Emergence, Transmission, and Containment of Candida auris in the Perioperative Setting.

IF 1.1 4区 医学 Q4 NURSING Aorn Journal Pub Date : 2025-02-01 DOI:10.1002/aorn.14283
Melanie S Curless, Chiquacta A Hodges, Clare Rock
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Abstract

Candida auris is an emerging, multidrug-resistant fungus that poses a threat in health care settings because of its persistence on surfaces and ability to cause severe infections, particularly in immunocompromised patients. First identified in Japan in 2009, C auris has since spread globally, leading to numerous outbreaks. Its unique virulence factors, such as biofilm formation and immune evasion, contribute to its resilience and resistance to eradication. The most vulnerable populations include those with underlying conditions and those undergoing operative or other invasive procedures, highlighting the importance of this topic for perioperative personnel. Effective infection prevention strategies, including strict hand hygiene, environmental cleaning, and the use of appropriate personal protective equipment, are essential to prevent the spread of C auris. Early detection, accurate identification, and prompt isolation of infected patients are critical to mitigating outbreaks. Continued research and education are vital to developing more effective prevention and treatment protocols.

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围手术期耳念珠菌的出现、传播和控制
耳念珠菌是一种新兴的耐多药真菌,由于其在表面的持久性和引起严重感染的能力,特别是在免疫功能低下的患者中,对卫生保健机构构成威胁。auris于2009年首次在日本被发现,此后已在全球传播,导致多次暴发。其独特的毒力因素,如生物膜的形成和免疫逃逸,有助于其恢复力和抵抗根除。最脆弱的人群包括那些有基础疾病的人和那些正在进行手术或其他侵入性手术的人,这突出了这一主题对围手术期人员的重要性。有效的感染预防战略,包括严格的手部卫生、环境清洁和使用适当的个人防护装备,对于预防冠状病毒的传播至关重要。早期发现、准确识别和迅速隔离受感染患者对于缓解疫情至关重要。持续的研究和教育对于制定更有效的预防和治疗方案至关重要。
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来源期刊
Aorn Journal
Aorn Journal Nursing-Medical and Surgical Nursing
CiteScore
1.10
自引率
11.10%
发文量
229
期刊介绍: The AORN Journal provides professional perioperative registered nurses with evidence-based practice information needed to help meet the physiological, behavioral, safety, and health system needs of a diverse patient population. Journal content supports the clinical, research/quality improvement, education, and management strategies related to the nurse''s role in caring for patients before, during, or after operative and other invasive and interventional procedures in ambulatory and inpatient settings.
期刊最新文献
Clinical Issues - March 2026. Mapping Interventions to Promote Safety Culture in the OR: A Scoping Review. Preventing an Unintentionally Retained Foreign Object. Patient Skin Antisepsis. Exploring the Causes of Suture Needle Loss Through Simulation and Finite Element Analysis.
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