# US 10,870,829 B2 · Technology to identify Candida auris

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- Number: US 10,870,829 B2
- Document ID: US10870829B2
- Status: Granted
- Kind: B2
- Application number: 16/872,436
- Filed: 2020-05-12
- Published: 2020-08-27
- Granted: 2020-12-22
- Earliest claimed: 2018-05-06
- Assignees: Santa Fe BioLabs LLC
- Applicants: Santa Fe BioLabs LLC
- Inventors: Wolfram Siede
- Web page: https://patentgrep.com/patent/US10870829B2

## CPC

- C12N 1/16: Yeasts; Culture media therefor
- C12N 2500/32: Amino acids
- C12N 2500/34: Sugars
- C12N 2500/74: from fungi, e.g. yeasts
- C12N: MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA (microbiological testing media C12Q1/00)

## Abstract

A system for identifying Candida auris is disclosed. The system has two aspects. The first is a positive selection of C. auris based on C. auris's distinctive resistance to quaternary ammonium compounds (especially at elevated incubation temperatures). The second is a negative selection of C. auris based on C. auris's distinctive sensitive to tert-Butyl-hydroperoxide. C. auris can be identified in a sample through use of a positive-selection culture medium, which fosters C. auris colony growth while suppressing growth of other yeasts. The isolate can be confirmed as C. auris through use of a negative-selection culture medium, which suppresses C. auris colony growth while permitting growth of other yeasts.

## Claims

### Claim 1

A method for detecting Candida auris, the method comprising:
(a) placing a first sample in or on a first Candida-auris positive-selection culture medium comprising a sugar, a yeast supplement, and a Quaternary Ammonium Compound, thereby inoculating the first Candida-auris positive-selection culture medium with the first sample; and
(b) incubating the inoculated first Candida-auris positive-selection culture medium at a temperature in the range of approximately 36.5° C.-39.0° C. for at least 24 hours.

### Claim 2 (depends on 1)

The method of claim 1 wherein the yeast supplement is a nutritionally poor and defined supplement mixture.

### Claim 3 (depends on 2)

The method of claim 2 further comprising:
(a) collecting a second sample from cultures on the incubated inoculated first Candida auris positive-selection culture medium;
(b) placing the second sample in or on a second Candida-auris positive-selection culture medium comprising a sugar, a nutritionally rich and complex supplement mixture supplement, and a Quaternary Ammonium Compound, thereby inoculating the second Candida-auris positive-selection culture medium with the second sample;
(c) incubating the inoculated second Candida auris positive-selection culture medium at a temperature in the range of approximately 36.5° C.-39.0° C. for at least 36 hours.

### Claim 4 (depends on 3)

The method of claim 3 wherein:
(a) the step of incubating the inoculated first Candida auris positive-selection culture medium is at a temperature in the range of 36.5° C.-37.5° C.; and
(b) the step of incubating the inoculated second Candida auris positive-selection culture medium is at a temperature in the range of 36.5° C.-37.5° C.

### Claim 5 (depends on 4)

The method of claim 4:
(a) the first Candida auris positive-selection culture medium comprising: dextrose in the amount of 60 grams per liter of solvent; Yeast Nitrogen Base in the amount of 6.7 grams per liter of solvent; benzalkonium chloride in the amount of 70 milligrams per liter of solvent; and tetradecyltrimethylammonium bromide in the amount of 80 milligrams per liter of solvent;
(b) the second Candida auris positive-selection culture medium comprising: dextrose in the amount of 60 grams per liter of solvent; peptone in the amount of 10 grams per liter of solvent; and benzalkonium chloride in the amount of 130 milligrams per liter of solvent;
(c) the first Candida auris positive-selection culture medium further comprising: chloramphenicol in the amount of 25 mg per liter of solvent; and
(d) the second Candida auris positive-selection culture medium further comprising: chloramphenicol in the amount of 25 mg chloramphenicol per liter of solvent.

### Claim 6 (depends on 1)

The method of claim 1 further comprising:
(a) collecting a second sample from cultures on the incubated inoculated first Candida auris positive-selection culture medium;
(b) placing the second sample in or on a Candida auris nonselective culture medium, thereby inoculating the Candida-auris nonselective culture medium with the second sample;
(c) incubating the inoculated Candida auris nonselective culture medium at a temperature in the range of approximately 29.5° C.-30.5° C. for at least 24 hours;
(d) collecting a third sample from cultures on the incubated inoculated Candida auris nonselective culture medium;
(e) placing the third sample in or on a Candida auris negative-selection culture medium comprising a sugar, a yeast supplement, and tert-Butyl-hydroperoxide, thereby inoculating the Candida-auris negative-selection culture medium with the second sample;
(f) incubating the inoculated Candida auris negative-selection culture medium at a temperature in the range of approximately 29.5° C.-30.5° C. for 22-26 hours.

### Claim 7 (depends on 6)

The method of claim 6, the Candida auris negative-selection culture medium comprising:
(a) dextrose in the amount of 40 grams per liter of solvent;
(b) peptone in the amount of 10 grams per liter of solvent; and
(c) tert-butyl-hydroperoxide in the amount of 350 microliters of 70% aqueous solution per liter of solvent.

### Claim 8 (depends on 6)

The method of claim 6, the Candida auris negative-selection culture medium comprising:
(a) dextrose in the amount of 60 grams per liter of solvent;
(b) tryptone in the amount of 20 grams per liter of solvent;
(c) 25 milligrams of chloramphenicol per liter of solvent; and
(d) tert-butyl-hydroperoxide in the amount of 350 microliters of 70% aqueous solution per liter of solvent.

### Claim 9 (depends on 3)

The method of claim 3 further comprising:
(a) collecting a third sample from cultures on the incubated inoculated second Candida auris positive-selection culture medium;
(b) placing the third sample in or on a Candida auris nonselective culture medium, thereby inoculating the Candida-auris nonselective culture medium with the second sample;
(c) incubating the inoculated Candida auris nonselective culture medium at a temperature in the range of approximately 29.5° C.-30.5° C. for at least 24 hours;
(d) collecting a fourth sample from cultures on the incubated inoculated Candida auris nonselective culture medium;
(e) placing the fourth sample in or on a Candida auris negative-selection culture medium comprising a sugar, a yeast supplement, and tert-Butyl-hydroperoxide, thereby inoculating the Candida-auris negative-selection culture medium with the second sample;
(f) incubating the inoculated Candida auris negative-selection culture medium at a temperature in the range of approximately 29.5° C.-30.5° C. for 22-26 hours.
