How susceptible are healthcare workers to Candida auris?

Question

Hello Doctor,

I am a 34-year-old registered nurse, currently 28 weeks pregnant, working in a long-term care unit where two patients have tested positive for Candida auris colonization. Although I am asymptomatic, I am feeling increasingly anxious, especially because my duties include dressing changes, and several patients have tracheostomies. How likely is transmission of Candida auris to healthy healthcare workers through skin contact or routine patient care? Does pregnancy increase my susceptibility to fungal infections due to changes in the immune system? Given my pregnancy, would it be advisable to request a temporary reassignment or enhanced protective measures in my current role?

Please help.

Answer 1

Hello

Welcome to icliniq.com

I understand your concern.

Candida auris can be transmitted through direct contact with contaminated surfaces or colonized skin. Although healthy healthcare workers are generally at lower risk, tasks such as dressing changes or handling tracheostomy care increase the likelihood of exposure, particularly due to contact with bodily fluids. Since C. auris is resistant to many antifungal treatments, strict adherence to infection control protocols is essential. Pregnancy can alter immune function slightly, potentially increasing susceptibility to infections, although the main concern with C. auris is direct exposure rather than immune status alone. As a pregnant healthcare worker, it is important to follow all recommended precautions, including the use of personal protective equipment (gloves, gowns, and masks), practicing consistent hand hygiene, and ensuring proper disinfection of surfaces and equipment. Suppose there are ongoing concerns about exposure risk. In that case, it is appropriate to discuss the possibility of a temporary reassignment or additional protective measures with your employer, occupational health team, and obstetric care provider.

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

Thank you.