{"id":5338,"date":"2024-02-16T10:00:43","date_gmt":"2024-02-16T15:00:43","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/haiar\/?page_id=5338"},"modified":"2025-05-19T09:46:51","modified_gmt":"2025-05-19T13:46:51","slug":"candida-auris-in-the-state-of-virginia","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/haiar\/candida-auris-in-the-state-of-virginia\/","title":{"rendered":"Candida auris in the State of Virginia"},"content":{"rendered":"<p>On this page: <a href=\"#Year\">Cases by Year<\/a> | <a href=\"#Month\">Cases by Month and Region<\/a> | <a href=\"#CAMap\">Region Map<\/a> | <a href=\"#Add\">Additional Information<\/a> | <a href=\"#Screening\">Screening Specimens<\/a><\/p>\n<p><i><span data-contrast=\"auto\">Candida auris<\/span><\/i><span data-contrast=\"auto\"> (<\/span><i><span data-contrast=\"auto\">C. auris<\/span><\/i><span data-contrast=\"auto\">) is a type of yeast that can cause severe illness and spreads easily among patients in healthcare facilities. It is often resistant to antifungal treatments, which means that the medications that are designed to kill the fungus and stop infections do not work. The CDC considers <\/span><i><span data-contrast=\"auto\">C. auris<\/span><\/i><span data-contrast=\"auto\"> an urgent threat in the United States. For general information about <\/span><i><span data-contrast=\"auto\">C. auris<\/span><\/i><span data-contrast=\"auto\">, see the <\/span><a href=\"https:\/\/www.cdc.gov\/candida-auris\/?CDC_AAref_Val=https:\/\/www.cdc.gov\/fungal\/candida-auris\/index.html\"><span data-contrast=\"none\">CDC C. <\/span><i><span data-contrast=\"none\">auris <\/span><\/i>website<\/a><span data-contrast=\"none\">.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span class=\"TextRun SCXW145049297 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun CommentStart CommentHighlightPipeRestV2 CommentHighlightRest SCXW145049297 BCX8\" data-ccp-parastyle=\"Normal (Web)\">Note: <\/span><span class=\"NormalTextRun CommentHighlightRest SCXW145049297 BCX8\" data-ccp-parastyle=\"Normal (Web)\">The Virginia Department of Health updates these data monthly<\/span><span class=\"NormalTextRun CommentHighlightRest SCXW145049297 BCX8\" data-ccp-parastyle=\"Normal (Web)\">.<\/span><span class=\"NormalTextRun CommentHighlightRest SCXW145049297 BCX8\" data-ccp-parastyle=\"Normal (Web)\"> All data are preliminary and subject to change based on <\/span><span class=\"NormalTextRun CommentHighlightRest SCXW145049297 BCX8\" data-ccp-parastyle=\"Normal (Web)\">additional<\/span><span class=\"NormalTextRun CommentHighlightRest SCXW145049297 BCX8\" data-ccp-parastyle=\"Normal (Web)\"> reporting.<\/span><\/span><span class=\"EOP CommentHighlightPipeRestV2 SCXW145049297 BCX8\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><em><span class=\"TextRun SCXW90806168 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW90806168 BCX8\" data-ccp-parastyle=\"Normal (Web)\">C. auris<\/span><\/span><\/em><span class=\"TextRun SCXW90806168 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW90806168 BCX8\" data-ccp-parastyle=\"Normal (Web)\"> was added to the VDH reportable disease list and conditions reportable by directors of laboratories<\/span><span class=\"NormalTextRun SCXW90806168 BCX8\" data-ccp-parastyle=\"Normal (Web)\"> on November 14, 2018. <\/span><span class=\"NormalTextRun SCXW90806168 BCX8\" data-ccp-parastyle=\"Normal (Web)\">The HAI\/AR team <\/span><span class=\"NormalTextRun SCXW90806168 BCX8\" data-ccp-parastyle=\"Normal (Web)\">updates case counts monthly<\/span><span class=\"NormalTextRun SCXW90806168 BCX8\" data-ccp-parastyle=\"Normal (Web)\"> to help inform prevention responses to help<\/span> <span class=\"NormalTextRun SCXW90806168 BCX8\" data-ccp-parastyle=\"Normal (Web)\">contai<\/span><span class=\"NormalTextRun SCXW90806168 BCX8\" data-ccp-parastyle=\"Normal (Web)\">n<\/span><span class=\"NormalTextRun SCXW90806168 BCX8\" data-ccp-parastyle=\"Normal (Web)\"> the spread of <\/span><\/span><em><span class=\"TextRun SCXW90806168 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW90806168 BCX8\" data-ccp-parastyle=\"Normal (Web)\">C. auris<\/span><\/span><\/em><span class=\"TextRun SCXW90806168 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW90806168 BCX8\" data-ccp-parastyle=\"Normal (Web)\">. <\/span><span class=\"NormalTextRun SCXW90806168 BCX8\" data-ccp-parastyle=\"Normal (Web)\">For more details for data and methods used, please see<\/span> <span class=\"NormalTextRun SCXW90806168 BCX8\" data-ccp-parastyle=\"Normal (Web)\">additiona<\/span><span class=\"NormalTextRun SCXW90806168 BCX8\" data-ccp-parastyle=\"Normal (Web)\">l<\/span><span class=\"NormalTextRun SCXW90806168 BCX8\" data-ccp-parastyle=\"Normal (Web)\"> information section.<\/span><\/span><span class=\"EOP SCXW90806168 BCX8\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<h2 style=\"margin: 0in;\"><a id=\"Year\"><\/a>Virginia\u00a0<em>Candida auris\u00a0<\/em>Case Count by Year<\/h2>\n<p><span class=\"ui-provider bxp bxq bxr bxs bxt bxu bxv bxw bxx bxy bxz bya byb byc byd bye byf byg byh byi byj byk byl bym byn byo byp byq byr bys byt byu byv byw byx\" dir=\"ltr\"><strong>Directions:<\/strong> Please use the filter on the top to view the data by specimen collection reason<\/span><\/p>\n<p><div class='tableauPlaceholder' id='viz1715031384664' style='position: relative'><noscript><a href='#'><img alt='Case by year of collection ' src='https:&#47;&#47;public.tableau.com&#47;static&#47;images&#47;C_&#47;C_aurisReport&#47;Casebyyearofcollection&#47;1_rss.png' style='border: none' \/><\/a><\/noscript><object class='tableauViz'  style='display:none;'><param name='host_url' value='https%3A%2F%2Fpublic.tableau.com%2F' \/> <param name='embed_code_version' value='3' \/> <param name='site_root' value='' \/><param name='name' value='C_aurisReport&#47;Casebyyearofcollection' \/><param name='tabs' value='no' \/><param name='toolbar' value='yes' \/><param name='static_image' value='https:&#47;&#47;public.tableau.com&#47;static&#47;images&#47;C_&#47;C_aurisReport&#47;Casebyyearofcollection&#47;1.png' \/> <param name='animate_transition' value='yes' \/><param name='display_static_image' value='yes' \/><param name='display_spinner' value='yes' \/><param name='display_overlay' value='yes' \/><param name='display_count' value='yes' \/><param name='language' value='en-US' \/><param name='filter' value='publish=yes' \/><\/object><\/div>                <script type='text\/javascript'>                    var divElement = document.getElementById('viz1715031384664');                    var vizElement = divElement.getElementsByTagName('object')[0];                    if ( divElement.offsetWidth > 800 ) { vizElement.style.width='1000px';vizElement.style.height='827px';} else if ( divElement.offsetWidth > 500 ) { vizElement.style.width='1000px';vizElement.style.height='827px';} else { vizElement.style.width='100%';vizElement.style.height='1827px';}                     var scriptElement = document.createElement('script');                    scriptElement.src = 'https:\/\/public.tableau.com\/javascripts\/api\/viz_v1.js';                    vizElement.parentNode.insertBefore(scriptElement, vizElement);                <\/script><\/p>\n<h2 style=\"margin: 0in;\"><a id=\"Month\"><\/a>Virginia\u00a0<em>Candida auris <\/em>Case Count by Month and Region<\/h2>\n<p><span class=\"TextRun SCXW107500147 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW107500147 BCX8\" data-ccp-parastyle=\"Normal (Web)\"><strong>Directions:<\/strong> Please <\/span><span class=\"NormalTextRun SCXW107500147 BCX8\" data-ccp-parastyle=\"Normal (Web)\">use the filters on the right to view the data by specimen collection reason <\/span><span class=\"NormalTextRun SCXW107500147 BCX8\" data-ccp-parastyle=\"Normal (Web)\">and region<\/span><span class=\"NormalTextRun SCXW107500147 BCX8\" data-ccp-parastyle=\"Normal (Web)\">;<\/span><span class=\"NormalTextRun SCXW107500147 BCX8\" data-ccp-parastyle=\"Normal (Web)\"> multiple criteria could be selected for each category.