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Drug-Resistant Fungus C. Auris Spreads in European Hospitals, ECDC Warns

Patchy surveillance likely hides many cases, prompting calls for earlier detection, tighter hospital controls, possible mandatory reporting.

Overview

  • ECDC data show more than 4,000 EU/EEA cases from 2013 to 2023, including 1,346 in 2023, with Spain, Greece, Italy and Romania reporting the most cases.
  • Germany recorded 120 cases over the decade, 77 of them in 2023, yet experts there describe individual patient risk as low.
  • The organism persists on dry surfaces and medical devices and transmits via direct or indirect contact rather than through the air.
  • Frequent resistance to common antifungals makes treatment challenging, and bloodstream infections in already ill patients can be life-threatening.
  • The ECDC and national experts urge early detection, rapid isolation and environmental decontamination, with discussion in Germany of introducing mandatory reporting.