美国菌菌病导致的死亡:对死亡证明上报告的病例分析,2018-2023年
Huiqiao Fan1, Fariba Donovan2, Belinda Lovelace3
1Department of Pharmacy Practice, School of Pharmacy, University of Connecticut, Storrs, CT 06269, USA.
从2019年到2023年,菌菌病死亡人数增加,老年男性和某些种族的死亡率更高. 许多死亡人数列出了其他主要原因,突出了需要更好地诊断和治疗菌杆菌菌病的需要.
科学领域:
- 流行病学 流行病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 目前关于菌菌病 (山谷热) 死亡率的数据有限.
- 了解当前的死亡率和风险因素对于公共卫生干预至关重要.
研究的目的:
- 评估可归因于菌菌的死亡率,并使用最近的美国数据确定人口和地理风险因素.
- 评估死亡率的趋势和死亡证书中将菌菌菌病列为主要原因的比例.
主要方法:
- 对美国国家生命统计系统死亡证明数据的分析,从2018年到2023年.
- 使用ICD-10代码B38.x.x.识别菌菌病的死亡情况.
- 根据年龄调整的死亡率 (AAMR) 和人口统计学和并发病因素的相对风险的计算.
主要成果:
- 鉴定了1760例可归因于菌菌的死亡病例 (AAMR = 0.75/100,000).
- 在55-74岁的个人,男性,以及美洲印第安人/阿拉斯加原住民和西班牙裔人口中观察到更高的AAMR.
- 从2019年开始,AAMR增加了,亚利桑那州显示的最高率. 在只有40.5%的病例中,皮性菌病是主要原因.
- 糖尿病,COVID-19和艾滋病毒等并发症在菌菌病死亡中更为频繁.
结论:
- 型菌病的死亡率与既定的人口和地理因素密切相关,观察到的趋势越来越大.
- 主要原因编码的比例很低,这表明人们对菌菌病作为死亡原因的认可不足.
- 对于高风险个人和人群,建议提高临床意识,早期诊断和及时的抗真菌治疗.
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