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Candida auris
Candida auris (or C. auris) is a fungus that is causing serious infections in patients in the United States, including New Jersey. C. auris is primarily found in healthcare settings, particularly in long-term acute care hospitals and nursing homes that take care of patients on ventilators. Patients can carry C. auris on their body, even if it is not making them sick. This is called colonization. When people in hospitals and nursing homes are colonized, C. auris can spread from their bodies and can get on other people or nearby objects, allowing the fungus to spread to people around them. In some patients, this fungus can enter the bloodstream and spread throughout the body, causing serious invasive infections. This fungus often does not respond to commonly used antifungal drugs, making infections difficult to treat.
The New Jersey Department of Health responds to all reports of C. auris in New Jersey and supports prevention efforts through surveillance testing and infection prevention recommendations. If C. auris is suspected or identified, contact your local health department and the NJDOH Communicable Disease Service at (609) 826-5964.
Candida auris Case Definition and Subtypes
Candida auris clinical case: Person with confirmatory laboratory evidence from a clinical specimen collected for the purpose of diagnosing or treating disease in the normal course of care.*
- A clinical case is only counted once, even if the patient later tests positive for C. auris as a screening case. This is because all clinical cases are already considered to be colonized with C. auris. For example, a newly identified clinical C. auris case who subsequently has a positive screening swab would not be also counted as a screening case.
*This includes specimens from sites reflecting invasive infection (e.g., blood, cerebrospinal fluid) and specimens from non-invasive sites such as wounds, urine, and the respiratory tract, where presence of C. auris may simply represent colonization and not true infection. This does not include swabs collected for screening purposes (see Candida auris screening case).
Candida auris screening case: Person with confirmatory laboratory evidence from a swab collected for the purpose of screening for C. auris colonization regardless of site swabbed.**
- For screening cases, patients are counted only once as a screening case; a patient is not counted as a screening case if the patient has been previously identified as a clinical or screening case. A person with a screening case can be later categorized as a clinical case (e.g., patient with positive screening swab who later develops bloodstream infection would be counted in both categories).
**Typical screening specimen sites are skin (e.g., axilla, groin), nares, rectum, or other external body sites. Swabs collected from wound or draining ear as part of clinical care are considered clinical specimens.**
**Because it can be difficult to differentiate screening specimens from clinical specimens based on microbiology records, any swabs except wound swabs or draining ear swabs can be assumed to be for screening unless specifically noted otherwise. Laboratories do not need to change their practice; public health wants to identify all C. auris whether from screening or clinical specimens.
References: https://ndc.services.cdc.gov/case-definitions/candida-auris-2023/
New Jersey Candida auris Case Counts (as of February 1, 2026)
Total Case Count: 3,402
Clinical case count: 754
Screening case count: 2,648
- Educational Materials for Patients and Family Members
- Resources for Healthcare Facilities and Providers
- Information and Resources for Laboratories
- Trainings & Webinars
- Reporting and Transfer Communication Tools
- Health Alert Notifications
Resources for Patients, Family and Household Members
- Candida auris Patient FAQs (NJDOH)
- Candida auris Patient Discharge Information (NJDOH)
- Candida auris Colonization Fact Sheet for Patients (CDC) [English] [Spanish]
- Fact Sheet: Information for Patients about Testing (CDC) [English] [Spanish]
- MDRO Patient and Family Education (NJDOH)
- Patient Screening FAQs (CDC) [English] [Spanish] [Korean] [Vietnamese]
Fact Sheets and Educational Information
- What is Candida auris? (NJDOH) [Color] [B&W]
- Candida auris (C. auris) Micro-Learn (NJDOH)
- Candida auris General Fact Sheet (CDC)