<\/span><\/span><span class=\"EOP SCXW107500147 BCX8\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><div class='tableauPlaceholder' id='viz1715031445288' style='position: relative'><noscript><a href='#'><img alt='Case by month of collection and region ' src='https:&#47;&#47;public.tableau.com&#47;static&#47;images&#47;C_&#47;C_aurisReport&#47;Casebymonthofcollectionandregion&#47;1_rss.png' style='border: none' \/><\/a><\/noscript><object class='tableauViz'  style='display:none;'><param name='host_url' value='https%3A%2F%2Fpublic.tableau.com%2F' \/> <param name='embed_code_version' value='3' \/> <param name='site_root' value='' \/><param name='name' value='C_aurisReport&#47;Casebymonthofcollectionandregion' \/><param name='tabs' value='no' \/><param name='toolbar' value='yes' \/><param name='static_image' value='https:&#47;&#47;public.tableau.com&#47;static&#47;images&#47;C_&#47;C_aurisReport&#47;Casebymonthofcollectionandregion&#47;1.png' \/> <param name='animate_transition' value='yes' \/><param name='display_static_image' value='yes' \/><param name='display_spinner' value='yes' \/><param name='display_overlay' value='yes' \/><param name='display_count' value='yes' \/><param name='language' value='en-US' \/><\/object><\/div>                <script type='text\/javascript'>                    var divElement = document.getElementById('viz1715031445288');                    var vizElement = divElement.getElementsByTagName('object')[0];                    if ( divElement.offsetWidth > 800 ) { vizElement.style.width='1000px';vizElement.style.height='827px';} else if ( divElement.offsetWidth > 500 ) { vizElement.style.width='1000px';vizElement.style.height='827px';} else { vizElement.style.width='100%';vizElement.style.height='727px';}                     var scriptElement = document.createElement('script');                    scriptElement.src = 'https:\/\/public.tableau.com\/javascripts\/api\/viz_v1.js';                    vizElement.parentNode.insertBefore(scriptElement, vizElement);                <\/script><\/p>\n<h2><b><span data-contrast=\"auto\"><a id=\"CAMap\"><\/a>Virginia <\/span><\/b><b><i><span data-contrast=\"auto\">Candida auris<\/span><\/i><\/b><b><span data-contrast=\"auto\"> Case Count Map<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/h2>\n<p><span data-contrast=\"auto\"><strong>Directions:<\/strong> Please use the filters on the right to view the data by specimen collection reason and region; multiple criteria could be selected for each category.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><div class='tableauPlaceholder' id='viz1717682708251' style='position: relative'><noscript><a href='#'><img alt='Map of cases by region ' src='https:&#47;&#47;public.tableau.com&#47;static&#47;images&#47;C_&#47;C_aurisReport&#47;Mapofcasesbyregion&#47;1_rss.png' style='border: none' \/><\/a><\/noscript><object class='tableauViz'  style='display:none;'><param name='host_url' value='https%3A%2F%2Fpublic.tableau.com%2F' \/> <param name='embed_code_version' value='3' \/> <param name='site_root' value='' \/><param name='name' value='C_aurisReport&#47;Mapofcasesbyregion' \/><param name='tabs' value='no' \/><param name='toolbar' value='yes' \/><param name='static_image' value='https:&#47;&#47;public.tableau.com&#47;static&#47;images&#47;C_&#47;C_aurisReport&#47;Mapofcasesbyregion&#47;1.png' \/> <param name='animate_transition' value='yes' \/><param name='display_static_image' value='yes' \/><param name='display_spinner' value='yes' \/><param name='display_overlay' value='yes' \/><param name='display_count' value='yes' \/><param name='language' value='en-US' \/><\/object><\/div>                <script type='text\/javascript'>                    var divElement = document.getElementById('viz1717682708251');                    var vizElement = divElement.getElementsByTagName('object')[0];                    if ( divElement.offsetWidth > 800 ) { vizElement.style.width='1000px';vizElement.style.height='827px';} else if ( divElement.offsetWidth > 500 ) { vizElement.style.width='1000px';vizElement.style.height='827px';} else { vizElement.style.width='100%';vizElement.style.height='727px';}                     var scriptElement = document.createElement('script');                    scriptElement.src = 'https:\/\/public.tableau.com\/javascripts\/api\/viz_v1.js';                    vizElement.parentNode.insertBefore(scriptElement, vizElement);                <\/script><\/p>\n<h2><a id=\"Screening\"><\/a>Number of <em>Candida auris<\/em>\u00a0Screening Specimens from Virginia Facilities by Region<\/h2>\n<p><div class='tableauPlaceholder' id='viz1741033724526' style='position: relative'><noscript><a href='#'><img alt='Lab Submissions ' src='https:&#47;&#47;public.tableau.com&#47;static&#47;images&#47;C_&#47;C_aurisReport&#47;LabSubmissions&#47;1_rss.png' style='border: none' \/><\/a><\/noscript><object class='tableauViz'  style='display:none;'><param name='host_url' value='https%3A%2F%2Fpublic.tableau.com%2F' \/> <param name='embed_code_version' value='3' \/> <param name='site_root' value='' \/><param name='name' value='C_aurisReport&#47;LabSubmissions' \/><param name='tabs' value='no' \/><param name='toolbar' value='yes' \/><param name='static_image' value='https:&#47;&#47;public.tableau.com&#47;static&#47;images&#47;C_&#47;C_aurisReport&#47;LabSubmissions&#47;1.png' \/> <param name='animate_transition' value='yes' \/><param name='display_static_image' value='yes' \/><param name='display_spinner' value='yes' \/><param name='display_overlay' value='yes' \/><param name='display_count' value='yes' \/><param name='language' value='en-US' \/><\/object><\/div>                <script type='text\/javascript'>                    var divElement = document.getElementById('viz1741033724526');                    var vizElement = divElement.getElementsByTagName('object')[0];                    if ( divElement.offsetWidth > 800 ) { vizElement.style.width='1000px';vizElement.style.height='827px';} else if ( divElement.offsetWidth > 500 ) { vizElement.style.width='1000px';vizElement.style.height='827px';} else { vizElement.style.width='100%';vizElement.style.height='727px';}                     var scriptElement = document.createElement('script');                    scriptElement.src = 'https:\/\/public.tableau.com\/javascripts\/api\/viz_v1.js';                    vizElement.parentNode.insertBefore(scriptElement, vizElement);                <\/script><\/p>\n<h2><a id=\"Add\"><\/a>Additional Information<\/h2>\n<ol>\n<li><b><span data-contrast=\"auto\">How are <\/span><\/b><b><i><span data-contrast=\"auto\">C. auris<\/span><\/i><\/b><b><span data-contrast=\"auto\"> cases reported to VDH?\u00a0<\/span><\/b>\n<ol style=\"list-style-type: lower-alpha;\">\n<li>The State Board of Health updated the Virginia Regulations for Disease Reporting and Control (12 VAC 5-90-80) effective November 14, 2018.<i><span data-contrast=\"auto\"> C. auris<\/span><\/i><span data-contrast=\"auto\"> was added to the reportable disease list and conditions reportable by directors of laboratories. Required reporters notify the local health department when cases are identified.\u00a0<\/span><\/li>\n<li>Local epidemiologists determine case status and respond to cases by collecting data, providing infection prevention recommendations, and conducting a contact investigation. Laboratory and case information are entered in the Virginia Electronic Disease Surveillance System (VEDSS). The data is cleaned cross-referencing historical data and information in VEDSS to ensure proper counts.<\/li>\n<\/ol>\n<\/li>\n<li><b><span data-contrast=\"auto\">How are <\/span><\/b><b><i><span data-contrast=\"auto\">C. auris<\/span><\/i><\/b><b><span data-contrast=\"auto\"> cases defined?