Table 1 C. auris care team and their responsibilities for C. auris outbreak response
Care Team Members | Responsibilities |
|---|---|
Clinical Microbiology Team | Issuing an alert to the treating physician, IPC and AMS team when C.auris is isolated. The process of outbreak identification is initiated from Microbiology. |
IPC team | Routine training on IPC practices to the nursing team. |
Monitoring adherence of IPC practices in the locations where the cases were identified. | |
Ensure appropriate isolation or cohorting of patients. | |
Ensuring timely and sufficient supply of personal protective equipment (PPE), disinfectant solutions and hand rubs. | |
Ensure appropriate cleaning of locations occupied by the patient. | |
Education of staff and bystanders regarding IPC practices. | |
Prospective surveillance of C. auris cases | |
Infectious Diseases Physician | Decide appropriate therapy and procedures for the patient |
Monitor for clinical improvement and microbiological cure (wherever appropriate) | |
Create awareness among primary team and tailor treatment. | |
Ensure isolation and proper disinfection | |
Clinical pharmacist from AMS team | Dedicated member of the team receives critical alert from the Microbiology once C. auris is isolated. |
Prepare appropriate treatment regimen and inform the primary team. Follow up for appropriateness of therapy with 5 R’ criteria: Right drug, Right dose, Right frequency, Right duration and Right indication [17]. | |
Coordinate efforts of all stakeholders in the management of the patient. |