Multiple patients colonized or infected with
have been identified in Orange County. This cluster of cases is the first identified in Southern California.
is an emerging yeast that is multidrug resistant, can cause serious invasive infections and has a propensity to spread in healthcare settings. Patients at highest risk are those who have been hospitalized long-term, are ventilated, have a tracheostomy, have an indwelling intravenous catheter, and/or have received multiple rounds of antibiotics.
Early detection of
and rigorous adherence to infection control measures is essential for containing its spread in healthcare facilities.
Outbreaks have occurred in several states, primarily in the eastern half of the country. In communities experiencing
outbreaks, colonization rates have consistently been highest in residents of adult long term acute care hospitals (LTACs) and skilled nursing facilities that provide ventilator care (vSNFs). Colonization has been identified in residents of skilled nursing facilities that do not provide ventilator care, but rates of colonization and illness are much lower in these settings.
Point prevalence surveys, with testing of all residents of a facility, have been completed in all LTACs and vSNFs in Orange County. Multiple LTACs and vSNFs were found to have patients who are
colonized; over 60 colonized patients have been identified thus far. Several facilities had no colonized patients identified, and some facilities who initially had colonized patients identified have instituted effective infection control measures and no longer have evidence of ongoing spread of
OCHCA is working with all facilities with potential ongoing spread of
to assure that receiving facilities are informed of the situation when patients are transferred. Transmission can occur in a variety of healthcare settings, and appropriate infection control measures should be taken by in all settings.