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hospital-grade disinfectants effective against Clostridium difficile spores (primarily chlorine-based products).8 Our data demonstrate that several other commonly used surface disinfectants (ie, a phe- nolic, 1.4% improved hydrogen peroxide, and alcohol-quaternary ammonium compounds) are as effective against C. auris as chlo- rine-based products. Other infection prevention strategies to mini- mize the contribution of the environment to C. auris transmission are “no-touch” room decontamination technologies10 and improved thoroughness of cleaning/disinfecting environmental surfaces using thoroughness indicators (eg, fluorescent markers). Further studies are needed to evaluate other test surfaces (eg, polymer) and to identify infection prevention strategies that prevent contaminated surfaces from being a source of acquisition by patients of this globally emerging pathogen.


Acknowledgements. None. Financial support. This study was supported by UNC Health Care.


Conflicts of interest. Dr Rutala is a consultant for PDI and Advanced Sterilization Products. Dr Weber is a consultant for PDI. The other authors report no conflicts of interest relevant to this article.


References —


1. Vallabhaneni S, Kallen A, Tsay S, et al. Investigation of the first seven reported cases of Candida auris, a globally emerging invasive, multidrug- resistant fungus


United States, May 2013–August 2016. Morb Mortal Wkly Rep 2016;65:1234–1237.


William A. Rutala et al


2. Schelenz S, Hagen F, Rhodes JL, et al. First hospital outbreak of the globally emerging Candida auris in a European hospital. Antimicrob Resist Infect Control 2016;5:35.


3. Biswal M, Rudramurthy SM, Jain N, et al. Controlling a possible outbreak of Candida auris infection: lessons learnt from multiple interventions. J Hosp Infect 2017;97:363–370.


4. Cadnum JC, Shaikh AA, Piedrahita CT, et al. Effectiveness of disinfectants against Candida auris and other Candida species. Infect Control Hosp Epidemiol 2017;38:1240–3.


5. Piedrahita CT, Cadnum JC, Jencson AL, Shaikh AA, Ghannoum MA, Donskey CJ. Environmental surfaces in healthcare facilities are a potential source for transmission of Candida auris and other Candida species. Infect Control Hosp Epidemiol 2017;38:1107–1109.


6. Sattar SA, Springthorpe VS, Adegbunrin O, Zafer AA, Busa M.Adisc-based quantitative carrier test method to assess the virucidal activity of chemical germicides. J Virol Methods 2003;112:3–12.


7. Rutala WA, Peacock JE, Gergen MF, Sobsey MD, Weber DJ. Efficacy of hospital germicides against adenovirus 8, a common cause of epidemic ker- atoconjunctivitis in health care facilities. Antimicrob Agents Chemother 2006;50:1419–1424.


8. Recommendations for infection prevention and control for Candida auris. Centers for Disease Control and Prevention website. https://www.cdc.gov/ fungal/candida-auris/c-auris-infection-control.html. Updated 2018. Accessed September 26, 2018.


9. Kanamori H, Rutala WA, Weber DJ, Gergen MF, Sickbert-Bennett EE, Weber DJ. Germicidal activity against carbapenem/colistin resistant Enterobacteriaceae using a quantitative carrier test method. Antimicrob Agents Chemother 2018;62:e00318–18. doi: 10.1128/AAC.00318-18.


10. Cadnum JL, Shaikh AA, Piedrahita CT, et al. Relative resistance of the emerging fungal pathogen Candida auris and other Candida species to kill- ing by ultraviolet light. Infect Control Hosp Epidemiol 2018;39:94–96.


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