 a 5 month long multi unit outbreak of c auris occurred in a 600 bed adult academic tertiary care hospital contact tracing was started immediately after identifying the index case and surveillance testing for c auris was performed for patients exposed to the index case the secondary attack rate determined from cultures was 6 8% and the 30 day all cause mortality rate for patients who tested positive for c auris was 9 7% the authors concluded that state health department collaboration is essential to controlling these outbreaks and preventing spread to other institutions 