Enhanced Surveillance of Coccidioidomycosis, Arizona, USA, 2007–2008
Coccidioidomycosis is endemic to the southwestern United States; 60% of nationally reported cases occur in Arizona. Although the Council of State and Territorial Epidemiologists case definition for coccidioidomycosis requires laboratory and clinical criteria, Arizona uses only laboratory criteria. T...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Centers for Disease Control and Prevention
2010-11-01
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| Series: | Emerging Infectious Diseases |
| Subjects: | |
| Online Access: | https://wwwnc.cdc.gov/eid/article/16/11/10-0475_article |
| _version_ | 1818033199741140992 |
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| author | Clarisse A. Tsang Shoana M. Anderson Sara B. Imholte Laura M. Erhart Sanny Chen Benjamin J. Park Cara Christ Kenneth K. Komatsu Tom M. Chiller Rebecca H. Sunenshine |
| author_facet | Clarisse A. Tsang Shoana M. Anderson Sara B. Imholte Laura M. Erhart Sanny Chen Benjamin J. Park Cara Christ Kenneth K. Komatsu Tom M. Chiller Rebecca H. Sunenshine |
| author_sort | Clarisse A. Tsang |
| collection | DOAJ |
| description | Coccidioidomycosis is endemic to the southwestern United States; 60% of nationally reported cases occur in Arizona. Although the Council of State and Territorial Epidemiologists case definition for coccidioidomycosis requires laboratory and clinical criteria, Arizona uses only laboratory criteria. To validate this case definition and characterize the effects of coccidioidomycosis in Arizona, we interviewed every tenth case-patient with coccidioidomycosis reported during January 2007–February 2008. Of 493 patients interviewed, 44% visited the emergency department, and 41% were hospitalized. Symptoms lasted a median of 120 days. Persons aware of coccidioidomycosis before seeking healthcare were more likely to receive an earlier diagnosis than those unaware of the disease (p = 0.04) and to request testing for Coccidioides spp. (p = 0.05). These findings warrant greater public and provider education. Ninety-five percent of patients interviewed met the Council of State and Territorial Epidemiologists clinical case definition, validating the Arizona laboratory-based case definition for surveillance in a coccidiodomycosis-endemic area. |
| first_indexed | 2024-12-10T06:19:28Z |
| format | Article |
| id | doaj.art-5188249bf2324507b50eed0e4cf34758 |
| institution | Directory Open Access Journal |
| issn | 1080-6040 1080-6059 |
| language | English |
| last_indexed | 2024-12-10T06:19:28Z |
| publishDate | 2010-11-01 |
| publisher | Centers for Disease Control and Prevention |
| record_format | Article |
| series | Emerging Infectious Diseases |
| spelling | doaj.art-5188249bf2324507b50eed0e4cf347582022-12-22T01:59:22ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592010-11-0116111738174410.3201/eid1611.100475Enhanced Surveillance of Coccidioidomycosis, Arizona, USA, 2007–2008Clarisse A. TsangShoana M. AndersonSara B. ImholteLaura M. ErhartSanny ChenBenjamin J. ParkCara ChristKenneth K. KomatsuTom M. ChillerRebecca H. SunenshineCoccidioidomycosis is endemic to the southwestern United States; 60% of nationally reported cases occur in Arizona. Although the Council of State and Territorial Epidemiologists case definition for coccidioidomycosis requires laboratory and clinical criteria, Arizona uses only laboratory criteria. To validate this case definition and characterize the effects of coccidioidomycosis in Arizona, we interviewed every tenth case-patient with coccidioidomycosis reported during January 2007–February 2008. Of 493 patients interviewed, 44% visited the emergency department, and 41% were hospitalized. Symptoms lasted a median of 120 days. Persons aware of coccidioidomycosis before seeking healthcare were more likely to receive an earlier diagnosis than those unaware of the disease (p = 0.04) and to request testing for Coccidioides spp. (p = 0.05). These findings warrant greater public and provider education. Ninety-five percent of patients interviewed met the Council of State and Territorial Epidemiologists clinical case definition, validating the Arizona laboratory-based case definition for surveillance in a coccidiodomycosis-endemic area.https://wwwnc.cdc.gov/eid/article/16/11/10-0475_articleCoccidioidomycosisCoccidioideslung diseasesfungicentral nervous system fungal infectionsArizona |
| spellingShingle | Clarisse A. Tsang Shoana M. Anderson Sara B. Imholte Laura M. Erhart Sanny Chen Benjamin J. Park Cara Christ Kenneth K. Komatsu Tom M. Chiller Rebecca H. Sunenshine Enhanced Surveillance of Coccidioidomycosis, Arizona, USA, 2007–2008 Emerging Infectious Diseases Coccidioidomycosis Coccidioides lung diseases fungi central nervous system fungal infections Arizona |
| title | Enhanced Surveillance of Coccidioidomycosis, Arizona, USA, 2007–2008 |
| title_full | Enhanced Surveillance of Coccidioidomycosis, Arizona, USA, 2007–2008 |
| title_fullStr | Enhanced Surveillance of Coccidioidomycosis, Arizona, USA, 2007–2008 |
| title_full_unstemmed | Enhanced Surveillance of Coccidioidomycosis, Arizona, USA, 2007–2008 |
| title_short | Enhanced Surveillance of Coccidioidomycosis, Arizona, USA, 2007–2008 |
| title_sort | enhanced surveillance of coccidioidomycosis arizona usa 2007 2008 |
| topic | Coccidioidomycosis Coccidioides lung diseases fungi central nervous system fungal infections Arizona |
| url | https://wwwnc.cdc.gov/eid/article/16/11/10-0475_article |
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