{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:57:18Z","timestamp":1785412638176,"version":"3.56.0"},"reference-count":26,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T00:00:00Z","timestamp":1761782400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/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":[[2026,1]]},"abstract":"Abstract<\/jats:title>\n \n Objective:<\/jats:title>\n \n To assess preparedness for\n Candida auris<\/jats:italic>\n in Canadian hospitals.\n <\/jats:p>\n <\/jats:sec>\n \n Design:<\/jats:title>\n Cross-sectional survey.<\/jats:p>\n <\/jats:sec>\n \n Setting:<\/jats:title>\n Canadian Nosocomial Infection Surveillance Program (CNISP) hospitals.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n \n In June 2024, surveys were e-mailed to the infection prevention and control departments of 109 CNISP hospitals and their 33 microbiology laboratories. The surveys assessed policies for patient screening\/management and laboratory processes supporting\n C. auris<\/jats:italic>\n transmission prevention. Results were compared to a similar 2018 survey.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n All 109 hospitals and 32\/33 laboratories responded. Most hospitals had policies for admission screening (80%, 87\/109) and policies\/defined plans for post-exposure screening (95%, 104\/109). Policy presence increased from 18% to 73% in 56 hospitals completing both 2018 and 2024 surveys (\n P<\/jats:italic>\n < 0.001). Among hospitals with admission screening policies, 69% (60\/87) screened for recent out-of-country hospitalization. All but one hospital implemented transmission-based precautions for cases; 70% (76\/109) continued precautions indefinitely. Overall, 94% (99\/105; excluding hospitals with exclusively private rooms) and 55% (60\/109) of hospitals screened roommates and wardmates, respectively. Frequency and timing of screening and policies regarding precautions for exposed patients varied. All hospitals used axilla and groin swabs, at minimum, for screening. Most (81%, 26\/32) laboratories identified all clinically significant\n Candida<\/jats:italic>\n isolates to species level, increasing from 48% to 85% (\n P<\/jats:italic>\n < 0.001) in the 27 laboratories completing both 2018 and 2024 surveys. Twenty-four laboratories (75%) had standard operating procedures for processing screening specimens; 96% (23\/24) used direct plating onto chromogenic agar.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n \n Despite progress in\n C. auris<\/jats:italic>\n preparedness, areas for improvement remain. Variability in practice may be related to evidence gaps and resource constraints.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1017\/ice.2025.10228","type":"journal-article","created":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T12:56:26Z","timestamp":1761828986000},"page":"39-45","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["Preparedness for\n Candida auris<\/i>\n in Canadian Nosocomial Infection Surveillance Program (CNISP) hospitals, 2024"],"prefix":"10.1017","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0763-4132","authenticated-orcid":false,"given":"Charlie","family":"Tan","sequence":"first","affiliation":[{"name":"Unity Health Toronto"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4171-9436","authenticated-orcid":false,"given":"Amrita","family":"Bharat","sequence":"additional","affiliation":[{"name":"Public Health Agency of Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2856-3334","authenticated-orcid":false,"given":"Erin","family":"McGill","sequence":"additional","affiliation":[{"name":"Public Health Agency of Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6241-196X","authenticated-orcid":false,"given":"Robyn","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Public Health Agency of Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3249-0721","authenticated-orcid":false,"given":"Olivia","family":"Varsaneux","sequence":"additional","affiliation":[{"name":"Public Health Agency of Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristine","family":"Cannon","sequence":"additional","affiliation":[{"name":"Alberta Health 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Calgary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe J.","family":"Dufresne","sequence":"additional","affiliation":[{"name":"Institut National de Sant\u00e9 Publique du Qu\u00e9bec"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chelsey","family":"Ellis","sequence":"additional","affiliation":[{"name":"The Moncton Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6278-9519","authenticated-orcid":false,"given":"Jennifer","family":"Ellison","sequence":"additional","affiliation":[{"name":"Alberta Health Services"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amna","family":"Faheem","sequence":"additional","affiliation":[{"name":"North York General Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Frenette","sequence":"additional","affiliation":[{"name":"McGill University Health 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Geneva: World Health Organization; 2022."},{"key":"S0899823X25102286_ref15","unstructured":"15. HAI and ARO rates, The Canadian Nosocial Infection Surveillance Program (CNISP): Government of Canada; 2024 [Available from: https:\/\/health-infobase.canada.ca\/cnisp\/hai-aro-rates.html]."},{"key":"S0899823X25102286_ref2","doi-asserted-by":"publisher","DOI":"10.7326\/M22-3469"},{"key":"S0899823X25102286_ref9","unstructured":"9. Guidance for the laboratory investigation, management and infection prevention and control for cases of Candida auris, August 2017, v2.0: Public Health England; 2017 [Available from: https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/637685\/Updated_Candida_auris_Guidance_v2.pdf]."},{"key":"S0899823X25102286_ref13","first-page":"506","article-title":"Canadian nosocomial infection surveillance program: antimicrobial resistance in Canadian hospitals","volume":"48","year":"2022","journal-title":"Can Commun Dis Rep"},{"key":"S0899823X25102286_ref1","doi-asserted-by":"publisher","DOI":"10.3201\/eid2907.230540"},{"key":"S0899823X25102286_ref21","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-016-2890-7"},{"key":"S0899823X25102286_ref11","doi-asserted-by":"publisher","DOI":"10.14745\/ccdr.v43i78a02"},{"key":"S0899823X25102286_ref3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra2402635"},{"key":"S0899823X25102286_ref18","unstructured":"18. 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[Available from: https:\/\/www.qcmd.org\/en\/qcmd_eqa_schemes\/]."},{"key":"S0899823X25102286_ref25","unstructured":"25. 2025 Catalog of Programs: American Proficiency Institute; 2025. 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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 (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article 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"}]}}