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An Ex vivo Assay to Study Candida albicans Hyphal Morphogenesis in the Gastrointestinal Tract
Published on: July 1, 2020
Candida Enteritis Diagnoses in the United States: Prevalence and Clinical Insights from a Large Commercial Insurance
Kaitlin Benedict1, Jeremy A W Gold2, Mark Pimentel3
1Mycotic Diseases Branch, Division of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Mailstop H24-9, Atlanta, GA, USA. jsy8@cdc.gov.
Background:
Candida overgrowth in the small intestine can cause non-specific gastrointestinal symptoms mimicking those of other conditions, making diagnosis challenging.
Aims:
To describe the characteristics of patients with Candida-related intestinal illness in a large US commercial health insurance claims dataset.
Methods:
We used the Merative™ MarketScan® Commercial/Medicare Database to identify patients who received Candida enteritis diagnosis codes.
Results:
We identified 3,710 patients. Rates were higher among women (20.3/100,000), patients ages 35-44 (19.3/100,000) and in the West (28.1/100,000). Fatigue (44%) and abdominal pain (26%) were common symptoms. Few patients (6%) received an esophagogastroduodenoscopy, the preferred diagnostic method, and 38% received systemic antifungal therapy.
Conclusions:
Increased healthcare provider awareness about proper diagnosis and treatment of intestinal Candida overgrowth could be beneficial.
Insights
Candida overgrowth in the small intestine is challenging to diagnose, often presenting with non-specific gastrointestinal symptoms. Increased provider awareness for intestinal Candida is needed for better diagnosis and treatment.
Area of Science:
- Gastroenterology
- Mycology
- Epidemiology
Background:
- Small intestinal Candida overgrowth presents non-specific gastrointestinal symptoms.
- Differential diagnosis is challenging due to symptom overlap with other conditions.
Purpose of the Study:
- To characterize patients diagnosed with Candida enteritis.
- Utilized a large US commercial health insurance claims dataset.
Main Methods:
- Data sourced from Merative™ MarketScan® Commercial/Medicare Database.
- Identified patients with Candida enteritis diagnosis codes.
Main Results:
- 3,710 patients identified with Candida enteritis.
- Higher rates observed in women, ages 35-44, and in the West region.
- Common symptoms include fatigue (44%) and abdominal pain (26%).
- Low utilization of esophagogastroduodenoscopy (6%) and moderate use of antifungal therapy (38%).
Conclusions:
- Healthcare provider awareness regarding intestinal Candida overgrowth diagnosis and treatment requires enhancement.
- Improved diagnostic and therapeutic strategies are necessary.
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