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Several countries and institutions are working on establishing guidelines and recommendations for prevention. This review aims to assess the evidence on factors associated with <jats:styled-content style=\"fixed-case\"><jats:italic>C. auris<\/jats:italic><\/jats:styled-content> colonisation or infection, the duration of such colonisation, possible colonisation sites, and the risk of secondary cases to inform screening recommendations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We systematically searched five databases for primary studies and systematic reviews of our four outcomes. We excluded studies on treatment, management, laboratory methods, drug resistance, and environmental screening. From each paper, we extracted relevant data and summarised them in tables. Main findings were described narratively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>We selected 117 studies for inclusion. Most of the studies were observational studies. Without taking the method of testing into account, the duration of <jats:styled-content style=\"fixed-case\"><jats:italic>C. auris<\/jats:italic><\/jats:styled-content> colonisation varied, with up to and beyond a year being common. The predominant sites of colonisation were the axillae and groin, with the nares and rectum being less common sites. The risk of secondary cases saw considerable variation across the studies, and the secondary cases primarily involved patients and not healthcare workers. Critical care settings, invasive medical devices, recent antimicrobial use, and comorbidities were often associated with <jats:styled-content style=\"fixed-case\"><jats:italic>C. auris<\/jats:italic><\/jats:styled-content> colonisation and infection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our review highlights that, despite relevant findings on factors influencing <jats:styled-content style=\"fixed-case\"><jats:italic>C. auris<\/jats:italic><\/jats:styled-content> colonisation and infection, substantial gaps remain in the evidence supporting screening practices. Most studies were conducted reactively, in outbreak settings, and lack systematic protocols. Given these limitations, screening guidelines are likely to be more successful if grounded in medical theory and yeast microbiology rather than relying solely on current studies. Rigorous, well\u2010designed research is urgently needed to inform future <jats:styled-content style=\"fixed-case\"><jats:italic>C. auris<\/jats:italic><\/jats:styled-content> screening and control efforts.<\/jats:p><\/jats:sec>","DOI":"10.1111\/myc.70043","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T12:39:16Z","timestamp":1741783156000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Key Factors to Consider for <scp><i>Candida auris<\/i><\/scp> Screening in Healthcare Settings: A Systematic Review"],"prefix":"10.1111","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2006-2260","authenticated-orcid":false,"given":"Anders Skyrud","family":"Danielsen","sequence":"first","affiliation":[{"name":"Department of Infection Control and Preparedness Norwegian Institute of Public Health  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-5336-9015","authenticated-orcid":false,"given":"Liz Ertzeid","family":"\u00d8deskaug","sequence":"additional","affiliation":[{"name":"Department of Infection Control and Preparedness Norwegian Institute of Public Health  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ragnhild","family":"Raastad","sequence":"additional","affiliation":[{"name":"Department of Infection Control and Preparedness Norwegian Institute of Public Health  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Kjerulf","sequence":"additional","affiliation":[{"name":"Department of Infectious Disease Epidemiology &amp; Prevention Statens Serum Institut  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne\u2010Marie","family":"Andersen","sequence":"additional","affiliation":[{"name":"Department of Infectious Disease Epidemiology &amp; Prevention Statens Serum Institut  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ragnhild Agathe","family":"Tornes","sequence":"additional","affiliation":[{"name":"Library for the Healthcare Administration Norwegian Institute of Public Health  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan P. 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