Contamination of tissue allografts from a multiorgan-multitissue donor colonized by Candida auris

Transpl Infect Dis. 2021 Jun;23(3):e13535. doi: 10.1111/tid.13535. Epub 2020 Dec 14.

Abstract

Standards on tissue banking determine the need of microbiological monitoring during critical steps (recovery, processing, storage, and transplantation). This information will be useful for both discarding contaminated tissues or risk analysis (in case of recipient infection). In this study, we show the case of a multiorgan-multitissue donor colonized by Candida auris. This microorganism is characterized by multidrug resistance, with higher transmissibility and severe outcome. Some of the microbiological cultures from arteries tested positive for this microorganism, but it was not cultured in samples from musculoskeletal tissues and corneas. No recipient case of infection transmission by Candida species was observed (organs and cornea). The implementation of active surveillance protocol for C. auris detection in critical care units (as source of tissue donors) has been suggested as a part of our hospitals' infection control policy.

Keywords: Candida auris; contamination; risk management; tissue allograft.

Publication types

  • Case Reports

MeSH terms

  • Allografts
  • Candida*
  • Cornea
  • Humans
  • Intensive Care Units
  • Tissue Donors*