Candida auris infections have emerged globally as public health threat in recent years, posing a particular risk in health care settings for people who already have serious medical problems.
complications as it spreads into the body's systems. Many cases have affected patients in hospitals and nursing homes.
"We have tremendous protection against environmental fungi because of our temperature. However, if the world is getting warmer and the fungi begin to adapt to higher temperatures as well, some ... are going to reach what I call the temperature barrier," Casadevall said, referring to the way mammals' warm body temperatures historically protected them.
"It's a potentially multidrug resistant pathogen with the ability to spread very efficiently in health care settings," he said."We've never had a pathogen like this in the fungal infection area." Ostrotsky has treated about 10 patients with the fungal infection but has consulted on many more. He said he has seen it spread through an entire ICU in two weeks.
"There are also a lot of questions about there being increased contact with humans and intrusion of humans into nature, and there have been a lot of changes in the environment, and the use of fungi in agriculture," she said."These things may have allowed Candida auris to escape into a new environment or broaden its niche."
But Ostrosky notes this misses about half the cases."Our gold standard is a little bit better than flipping a coin," he said, adding there is a newer technology that improves bloodstream detection but it's expensive and not widely available in hospitals.
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