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改善对疑似社区获得性肺炎急诊科患者的球孢子菌病检测：医疗服务提供者态度分析及针对性干预的效果

Improving Coccidioidomycosis Testing for Emergency Department Patients With Suspect Community-Acquired Pneumonia: Analysis of Provider Attitudes and the Effect of a Targeted Intervention.

作者信息

Cunningham Cody A, Brown Ashlyn T, Ravi Srekar N, Bearss Jeremiah J, O'Shea Michael P, Elshaer Amani K, Biondi Matt V, Seddighzadeh Bobak, Elmasry Sandra N, Havanur Amogh, Mahajan Avanika, Savic Juliana, Alozie Nneoma U, Rappaport Douglas, Urumov Andrej, Blair Janis E

机构信息

Department of Internal Medicine, Mayo Clinic School of Graduate Medical Education, Scottsdale, Arizona, USA.

Department of Emergency Medicine, Mayo Clinic Arizona, Phoenix, Arizona, USA.

出版信息

Open Forum Infect Dis. 2024 Aug 12;11(8):ofae461. doi: 10.1093/ofid/ofae461. eCollection 2024 Aug.

DOI:10.1093/ofid/ofae461
PMID:39192992
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11347941/
Abstract

Coccidioidomycosis is a common cause of community-acquired pneumonia in endemic regions. Approximately 20 000 cases of coccidioidomycosis occur annually; however, this statistic is limited by a widespread lack of testing. Here, we analyze emergency medicine provider attitudes toward coccidioidal testing and assess the effect of an intervention to improve testing rates.

摘要

球孢子菌病是流行地区社区获得性肺炎的常见病因。每年约有20000例球孢子菌病病例发生；然而，这一统计数据因广泛缺乏检测而受限。在此，我们分析了急诊医学提供者对球孢子菌检测的态度，并评估了一项旨在提高检测率的干预措施的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ea7/11347941/88f83a975e49/ofae461f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ea7/11347941/521e3b0d7676/ofae461f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ea7/11347941/88f83a975e49/ofae461f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ea7/11347941/521e3b0d7676/ofae461f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ea7/11347941/88f83a975e49/ofae461f2.jpg

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本文引用的文献

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Access to Urgent Care Practices Improves Understanding and Management of Endemic Coccidioidomycosis: Maricopa County, Arizona, 2018-2023.获得紧急护理服务可改善对地方性球孢子菌病的认识和管理：亚利桑那州马里科帕县，2018 - 2023年
Am J Med. 2024 Oct;137(10):951-957. doi: 10.1016/j.amjmed.2024.04.028. Epub 2024 May 11.
2
Development of a rapid lateral flow assay for detection of anti-coccidioidal antibodies.快速侧向流动检测法的开发用于检测抗球虫抗体。
J Clin Microbiol. 2023 Sep 21;61(9):e0063123. doi: 10.1128/jcm.00631-23. Epub 2023 Sep 1.
3
Comparison of Ordering Tools on Adherence to Treatment Protocols in the Emergency Department.
比较在急诊科中使用医嘱工具对治疗方案依从性的影响。
AMIA Annu Symp Proc. 2023 Apr 29;2022:739-745. eCollection 2022.
4
Improving Early Recognition of Coccidioidomycosis in Urgent Care Clinics: Analysis of an Implemented Education Program.提高急诊诊所对球孢子菌病的早期识别：对一项已实施的教育计划的分析
Open Forum Infect Dis. 2023 Jan 31;10(1):ofac654. doi: 10.1093/ofid/ofac654. eCollection 2023 Jan.
5
Immunogenetics associated with severe coccidioidomycosis.与严重球孢子菌病相关的免疫遗传学。
JCI Insight. 2022 Nov 22;7(22):e159491. doi: 10.1172/jci.insight.159491.
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Surveillance for Coccidioidomycosis, Histoplasmosis, and Blastomycosis - United States, 2019.2019 年美国球孢子菌病、组织胞浆菌病和芽生菌病监测。
MMWR Surveill Summ. 2022 Aug 19;71(7):1-14. doi: 10.15585/mmwr.ss7107a1.
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