使用美国商业保险数据库绘制二形菌根的地理分布图
Reid Goodman1, Adriana M Rauseo1, Samuel L Windham2,3
1Division of Infectious Diseases, Department of Medicine, Washington University in St Louis School of Medicine, St Louis, Missouri, USA.
Open forum infectious diseases
|October 27, 2025
概括
双形菌 (DMs) 像基质质菌正在扩展到美国的传统地区之外. 这项研究发现,诊断发生在历史地区之外,这表明地理分布更广泛,需要更广泛的临床怀疑.
科学领域:
- 菌类学 菌类学是指菌类学.
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 双形菌 (DMs),包括基质质菌,胚芽菌和菌,在历史上仅限于特定的美国地区.
- 当前的科学理解表明,这些地理边界正在扩大,但确切的程度尚不清楚.
研究的目的:
- 分析美国二形菌根病诊断的地理分布.
- 为了确定基因质菌,芽细胞菌菌和菌菌菌的诊断是否发生在它们已确定的特有病区之外.
主要方法:
- 从2007年至2016年,每年在美国对超过2100万商业保险人的回顾性分析.
- 利用Merative MarketScan数据库和ICD-9/10代码来识别组织等离子体病,菌菌病和母细胞菌病的诊断.
主要成果:
- 在2007年至2016年期间,在387个大都会统计区诊断出超过37,000例组织等离子体病,近15,000例菌菌病和2,000多例芽细胞菌病.
- 双形菌根病常常被诊断出在它们历史上的超流行区域之外的地区.
结论:
- 经常发现新诊断的组织等离子体病,菌菌病和芽细胞菌病超出了他们历史上定义的流行区.
- 临床医生应考虑在患有相容症状的患者中进行DM测试,无论地理史如何,以改善诊断和患者的治疗结果.
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