How to manage Candida auris infection in elderly people?

Question

Hello Doctor,

My 76-year-old mother was recently transferred to a skilled nursing facility after her hip replacement surgery, and they have isolated her due to a Candida auris infection. The staff is wearing extra protective gear when entering her room, and we are required to gown up completely for visits. They have been vague, simply saying it is a “resistant fungal infection” she likely picked up during her hospital stay. My mother already has diabetes and heart issues, and I am terrified after reading that this infection can be fatal. How serious is Candida auris? What treatments are effective? Is the infection contagious to our family? The facility seems understaffed, and I am concerned they may not be equipped to handle this infection. Should we consider transferring her to a facility with infectious disease specialists? Please help us understand what we are facing.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Candida auris is a serious, drug-resistant fungal infection that can be difficult to treat, especially in people who have weakened immune systems or underlying health conditions, like your mom's diabetes and heart issues. It can cause bloodstream infections and is often picked up in healthcare settings, like hospitals or nursing homes.

This infection can be dangerous, but with the right treatment, it can be controlled. Your mom must be receiving antifungal medications, such as Echinocandins, which are commonly used to treat Candida auris. However, since this infection is resistant to some antifungals, doctors may need to adjust the treatment based on the specific strain.

In terms of spreading, Candida auris can be contagious, especially in healthcare settings. It spreads through contact with surfaces or equipment that have been contaminated, which is why the extra protective measures and isolation are in place. As long as visitors follow the protective measures, like wearing gowns, gloves, and masks, the risk of catching it is minimal.

As for transferring her, a facility with an experienced infectious disease team could help, but many skilled nursing facilities are equipped to handle Candida auris with the right protocols in place. If you have concerns about the facility’s ability to manage the infection, it might be worth discussing with her doctor to see if a hospital with more specialized care might be a better option for her.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.