<\/span><\/b>\n<ol style=\"list-style-type: lower-alpha;\">\n<li>VDH uses the <a href=\"https:\/\/ndc.services.cdc.gov\/case-definitions\/candida-auris-2023\/\"><span data-contrast=\"none\">CSTE <\/span><i><span data-contrast=\"none\">C. auris<\/span><\/i><span data-contrast=\"none\"> Surveillance Case Definition<\/span><\/a><span data-contrast=\"auto\"> which includes the following laboratory evidence: <\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559685&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span>\n<ol style=\"list-style-type: lower-roman;\">\n<li><span data-contrast=\"auto\">Detection of <\/span><i><span data-contrast=\"auto\">C. auris<\/span><\/i><span data-contrast=\"auto\"> in a specimen using either culture or validated culture-independent test (e.g., nucleic acid amplification test [NAAT])<\/span><\/li>\n<\/ol>\n<\/li>\n<li>Cases are further stratified by whether the specimen was a clinical case or a screening case<span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559685&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span>\n<ol style=\"list-style-type: lower-roman;\">\n<li><span data-contrast=\"auto\">Clinical case: collected for the purpose of diagnosing or treating disease during normal care.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Screening case: collected for the detection of colonization and not for the purpose of diagnosing or treating disease. Screening cases are typically discovered during a screening process, such as admission screenings or if the patient was screened because of their contact with a known case.<\/span><\/li>\n<\/ol>\n<\/li>\n<li>Only Virginia residents are included in the case counts.<\/li>\n<\/ol>\n<\/li>\n<li><b><span data-contrast=\"auto\">How are new cases distinguished from existing cases?<\/span><\/b>\n<ol style=\"list-style-type: lower-alpha;\">\n<li>A patient who is colonized or infected with <i><span data-contrast=\"auto\">C. auris <\/span><\/i><span data-contrast=\"auto\">is considered colonized indefinitely and thus impacts how cases are counted.\u00a0<\/span>\n<ol style=\"list-style-type: lower-roman;\">\n<li><span data-contrast=\"auto\">For clinical cases, the patient is only counted as a <\/span><span data-contrast=\"auto\">clinical case<\/span><span data-contrast=\"auto\"> once in their lifetime. A person with a clinical case is not counted as a screening case thereafter because all clinical cases are considered to also be colonized with <\/span><i><span data-contrast=\"auto\">C. auris.<\/span><\/i><\/li>\n<li>For screening cases, the patient is only counted as a <span data-contrast=\"auto\">screening case<\/span><span data-contrast=\"auto\"> once in their lifetime. A person who is counted as a screening case can later be categorized as a <\/span><span data-contrast=\"auto\">clinical case<\/span><span data-contrast=\"auto\"> (e.g., patient with positive screening swab who later develops bloodstream infection would be counted in both categories).<\/span><\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<li><b><span data-contrast=\"auto\">How are <\/span><\/b><b><i><span data-contrast=\"auto\">C. auris<\/span><\/i><\/b><b><span data-contrast=\"auto\"> cases assigned to a region?<\/span><\/b>\n<ol style=\"list-style-type: lower-alpha;\">\n<li><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559685&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">For the purpose of this report, the cases were counted based on the patient&#8217;s home address.\u00a0\u00a0<\/span><\/li>\n<\/ol>\n<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>On this page: Cases by Year | Cases by Month and Region | Region Map | Additional Information | Screening Specimens Candida auris (C. auris) is a type of yeast [&hellip;]<\/p>\n","protected":false},"author":452,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":""},"tags":[],"class_list":["post-5338","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - 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