Research Article Medical Device-Associated Candida Infections in a Rural Tertiary Care Teaching Hospital of India Sachin C. Deorukhkar and Santosh Saini Department of Microbiology, Rural Medical College, Pravara Institute of Medical Sciences (Deemed University), Loni, Maharashtra 413736, India Correspondence should be addressed to Sachin C. Deorukhkar; deorukhkar.sachin@gmail.com Received 29 October 2015; Revised 30 December 2015; Accepted 10 January 2016 Academic Editor: Albert Eid Copyright © 2016 S. C. Deorukhkar and S. Saini. Tis is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Health care associated infections (HCAIs) add incrementally to the morbidity, mortality, and cost expected of the patient’s underlying diseases alone. Approximately, about half all cases of HCAIs are associated with medical devices. As Candida medical device-associated infection is highly drug resistant and can lead to serious life-threatening complications, there is a need of continuous surveillance of these infections to initiate preventive and corrective measures. Te present study was conducted at a rural tertiary care hospital of India with an aim to evaluate the rate of medical device-associated Candida infections. Tree commonly encountered medical device-associated infections (MDAI), catheter-associated urinary tract infection (CA-UTI), intravascular catheter-related blood stream infections (CR-BSI), and ventilator-associated pneumonia (VAP), were targeted. Te overall rate of MDAI in our hospital was 2.1 per 1000 device days. Te rate of Candida related CA-UTI and CR-BSI was noted as 1.0 and 0.3, respectively. Untiring eforts taken by team members of Hospital Acquired Infection Control Committee along with maintenance of meticulous hygiene of the hospital and wards may explain the low MDAI rates in our institute. Te present surveillance helped us for systematic generation of institutional data regarding MDAI with special reference to role of Candida spp. 1. Introduction Health care associated infections (HCAIs) or hospital ac- quired infections (HAIs) are infections that occur during hospitalization but are neither present nor incubating upon hospital admission. Various factors like increasing incidence of hospitalization, rapid advancement in medical technology, and injudicious use of antibiotics along with better adapta- tion of microbes to the hospital environment contribute to exponential increase in HCAIs [1]. Even in developed nations, HCAIs concern 5–15% of hospitalized patients and can lead to complications in 25–50% of those admitted in intensive care units (ICUs) [2]. HCAIs add incrementally to the morbidity, mortality, and cost expected of the patient’s underlying diseases alone. Additionally, these infections have the potential to severely undermine the superlative efect of the clinician. Terefore, prevention and control of HCAIs are an ever escalating threat which needs to be expeditiously managed. Approximately about half all cases of HCAIs are asso- ciated with medical devices [3]. In recent years, mycotic pathogens are increasingly reported as causes of HCAIs. Fungi, especially Candida spp., rank 3rd among various leading cause of catheter-associated infections [4]. Candida spp. can colonize and form bioflm on most, if not all, medical devices in current use [5]. As Candida medical device- associated infection is highly drug resistant and can lead to serious life-threatening complications, there is a need of con- tinuous surveillance of these infections to initiate preventive and corrective measures. A number of published literatures on rate of medical device-associated infections (MDAI) are focused on bacterial organisms but unfortunately till date there is a paucity of data on Candida MDAI. Terefore, the present study was conducted at a rural tertiary care hospital Hindawi Publishing Corporation Interdisciplinary Perspectives on Infectious Diseases Volume 2016, Article ID 1854673, 5 pages http://dx.doi.org/10.1155/2016/1854673