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CDC Discusses Candida auris: Doing Nothing or Not Enough

Danielle A. Rankin, PhD, MPH: If we do nothing, it's likely C auris will continue to spread throughout our health care facilities and may become endemic, allowing C auris to become an even greater risk to our patient populations. And in addition, we could also see the increasing level of resistance among C auris isolates.

Megan Lyman, MD: Just on resistance, only 3 main antifungal drug classes can be used for invasive Candida infections, including C auris. There was also an increase in a Candida-resistant cases that we've detected and [had] evidence of transmission, which is particularly concerning because it is our first line therapy for invasive Candida infections, including C auris.

ICT: What other pathogens lurking in the background that we need to worry about?

ML: There are many fungal pathogens; it's a whole kingdom. There are many changes, and we have seen more emerging fungal pathogens increasing resistance; C auris is a great example. We're continuing to monitor that. But there are some things going on, including climate change that may be selecting for some of these emerging pathogens to start popping up now. And things like antifungal and antimicrobial use are increasing and changing, and that's selecting for more resistant, emerging pathogens.

https://www.infectioncontroltoday.com/view/cdc-discusses-candida-auris-what-if-we-do-nothing-not-enough