{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:18:03Z","timestamp":1787015883305,"version":"build-2736575974"},"reference-count":35,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T00:00:00Z","timestamp":1771027200000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100005564","name":"Gilead Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005564","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Mycoses"],"published-print":{"date-parts":[[2026,2]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n \n Current international guidelines lack clear recommendations on the management of non\u2010colonised patients undergoing intra\u2010hospital transfer from the ward in which horizontal transmission of\n Candida auris<\/jats:italic>\n is known to occur (defined as endemic for\n Candida auris<\/jats:italic>\n ) to wards with no horizontal transmission detected (defined as non\u2010endemic wards), particularly regarding the timing and number of screening swabs needed to exclude colonisation.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Single\u2010center prospective observational study at a tertiary\u2010care hospital in Genoa, Italy, including adults transferred from the\n \n C. auris<\/jats:italic>\n <\/jats:styled-content>\n endemic\u2010ICU (eICU) to non\u2010endemic wards between January and December 2024. Patients who tested negative for\n \n C. auris<\/jats:italic>\n <\/jats:styled-content>\n colonisation both at eICU admission and at transfer, and who had \u2265\u20091 screening swab performed post\u2010transfer, were included. Swabs (bilateral axilla\/groin) were performed on Days 0\u20131, 2\u20133 after transfer, and then weekly, and tested for\n \n C. auris<\/jats:italic>\n <\/jats:styled-content>\n with real\u2010time PCR. Patients were considered sufficiently screened to exclude colonisation if they underwent \u2265\u20092 swabs within the first 4\u2009weeks after transfer.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Among 462 patients transferred from the eICU, 440 (95.2%) were non\u2010colonised. Among them, 275 (62.5%) met inclusion criteria, and 208 (75.6%) were considered sufficiently screened.\n \n C. auris<\/jats:italic>\n <\/jats:styled-content>\n colonisation was detected in 34\/208 (16.3%) patients, with 21 (61.8%) positive in the first post\u2010transfer swab. Among 99 patients who had a negative result of a swab performed within 1 day before transfer, 7 (7.1%) resulted later positive.\n \n C. auris<\/jats:italic>\n <\/jats:styled-content>\n candidemia occurred in 4\/34 (11.8%) patients with colonisation detected post\u2010transfer, compared to 1\/35 (2.9%) patients found colonised during eICU stay, and none occurred in non\u2010colonised individuals.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n A single negative screening test at eICU discharge is insufficient to exclude colonisation, even if performed within 24\u2009h from transfer. Repeated screening, ideally within the first 2\u2009weeks post\u2010transfer, is essential to detect colonisation and prevent further\n \n C. auris<\/jats:italic>\n <\/jats:styled-content>\n transmission.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/myc.70138","type":"journal-article","created":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T10:01:46Z","timestamp":1771063306000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Testing to Detect\n Candida auris<\/i>\n Colonisation After Intrahospital Transfer From an Endemic Area, a Prospective Observational Study"],"prefix":"10.1111","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5873-0856","authenticated-orcid":false,"given":"Laura","family":"Mezzogori","sequence":"first","affiliation":[{"name":"Department of Health Sciences University of Genoa Genoa Italy"},{"name":"Infectious Diseases Unit, IRCCS Ospedale Policlinico San Martino Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Bavastro","sequence":"additional","affiliation":[{"name":"Department of Health Sciences University of Genoa Genoa Italy"},{"name":"Infectious Diseases Unit, IRCCS Ospedale Policlinico San Martino Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Magnasco","sequence":"additional","affiliation":[{"name":"Infectious Diseases Unit, IRCCS Ospedale Policlinico San Martino Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federica","family":"Centorrino","sequence":"additional","affiliation":[{"name":"Infectious Diseases Unit, IRCCS Ospedale Policlinico San Martino Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo","family":"Schiavoni","sequence":"additional","affiliation":[{"name":"Department of Health Sciences University of Genoa Genoa Italy"},{"name":"Infectious Diseases Unit, IRCCS Ospedale Policlinico San Martino Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federica","family":"Portunato","sequence":"additional","affiliation":[{"name":"Infectious Diseases Unit, IRCCS Ospedale Policlinico San Martino Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniele Roberto","family":"Giacobbe","sequence":"additional","affiliation":[{"name":"Department of Health Sciences University of Genoa Genoa Italy"},{"name":"Infectious Diseases Unit, IRCCS Ospedale Policlinico San Martino Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Vena","sequence":"additional","affiliation":[{"name":"Department of Health Sciences University of Genoa Genoa Italy"},{"name":"Infectious Diseases Unit, IRCCS Ospedale Policlinico San Martino Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincenzo","family":"Di Pilato","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences and Integrated Diagnostics (DISC) University of Genoa Genoa Italy"},{"name":"IRCCS Ospedale Policlinico San Martino, Microbiology Unit Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramona","family":"Barbieri","sequence":"additional","affiliation":[{"name":"IRCCS Ospedale Policlinico San Martino, Microbiology Unit Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Orsi","sequence":"additional","affiliation":[{"name":"Department of Health Sciences University of Genoa Genoa Italy"},{"name":"IRCCS Ospedale Policlinico San Martino, Hygiene Unit Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giancarlo","family":"Icardi","sequence":"additional","affiliation":[{"name":"Department of Health Sciences University of Genoa Genoa Italy"},{"name":"IRCCS Ospedale Policlinico San Martino, Hygiene Unit Genoa 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