{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T04:30:53Z","timestamp":1791606653045,"version":"4.3.4"},"reference-count":9,"publisher":"Cambridge University Press (CUP)","issue":"11","license":[{"start":{"date-parts":[[2021,2,9]],"date-time":"2021-02-09T00:00:00Z","timestamp":1612828800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0899823X2100012X_as1\"><jats:title>Objective:<\/jats:title><jats:p><jats:italic>Candida auris<\/jats:italic> infections continue to occur across the United States and abroad, and healthcare facilities that care for vulnerable populations must improve their readiness to respond to this emerging organism. We aimed to identify and better understand challenges faced and lessons learned by those healthcare facilities who have experienced <jats:italic>C. auris<\/jats:italic> cases and outbreaks to better prepare those who have yet to experience or respond to this pathogen.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X2100012X_as2\"><jats:title>Design:<\/jats:title><jats:p>Semi-structured qualitative interviews.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X2100012X_as3\"><jats:title>Setting:<\/jats:title><jats:p>Health departments, long-term care facilities, acute-care hospitals, and healthcare organizations in New York, Illinois, and California.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X2100012X_as4\"><jats:title>Participants:<\/jats:title><jats:p>Infectious disease physicians and nurses, clinical and environmental services, hospital leadership, hospital epidemiology, infection preventionists, emergency management, and laboratory scientists who had experiences either preparing for or responding to <jats:italic>C. auris<\/jats:italic> cases or outbreaks.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X2100012X_as5\"><jats:title>Methods:<\/jats:title><jats:p>In total, 25 interviews were conducted with 84 participants. Interviews were coded using NVivo qualitative coding software by 2 separate researchers. Emergent themes were then iteratively discussed among the research team.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X2100012X_as6\"><jats:title>Results:<\/jats:title><jats:p>Key themes included surveillance and laboratory capacity, inter- and intrafacility communication, infection prevention and control, environmental cleaning and disinfection, clinical management of cases, and media concerns and stigma.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X2100012X_as7\"><jats:title>Conclusions:<\/jats:title><jats:p>Many of the operational challenges noted in this research are not unique to <jats:italic>C. auris<\/jats:italic>, and the ways in which we address future outbreaks should be informed by previous experiences and lessons learned, including the recent outbreaks of <jats:italic>C. auris<\/jats:italic> in the United States.<\/jats:p><\/jats:sec>","DOI":"10.1017\/ice.2021.12","type":"journal-article","created":{"date-parts":[[2021,2,9]],"date-time":"2021-02-09T08:35:10Z","timestamp":1612859710000},"page":"1301-1306","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":10,"title":["Preparedness and response to an emerging health threat\u2014Lessons learned from <i>Candida auris<\/i> outbreaks in the United States"],"prefix":"10.1017","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4467-9169","authenticated-orcid":false,"given":"Diane","family":"Meyer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena K.","family":"Martin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syra","family":"Madad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priya","family":"Dhagat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer B.","family":"Nuzzo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2021,2,9]]},"reference":[{"key":"S0899823X2100012X_ref9","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00029-17"},{"key":"S0899823X2100012X_ref1","unstructured":"1. General information about Candida auris. US Centers for Disease Control and Prevention website. https:\/\/www.cdc.gov\/fungal\/candida-auris\/candida-auris-qanda.html. Published 2019. Accessed December 22, 2020."},{"key":"S0899823X2100012X_ref6","unstructured":"6. New York City invests hospital preparedness program funds to protect residents in long-term care facilities. Association of State and Territorial Health Officials website. https:\/\/www.astho.org\/Preparedness\/Documents\/NYC-Invests-Hospital-Preparedness-Program-Funds-to-Protect-Residents-in-Long%E2%80%90Term-Care-Facilities\/. Published 2018. Accessed July 15, 2020."},{"key":"S0899823X2100012X_ref7","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0006479"},{"key":"S0899823X2100012X_ref3","unstructured":"3. Tracking Candida auris. US Centers for Disease Control and Prevention website. https:\/\/www.cdc.gov\/fungal\/candida-auris\/tracking-c-auris.html. Published 2020. Accessed December 22, 2020."},{"key":"S0899823X2100012X_ref2","unstructured":"2. First cases of Candida auris reported in the United States. US Centers for Disease Control and Prevention website. https:\/\/www.cdc.gov\/media\/releases\/2016\/p1104-candida-auris.html. Published 2016. Accessed July 15, 2020."},{"key":"S0899823X2100012X_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2015.10.017"},{"key":"S0899823X2100012X_ref8","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cix744"},{"key":"S0899823X2100012X_ref4","doi-asserted-by":"publisher","DOI":"10.1086\/368197"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X2100012X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,11,12]],"date-time":"2021-11-12T13:52:02Z","timestamp":1636725122000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X2100012X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,9]]},"references-count":9,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["S0899823X2100012X"],"URL":"https:\/\/doi.org\/10.1017\/ice.2021.12","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,9]]},"assertion":[{"value":"\u00a9 The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}