Templates, forms and other supporting resources referred to within the guideline are available to be downloaded below.
Victorian guideline on C. auris for health services
C. auris surveillance data collection forms
The following forms are the C. auris surveillance data collection forms. When completed, forms are to be submitted to the Anti-Microbial Resistance (AMR) Unit, in the Communicable Diseases section at the Department of Health and Human Services (fax: 1300 651 170).
Part A is to be used for all confirmed human C. auris isolates whereas Part B is only used when the likelihood of transmission within a healthcare facility needs to be further investigated.
C. auris isolate referral forms (human and environmental)
The following form is to be used by diagnostic laboratories when referring any C. auris isolates to the Victorian Infectious Diseases Reference Laboratory (VIDRL).
Patient, staff and clinician information sheets