The California Department of Public Health (CDPH) and local public health partners are alerting healthcare providers of the emergence of epidemiologically-linked Candida auris (C. auris) cases associated with acute care hospital (ACH), skilled nursing facility (SNF), and outpatient settings in Sacramento and Stanislaus counties since September 2022. Additionally, at the end of January 2023, CDPH was alerted to a case in Contra Costa county associated with an ACH and long-term care setting. These were the first reported C. auris cases in each county, and the patients had no known exposures in healthcare facilities outside of Northern California. These findings suggest there is more transmission in the region than has been identified to date. This notification includes an update to a previous recommendation to screen patients from SNF ventilator units in jurisdictions with known C. auris transmission to now screen patients from SNF ventilator units regardless of geographic location. Recommendations for proactive screening in high-risk facilities are also added.

Please see the full health advisory.