{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T12:58:18Z","timestamp":1785416298309,"version":"3.56.0"},"reference-count":14,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T00:00:00Z","timestamp":1762819200000},"content-version":"unspecified","delay-in-days":314,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ASHE"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S2732494X25102040_as1\">\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>\n                      To evaluate the potential sources and current screening strategies for the multidrug-resistant fungal pathogen\n                      <jats:italic>Candida auris<\/jats:italic>\n                      in the US Military Health System (MHS).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2732494X25102040_as2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Utilizing the Multidrug-Resistant Organism Repository and Surveillance Network (MRSN), 6 instances of\n                      <jats:italic>C. auris<\/jats:italic>\n                      colonization or infection were identified within the MHS in 2024. Relevant medical and social history, drug susceptibilities, and next-generation genetic sequencing were obtained from MRSN and the electronic medical record. Hospital screening protocols for\n                      <jats:italic>C. auris<\/jats:italic>\n                      were reviewed in the affected facilities.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2732494X25102040_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      One case of\n                      <jats:italic>C. auris<\/jats:italic>\n                      infection and 5 cases of\n                      <jats:italic>C. auris<\/jats:italic>\n                      colonization in 2024 were identified in the MHS. Only 1 case of colonization was likely related to international travel; 5 patients had no recent travel history before infection or colonization. One patient was an active duty service member. Prior hospitalizations and infections were the most common risk factors present in each case. Two isolates had antimicrobial susceptibilities analyzed, both of which suggested resistance to fluconazole. Two of the 3 facilities had\n                      <jats:italic>C. auris<\/jats:italic>\n                      screening protocols in place to screen select individuals with risk factors; however, only 1 of the 6 cases presented was identified through these screening protocols. No cases of nosocomial transmission were found.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2732494X25102040_as4\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\n                      <jats:italic>C. auris<\/jats:italic>\n                      remains a formidable threat to the MHS, with 6 cases identified in 3 treatment facilities, with 2 isolates demonstrating resistance to azoles. Screening protocols should reflect the domestic and international threats of this pathogen.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/ash.2025.10204","type":"journal-article","created":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T09:34:19Z","timestamp":1762853659000},"source":"Crossref","is-referenced-by-count":0,"title":["<i>Candida auris<\/i>\n                    surveillance in the Military Health System: a multidrug-resistant threat"],"prefix":"10.1017","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7772-6841","authenticated-orcid":false,"given":"J. Joseph","family":"Brough","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/025cem651","id-type":"ROR","asserted-by":"publisher"}],"name":"Walter Reed National Military Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graham C.","family":"Ellis","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/025cem651","id-type":"ROR","asserted-by":"publisher"}],"name":"Walter Reed National Military Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5598-1251","authenticated-orcid":false,"given":"Sara L.","family":"Robinson","sequence":"additional","affiliation":[{"name":"Naval Health Research Center San Diego"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1726-1699","authenticated-orcid":false,"given":"John L.","family":"Kiley","sequence":"additional","affiliation":[{"name":"Brooke Army Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David D.","family":"Blaney","sequence":"additional","affiliation":[{"name":"HQ U.S. Africa Command"},{"name":"Centers for Disease Control and Prevention"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Dressner","sequence":"additional","affiliation":[{"name":"HQ U.S. Africa Command"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5462-5944","authenticated-orcid":false,"given":"Jason","family":"Stam","sequence":"additional","affiliation":[{"name":"Multidrug-Resistant Organism Repository and Surveillance Network"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie","family":"Myers","sequence":"additional","affiliation":[{"name":"Multidrug-Resistant Organism Repository and Surveillance Network"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ethan","family":"Green","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/025cem651","id-type":"ROR","asserted-by":"publisher"}],"name":"Walter Reed National Military Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Wagner","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/025cem651","id-type":"ROR","asserted-by":"publisher"}],"name":"Walter Reed National Military Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Andrews","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/025cem651","id-type":"ROR","asserted-by":"publisher"}],"name":"Walter Reed National Military Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Krauth","sequence":"additional","affiliation":[{"name":"Naval Medical Center San Diego"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dianne","family":"Frankel","sequence":"additional","affiliation":[{"name":"HQ U.S. Africa Command"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,11,11]]},"reference":[{"key":"S2732494X25102040_ref6","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciad752"},{"key":"S2732494X25102040_ref3","doi-asserted-by":"publisher","DOI":"10.3390\/jof9090913"},{"key":"S2732494X25102040_ref2","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.01588-17"},{"key":"S2732494X25102040_ref9","unstructured":"9. Screening for Candida auris colonization in healthcare facilities. Published online 2024. Accessed October 20, 2024, \u223c:text=auris., For%20C.,Network%20(AR%20Lab%20Network. https:\/\/www.cdc.gov\/candida-auris\/hcp\/screening-hcp\/index.html#:"},{"key":"S2732494X25102040_ref10","doi-asserted-by":"publisher","DOI":"10.3201\/eid2704.204361"},{"key":"S2732494X25102040_ref11","doi-asserted-by":"publisher","DOI":"10.7326\/M22-3469"},{"key":"S2732494X25102040_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanepe.2025.101325"},{"key":"S2732494X25102040_ref12","doi-asserted-by":"publisher","DOI":"10.1128\/mBio.03364-19"},{"key":"S2732494X25102040_ref7","unstructured":"7. Antibiotic resistance threats in the United States. 2021\u20132022. Published online 2024. Accessed November 20, 2024. https:\/\/www.cdc.gov\/antimicrobial-resistance\/data-research\/threats\/update-2022.html"},{"key":"S2732494X25102040_ref14","unstructured":"14. Antifungal susceptibility testing for C. auris. Published online 2024. Accessed February 21, 2025. https:\/\/www.cdc.gov\/candida-auris\/hcp\/laboratories\/antifungal-susceptibility-testing.html"},{"key":"S2732494X25102040_ref5","unstructured":"5. Centers for Disease Control and Prevention Tracking Candida auris . 2024. Accessed September 8, 2025. https:\/\/www.cdc.gov\/candida-auris\/tracking-c-auris\/index.html"},{"key":"S2732494X25102040_ref1","doi-asserted-by":"publisher","DOI":"10.3767\/persoonia.2024.52.02"},{"key":"S2732494X25102040_ref4","doi-asserted-by":"publisher","DOI":"10.1186\/s40560-018-0342-4"},{"key":"S2732494X25102040_ref13","first-page":"S52","article-title":"Multidrug-resistant bacterial colonization of combat-injured personnel at admission to medical centers after evacuation from Afghanistan and Iraq","volume":"71","author":"Hospenthal","year":"2011","journal-title":"J Trauma Inj Infect Crit Care"}],"container-title":["Antimicrobial Stewardship &amp; Healthcare Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2732494X25102040","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T09:34:22Z","timestamp":1762853662000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2732494X25102040\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":14,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025]]}},"alternative-id":["S2732494X25102040"],"URL":"https:\/\/doi.org\/10.1017\/ash.2025.10204","relation":{},"ISSN":["2732-494X"],"issn-type":[{"value":"2732-494X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e300"}}