auris isolates are often multi-drug resistant, limiting available treatment options.

What is VDH doing to slow the spread of C. auris?

In Virginia, a systematic public health response and investigation occurs upon identification of every C. auris case. VDH follows the CDC Containment Strategy Guidelines for Novel or Targeted Multidrug-Resistant Organisms.

Infection Prevention

Infection prevention is an important strategy to stop the transmission of C. auris. This involves transmission-based precautions, choosing the right environmental cleaning product, and monitoring staff compliance with infection prevention practices. See the below resources for more information.

Public Health Response: Virginia Containment Strategy for Candida auris

A coordinated approach between healthcare facilities and local health departments is necessary to slow the spread. The public health response involves:

  1. Promptly detecting the presence of C. auris in specimens;
  2. Collecting the least amount of information needed to determine appropriate recommendations based on CDC Containment Strategy Guidance;
  3. Verifying appropriate infection control measures (e.g., contact precautions, private room) are implemented by the healthcare facility to stop transmission, and performing onsite assessments of infection prevention practices;
  4. Identifying affected patients, determining whether transmission to other patients is occurring or has occurred, and recommending appropriate infection control measures to stop further transmission;
  5. Facilitating colonization screenings of high-risk healthcare contacts so that additional infection prevention measures can be put into place; and
  6. Continuing to work with the facility or setting on enhanced surveillance and implementation of infection prevention practices.

Learn more about the Virginia Containment Strategy for Candida auris

Reporting Requirements

The State Board of Health updated the Virginia Regulations for Disease Reporting and Control (12 VAC 5-90-80) effective November 14, 2018. C. auris was added to the reportable disease list and conditions reportable by directors of laboratories. Thus, the responsibility for reporting the presence of these organisms rests with physicians, directors of medical care facilities, and directors of laboratories.

Public Health Laboratory Testing and Response

Contact the HAI/AR Program for questions or discussion.

Last Reviewed:  December 2018.  VDH will review this interpretive guidance annually at a minimum, and as needed due to regulation changes.

Impact in Virginia

Candida auris in the State of Virginia Dashboard

Cases in Virginia

Cases in the United States

Most C. auris cases in the United States have been detected in the New York City area, New Jersey, and the Chicago area. Strains of C. auris in the United States have been linked to other parts of the world. The CDC updates C. auris case counts by state on a monthly basis.

Visit the CDC's Tracking Candida auris page

Emergency Department Care Coordination System

The Emergency Department Care Coordination (EDCC) Program was established in 2017 to provide a statewide technology solution that connects healthcare facilities, including acute care hospitals and post-acute care facilities. EDCC now includes MDRO flags for Candida auris and Carbapenemase-producing Organisms (CPOs), but facilities should still communicate MDRO status on transfer as the alerts are not real-time and only include information for Virginia patients and residents known to VDH. The flags are not intended to replace recommended communication, but to provide an additional layer of information.


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