Title |
Enhanced Surveillance for Coccidioidomycosis, 14 US States, 2016 - Volume 24, Number 8—August 2018 - Emerging Infectious Diseases journal - CDC
|
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Published in |
Emerging Infectious Diseases, July 2018
|
DOI | 10.3201/eid2408.171595 |
Pubmed ID | |
Authors |
Kaitlin Benedict, Malia Ireland, Meghan P. Weinberg, Randon J. Gruninger, Jenna Weigand, Lei Chen, Katharine Perez-Lockett, Catherine Bledsoe, Lynn Denny, Katie Cibulskas, Suzanne Gibbons-Burgener, Anna Kocharian, Emilio DeBess, Tracy K. Miller, Alicia Lepp, Laura Cronquist, Kimberly Warren, Jose Antonio Serrano, Cody Loveland, George Turabelidze, Orion McCotter, Brendan R. Jackson |
Abstract |
Although coccidioidomycosis in Arizona and California has been well-characterized, much remains unknown about its epidemiology in states where it is not highly endemic. We conducted enhanced surveillance in 14 such states in 2016 by identifying cases according to the Council of State and Territorial Epidemiologists case definition and interviewing patients about their demographic characteristics, clinical features, and exposures. Among 186 patients, median time from seeking healthcare to diagnosis was 38 days (range 1-1,654 days); 70% had another condition diagnosed before coccidioidomycosis testing occurred (of whom 83% were prescribed antibacterial medications); 43% were hospitalized; and 29% had culture-positive coccidioidomycosis. Most (83%) patients from nonendemic states had traveled to a coccidioidomycosis-endemic area. Coccidioidomycosis can cause severe disease in residents of non-highly endemic states, a finding consistent with previous studies in Arizona, and less severe cases likely go undiagnosed or unreported. Improved coccidioidomycosis awareness in non-highly endemic areas is needed. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 48 | 51% |
Canada | 2 | 2% |
Austria | 1 | 1% |
Finland | 1 | 1% |
Comoros | 1 | 1% |
Philippines | 1 | 1% |
Cameroon | 1 | 1% |
Germany | 1 | 1% |
Colombia | 1 | 1% |
Other | 6 | 6% |
Unknown | 31 | 33% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 76 | 81% |
Practitioners (doctors, other healthcare professionals) | 10 | 11% |
Scientists | 7 | 7% |
Science communicators (journalists, bloggers, editors) | 1 | 1% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 29 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 5 | 17% |
Student > Master | 4 | 14% |
Researcher | 3 | 10% |
Student > Doctoral Student | 2 | 7% |
Professor | 2 | 7% |
Other | 4 | 14% |
Unknown | 9 | 31% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 6 | 21% |
Psychology | 2 | 7% |
Immunology and Microbiology | 2 | 7% |
Biochemistry, Genetics and Molecular Biology | 2 | 7% |
Nursing and Health Professions | 2 | 7% |
Other | 7 | 24% |
Unknown | 8 | 28% |