A cluster of Candida auris at a Nevada health care facility in 2022 was likely caused by unsanitized mobile medical equipment shared between adult and pediatric patients.

The first pediatric cluster of Candida auris (C. auris) has been reported in the United States due to poorly cleaned medical equipment, according to a recent study. C. auris is a deadly fungus that can cause serious infections, especially in children with weakened immune systems. This new research highlights the importance of proper cleaning and disinfecting techniques in healthcare facilities to prevent the spread of this dangerous fungus. In this article, we will explore the findings of the study and discuss the implications for healthcare professionals and the general public.


According to an investigation presented at the Society for Healthcare Epidemiology of America Spring Meeting, the first cluster of Candida auris cases among pediatric patients in the US occurred in a healthcare facility in Nevada in May 2022. The cluster involved three children and was likely caused by shared mobile medical equipment that was not properly sanitized after being used for adult patients. C. auris is a drug-resistant fungus that has been increasing in prevalence since the start of the pandemic. The investigation involved reviewing medical charts and observing practices by healthcare professionals and environmental services personnel to identify opportunities for transmission of C. auris to the pediatric patients. Environmental sampling was also done from high-touch areas and mobile medical equipment to see if contaminated surfaces contributed to C. auris transmission. Using 32 environmental samples, investigators discovered a lapse in cleaning and disinfecting mobile medical equipment and environmental surfaces. All three pediatric patients included in the study were born with congenital heart defects and were aged younger than 6 months when they developed C. auris bloodstream infections. The outbreak serves as a warning to other acute-care hospitals that serve both adult and pediatric patients that pediatric patients are also at risk of contracting C. auris. Facilities need to take swift action if they detect cases and strengthen their infection prevention and control practices to minimize the risk of introduction to this population. Furthermore, further studies documenting colonization patterns and trends, and skin microbiome studies may fill in some information gaps regarding the duration of colonization.


In conclusion, the recent outbreak of C. auris in a pediatric unit in the United States highlights the importance of properly cleaning and disinfecting medical equipment. Health care providers play a crucial role in preventing the spread of dangerous infections, and their diligence in adhering to protocol cannot be understated. As we move forward and continue to grapple with evolving threats to public health, it is imperative that we remain vigilant in our efforts to maintain a safe and sanitary environment for patients, staff, and visitors alike. By working together and taking the necessary precautions, we can help prevent future outbreaks and ensure the best possible outcomes for all those affected.