- Candida auris Infection Fact Sheet for Health Care Personnel (CDC)
- C. auris & CPO Fact vs. Fiction (NJDOH)
- MDRO Fact Sheet for Health Care Personnel (NJDOH)
- How Bacteria and Fungi Fight Back Against Antibiotics Infographic (CDC)
- Fact Sheet: Information for Infection Preventionist (CDC) [English] [Spanish]
Infection Prevention and Control Guidance
- Infection Prevention and Control Guidance for Providing Care to Individuals with Novel or Targeted MDROs (NJDOH)
- Transmission Based Precautions for Patients with Novel and Targeted MDROs (NJDOH) [Color] [B&W]
- Patient Cohorting for MDROs in the Absence of Private Rooms (NJDOH) [Color] [B&W]
- Enhanced Barrier Precautions (EBP) in Nursing Homes Algorithm [PDF]
- Cleaning and Disinfection for Candida auris (NJDOH) [Color] [B&W]
- Five Moments for Hand Hygiene (NJDOH)
- Recommendations for Providing Safe Dialysis Care for Patients with Candida auris (NJDOH)
- Infection Prevention and Control for Candida auris (CDC)
- Candida auris Infection Control Actions for Prevention and Response (CDC)
- Prevention of Invasive Candida auris Infections (CDC)
- Preventing the Spread of Candida auris (CDC)
Environmental Cleaning and Disinfection Educational Resources
- Cleaning and Disinfection for Candida auris (NJDOH) [Color] [B&W]
- MDRO Education for EVS (NJDOH)
- Publication: Options for Evaluating Environmental Cleaning (CDC)
- How to Read a Disinfectant Label (CDC) [English] [Spanish] [Brazilian Portuguese] [Haitian Creole]
- Who Cleans What Reminder Template (CDPH)
- Clean and Safe Carts for Environmental Services Micro-Learn (CDC)
- Clean Hands for Environmental Services Micro-Learn (CDC)
- Contact Time for Environmental Services Micro-Learn (CDC)
- Effective Cleaning and Disinfection Start with Preparation Micro-Learn (CDC)
Transmission-Based Precautions Education and Signage
- Enhanced Barrier Precautions (EBP) in Nursing Homes Algorithm [PDF]
- PPE Sequence (CDC)
- Contact Precautions Sign [English] [Spanish] [Brazilian Portuguese] [Haitian Creole]
- Enhanced Barrier Precautions Sign [English] [Spanish] [Brazilian Portuguese] [Haitian Creole]
- Enhanced Barrier Precautions Toolkit (HQIN)
- Enhanced Barrier Precautions Pre-Implementation Tool (CDC)
- Enhanced Barrier Precautions Pocket Guide (CDC)
- PPE Use and Room Restriction in Nursing Homes Summary Table (CDC)
Colonization Screening Information and Resources
- Screening for Candida auris (CDC)
- Screening for Colonization in Health Care Facilities (CDC)
- Candida auris Point Prevalence Survey Facility Instructions (NJDOH)
- Candida auris Prevention Point Prevalence Survey FAQs (NJDOH)
- Candida auris Assent for Patient Screening Template (CDC)
- Candida auris Patient Screening Fact Sheet (CDC)
- Candida auris Screening Patient Swab Collection (CDC)
New Jersey Submission and Reporting Criteria
Laboratory Protocols and Guidance
- General Laboratory Considerations and Recommendations for Candida auris Identification (NJDOH)
- Laboratory Information for Candida auris Identification (CDC)
- Safety Guidelines for Working with Candida auris Isolates (CDC)
- Fact Sheet: Information for Laboratory Staff (CDC) [English] [Spanish]
- Webinar Recording: Updates on Antimicrobial Resistant Isolate Submission Criteria & Processes for Result Reporting and Isolate Submission
- Passcode: 3*7Q*aEC
- NJDOH Candida auris Epidemiological Assessment
- Case Report Form Completion and Submission Instructions (NJDOH)
- NJDOH MDRO Transfer Cover Sheet
- Document: New Jersey Universal Transfer Form (NJDOH)
- March 24, 2023: Candida auris: Identification, Reporting and Infection Prevention Guidance Updates
- September 13, 2021: Candida auris: Regional Increase in Cases & Testing Guidance
- July 15, 2021: Candida auris: Cleaning and Disinfection Updates and Mandatory Admissions
- June 2020: Potential Multi-drug Resistant Organisms (MDROs) increase during COVID-19 (SARS-CoV-2) Pandemic
- February 19, 2020: Candida auris in New Jersey
- January 24, 2017: C. auris in New Jersey: Information and Interim Recommendations for Healthcare Facilities and Laboratories
Resources & References
CDC Resources
- CDC Candida auris homepage
- About Candida auris
- Fact Sheet: Candida auris: A Drug-resistant Germ That Spreads in Healthcare Facilities [English][Spanish][Vietnamese] [Korean]
- Clincial Overview of Candida auris (CDC)
- Clinical Care of Candida auris Infections (CDC)
Related NJDOH Links

