Epidemic Intelligence Service, Division of Scientific Education and Professional Development, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA.
Med Mycol. 2020 Apr 1;58(3):411-413. doi: 10.1093/mmy/myz073.
We investigated coccidioidomycosis testing and treatment patterns among persons in an integrated healthcare delivery system to identify gaps in diagnosis and treatment. Coccidioidomycosis diagnosis delays were common. Among persons who tested positive, 70% were prescribed antibiotics before positive coccidioidomycosis tests. Antibiotic treatment decreased and antifungal treatment increased after positive testing.
我们调查了综合医疗服务系统中患者的球孢子菌病检测和治疗模式，以确定诊断和治疗方面的差距。球孢子菌病的诊断延迟很常见。在检测呈阳性的患者中，70%在球孢子菌病检测呈阳性之前就开了抗生素。阳性检测后，抗生素治疗减少，抗真菌治疗增加。
