870The Epidemiology of CAUTI due to Candida spp. in the Intensive Care Unit (ICU) - Infection or Colonization?

 Patients with Candida CAUTI had more intensive healthcare exposure, longer durations of indwelling urinary catheters prior to infection, and more frequently had co-infections at the time of CAUTI diagnosis than did patients with CAUTI due to bacteria.  The new NHSN CAUTI guideline necessitates only fever to establish a CAUTI in catheterized patients with a positive urine culture. Since fever might have multiple causes, this may not be a reliable marker of symptomatic UTI. Thus, NHSN criteria should be modified to account for these factors. Conclusion Background: In January 2013, the National Healthcare Safety Network of (NHSN) reworded the cathetar associated urinary tract infection (CAUTI) definition criteria to include fever regardless of the presence of an alternative fever source. At Detroit Medical Center (DMC) the change resulted in a sharp increase in CAUTIs, particularly due to Candida spp. This study was conducted to better understand the epidemiology and clinical relevance of CAUTI due to Candida spp.