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.

Abstract

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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