MDB Candida auris Cases

Confidential

Candida auris cases
Case-patient ID

02/05/2025 1:30pm

MDB Candida auris cases
Page 1

__________________________________
(Case-patient ID generated by you. Must be unique
per case. This means that because of REDCap
constraints, if a person has a screening case and
then subsequently has a clinical case, each case
must have a unique ID. It's not required to use
your 2-letter jurisdiction with a hyphen as a
prefix (e.g. GA-123456C).)

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Reporting State

Date first reported

Date last updated

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AK
AL
AR
AZ
CA
CO
CT
District of Columbia
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
Philadelphia
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
(Jurisdiction reporting this case)

__________________________________
(Date this record was first submitted to REDCap)

__________________________________
(Date this record was last updated)

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Case details
Submit one record per case.
A person may have up to 2 cases per lifetime if they have a screening case and then
subsequently have a clinical case. If this occurs, two records should be submitted into
REDCap: one for the screening case and one for the subsequent clinical case. 
If the patient has a positive screening specimen and clinical specimen collected on the same
date, only count as a clinical case, but list all positive specimens in the specimen source site
field.
Current case definition:
https://cdn.ymaws.com/www.cste.org/resource/resmgr/ps/ps2022/22-ID-05_C_auris.pdf.
Case type

Clinical
Screening

Case status

Confirmed
Probable
Suspect
Not a case
("Probable" and "suspect" are for historical
purposes only. There are only "confirmed" cases as
of 1/1/2023. If record should not be used, please
indicate "not a case." )

Screening to Clinical Case

Yes
(Indicate if this patient had a screening case and
subsequently had a clinical case on both the
screening case and clinical case records.)

Starting case-patient ID

If starting case-patient ID unknown, specify reason

Other case-patient ID

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__________________________________
(If this is a clinical case record for a person who
previously had a screening case, indicate the
screening case ID here. If unknown, leave this
field blank but select a reason below to explain
why it's unknown.)
Patient's screening case was in another U.S.
jurisdiction
Patient's screening case was in another country
Unknown for another reason
(If starting case-patient ID is unknown for the
clinical case of a patient with a prior screening
case, indicate why ID is unknown.)

__________________________________
(If patient has other case-patient IDs that you use
(e.g. XDRO registry, NNDSS, etc.), please indicate
that here.)

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__________________________________
(If patient has a second case-patient ID that you
use (e.g. XDRO registry, NNDSS, etc.), please
indicate that here. Otherwise, leave blank.)

Specimen details
This is based on the date of specimen collection for the first positive specimen(s) for this case.
Most records will only have one positive specimen. However, a case may be associated with
multiple specimens if multiple positive specimens were collected on that same date. See
variable notes below with instructions on how to complete these fields when that occurs.
Clinical Specimen Source Site (check all that apply)

Specify other specimen source

Clinical Specimen Source Site Details

Was there a positive screening swab collected on the
same day?

Specify screening swab site

Specimen Collected Date

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Blood
Urine
Respiratory
Wound
Other (specify)
Unknown
(Indicate the clinical specimen source site (e.g.
blood). If multiple positives happened on the same
collection day, select all that apply.)

__________________________________
(If "Other" was selected for Clinical Specimen
Source Site, indicate the specimen site(s) here.)

__________________________________
(If needed, provide additional details about the
specimen source site in this supplemental free text
field. This is an optional field. Leave blank if
not needed.)
No
Yes
(If a screening swab was collected on the same day
as the clinical specimen, select "Yes" and indicate
the body site(s) of the screening swab (e.g.,
axilla/groin swab) in the text box below.)

__________________________________
(Indicate the body site(s) of the screening swab
here (e.g., axilla/groin swab).)

__________________________________
(Indicate date specimen was collected. If unknown,
put 01/01/1900.)

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ARLN Specimen ID

__________________________________
(ARLN specimen ID, if known and applicable.
Otherwise, leave blank. If multiple specimens
positive from the same collection day, list all
ARLN specimen IDs here (e.g. "12345; 23456").)

Patient characteristics

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Residence State

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AK
AL
AR
American Samoa
AZ
CA
CO
CT
District of Columbia
DE
FL
GA
Guam
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
Northern Mariana Islands
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
Virgin Islands
VT
WA
WI
WV
WY
N/A - Outside of country
Not reported
(Patient state of residence)

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Residence Country

Age

__________________________________
(Patient country of residence, if outside the
United States)

__________________________________
(Patient age)

Age Unit

Years
Months
Days

Sex

Female
Male

Mortality Date

If healthcare exposure in past year outside of your
state, indicate which state or country the exposure
was in

__________________________________
(Patient mortality date, if known and applicable)

__________________________________
(Indicate the state or country of their healthcare.
Put additional details in case comments.)

Collection site
Location where case specimen was collected. This is usually a healthcare facility. Do not
include commercial or public health laboratories. Do not include cases whose specimens were
collected outside your jurisdiction.
Collection Site City

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__________________________________
(City where specimen was collected)

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Collection Site State or Province

Collection Site Name

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AK
AL
AR
American Samoa
AZ
CA
CO
CT
District of Columbia
DE
FL
GA
Guam
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
Northern Mariana Islands
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
Virgin Islands
VT
WA
WI
WV
WY
(Jurisdiction where specimen was collected)

__________________________________
(Name of facility or location where specimen was
collected)

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Collection Site Type

Specify Other Collection Site Type

Collection Site ID

ACH
LTACH
SNF
vSNF
Other
(Type of facility or location where specimen was
collected)

__________________________________
(If "other" selected for collection facility type,
specify type)

__________________________________
(CMS ID of facility where specimen was collected)

Comments
Comments
__________________________________________
(If desired, comment about the patient, case, or
specimen)

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