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Background   Candida auris  infections are an emerging global threat with poor clinical outcome, high mortality rate, high transmission rate and outbreak potential. The objective of this work is to describe a multidisciplinary approach towards the investigation and containment of a  Candida auris  outbreak and the preventive measures adopted in a resource limited setting.    Methods  This outbreak investigational study was conducted at a 1300-bedded tertiary care academic hospital in South India. The study included 15 adult inpatients with laboratory confirmed  Candida auris  isolates. The outbreak cluster was identified in adult patients admitted from September 2017 to 2019. The system response consisted of a critical alert system for laboratory confirmed  Candida auris  infection and multidisciplinary ‘ Candida auris  care team’ for patient management. The team implemented stringent Infection Prevention and Control (IPC) measures including patient cohorting, standardized therapy and decolonization, staff training, prospective surveillance and introduction of  Candida auris  specific care bundle.    Results  Two outbreak clusters were identified; first cluster occurring between October and November 2017 and the second cluster in May 2018. The cohorts consisted of 7 and 8  Candida auris  positive patients in the first and second waves of the outbreak respectively with a total survival rate of 93% (14/15). Deployment of containment measures led to gradual decline in the incidence of adult  Candida auris  positive cases and prevented further cluster formation.    Conclusions  The sustained implementation of guideline and evidence-based IPC measures and training of healthcare workers for improving awareness on systematically following standardized protocols of  Candida auris  related IPC practices successfully contained  Candida auris  outbreaks at our hospital. This demonstrates the feasibility of establishing a multidisciplinary model and bundling of practices for preventing  Candida auris  outbreaks in a Low- and Middle-income country.    Supplementary Information  The online version contains supplementary material available at 10.1186/s12879-021-06131-6.

Evaluating the measures taken to contain a Candida auris outbreak in a tertiary care hospital in South India: an outbreak investigational study