Acute Communicable
Disease Control

 
Contact Information
County of Los Angeles
Department of Public Health
Acute Communicable Disease Control
313 N. Figueroa Street, #212
Los Angeles, CA 90012
Phone: (213) 240-7941
Fax: (213) 482-4856
Email:acdc2@ph.lacounty.gov

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Acute Communicable Disease Control
Updates
CDPH Health Advisory: Active Surveillance for Candida auris in Healthcare Facilities (March 2021)

Candida auris (C. auris) is a new, emerging fungus that presents a serious global health threat. This novel multi-drug resistant organism (N-MDRO) has caused several healthcare facility outbreaks in the US and abroad. C. auris is a particular health concern because it: can cause severe, antibiotic-resistant infections; is difficult to identify using traditional yeast identification methods; can survive on healthcare setting surfaces for long periods; and can spread easily to patients in healthcare settings.

On May 7, 2019, LAC DPH released an LAHAN describing the first cases of C. auris in Southern California.

C. auris cases in LA County

LAC DPH currently considers the following populations to be at high risk for C. auris colonization or infection:

  • Persons being admitted from a facility with ongoing C. auris transmission
  • Persons who have recently been discharged from a long-term acute care hospital (LTACH) or subacute unit of a skilled nursing facility (aka ventilator-capable SNFs (vSNFs))
  • High-risk contacts of C. auris confirmed cases (i.e., roommates)
  • Persons on a mechanical ventilator or with presence of tracheostomy
  • Persons who are colonized or infected with an MDRO, especially rare carbapenemase-producing organisms
  • Persons who have had a recent overnight stay in a healthcare facility outside of the United States

Patients/residents meeting any of these criteria should be screened for C. auris colonization.

  • Meticulous attention to infection prevention and control, including:
    • good hand hygiene (either hand washing with soap and water or hand sanitizing with an alcohol-based hand sanitizer);
    • proper selection, use, and disposal of personal protective equipment; and
    • appropriate and effective environmental cleaning and disinfection using an agent effective against C. auris.
  • Healthcare facilities should review all interim recommendations from the CDC regarding C. auris infection prevention and control and should monitor the CDC site for new information and revisions to current recommendations

  • Assistance in determining what types of high-risk patients should be screened for C. auris
  • C. auris colonization swabs and/or testing services for certain high-risk patients
  • Confirmatory C. auris testing for suspect clinical isolates
  • C. auris educational materials
  • Sample C. auris protocols, policies, and/or signage
  • Infection control consultation to help your facility prepare for and/or contain C. auris

How to Report Candida auris

Both presumptive and confirmed C. auris must be reported to LAC DPH within 1 working day. Complete the LAC DPH Candida auris Report Form, attach the final lab result, and fax it to 888-397-3778. Write "Suspect/confirmed C. auris Case Report" on the fax cover sheet.

  • Providers must report both presumptive and confirmed C. auris. Presumptive cases include both suspect (i.e. epidemiologically-linked contacts) as well as presumptive organisms that are misidentified as C. auris (i.e. C. haemulonii). To learn what the presumptive C. auris organisms are based on your facility's lab detection method, please click here.
  • Laboratories must report confirmed C. auris only. Laboratories can also set up reporting via ELR.

All facilities must ensure that C. auris status, whether it be suspect or confirmed, be communicated upon transfer between healthcare facilities. Facilities can use the LAC DPH Interfacility Transfer Form, and should make a phone call to the receiving facility to confirm the information was received. C. auris is considered to be an emerging pathogen in LAC, so collaboration and communication will be vital in slowing regional spread.

Candida auris Prevention Project

In 2020, LAC DPH identified a sudden increase in C. auris cases among LAC healthcare facilities. In response, the C. auris Prevention Project was initiated to detect C. auris and strengthen infection control practices as to prevent future spread.

The sites below have collaborated with LAC DPH, CDPH, and CDC in slowing the spread of C. auris in LAC.

Participating sites

  • Affinity Healthcare Center
  • Barlow Respiratory Hospital
  • Beachwood Post-Acute and Rehab
  • California Healthcare & Rehabilitation Center
  • Colonial Care Center
  • Country Oaks Care Center
  • Country Villa Sheraton
  • Eastland (Alliance) Nursing and Rehabilitation Center
  • Gladstone Care and Rehabilitation Center
  • Golden Legacy Care Center
  • Imperial Crest Healthcare Center
  • Kindred Hospital Baldwin Park
  • Kindred Hospital – La Mirada
  • Kindred Hospital – Los Angeles
  • Kindred Hospital Paramount
  • Kindred Hospital – San Gabriel Valley
  • Kindred Hospital – South Bay
  • Marina Pointe Healthcare & Subacute
  • Monrovia Memorial Hospital
  • Mountain View Convalescent
  • Park Avenue Healthcare & Wellness Center
  • Parkwest Healthcare Center
  • Rio Hondo Subacute and Nursing Center
  • Sunray Healthcare Center
  • Sunset Manor Convalescent Hospital
  • The Ellison John Transitional Care Center
  • Western Convalescent Hospital
  • Windsor Terrace Healthcare Center

Healthcare Outreach

About the Healthcare Outreach Unit
For questions or comments, contact:
HAI@ph.lacounty.gov