Delays in Coccidioidomycosis Diagnosis and Associated Healthcare Utilization, Tucson, Arizona, USA

Tucson, Arizona, USA, is a highly coccidioidomycosis-endemic area. We conducted a retrospective review of 815 patients in Tucson over 2.7 years. Of 276 patients with coccidioidomycosis, 246 had a delay in diagnosis; median delay was 23 days. Diagnosis delay was associated with coccidioidomycosis-rel...

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Veröffentlicht in:	Emerging infectious diseases 2019-09, Vol.25 (9), p.1745-1747
Hauptverfasser:	Donovan, Fariba M, Wightman, Patrick, Zong, Yue, Gabe, Luke, Majeed, Aneela, Ynosencio, Tiffany, Bedrick, Edward J, Galgiani, John N
Format:	Artikel
Sprache:	eng
Schlagworte:	Ambulatory care facilities Antibacterial agents antimicrobial drugs Arizona - epidemiology Coccidioidomycosis Coccidioidomycosis - diagnosis Coccidioidomycosis - economics Coccidioidomycosis - epidemiology Costs and Cost Analysis Daptomycin delay in diagnosis Delayed Diagnosis - economics Delays in Coccidioidomycosis Diagnosis and Associated Healthcare Utilization, Tucson, Arizona, USA Dispatch Female fungi Health aspects Health care costs healthcare cost Humans Infection Lung Diseases, Fungal - diagnosis Lung Diseases, Fungal - economics Lung Diseases, Fungal - epidemiology Male Medical care utilization Medical economics Medical Records Middle Aged Mycoses Physical fitness Pneumonia Resveratrol Retrospective Studies Valley fever
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Zusammenfassung:	Tucson, Arizona, USA, is a highly coccidioidomycosis-endemic area. We conducted a retrospective review of 815 patients in Tucson over 2.7 years. Of 276 patients with coccidioidomycosis, 246 had a delay in diagnosis; median delay was 23 days. Diagnosis delay was associated with coccidioidomycosis-related costs totaling $589,053 and included extensive antibacterial drug use.
ISSN:	1080-6040 1080-6059
DOI:	10.3201/eid2509.190023