Abstract：
BACKGROUND: Coccidioidomycosis within endemic regions is often undiagnosed because appropriate testing is not performed. A dashboard was developed to provide information about the prevalence of coccidioidomycosis throughout the year.
METHODS: Banner Urgent Care Service has many clinics within Maricopa County, Arizona, a highly endemic region for coccidioidomycosis. All clinic visits and subset analyses for patients with International Classification of Diseases, Tenth Revision codes for pneumonia (J18.*) or erythema nodosum (L52) during 2018-2024 were included. Tabulated were daily frequencies of visits, pneumonia and erythema nodosum coding, coccidioidal testing, and test results. Banner Urgent Care Services\' counts of monthly coccidioidomycosis diagnoses were compared with those of confirmed coccidioidomycosis cases reported to Maricopa County Department of Public Health.
RESULTS: Monthly frequencies of urgent care coccidioidomycosis diagnoses strongly correlated with public health coccidioidomycosis case counts (r = 0.86). Testing frequency for coccidioidomycosis correlated with overall pneumonia frequency (r = 0.52). The proportion of pneumonia due to coccidioidomycosis varied between <5% and >45% within and between years. Coccidioidomycosis was a common cause of erythema nodosum (65%; 95% confidence interval, 45%-67%) and independent of pneumonia. Over half of Banner Urgent Care Services\' coccidioidomycosis diagnoses were coded for neither pneumonia nor erythema nodosum.
CONCLUSIONS: Data provided by the coccidioidomycosis dashboard can assist urgent care practitioners in knowing when coccidioidomycosis is prevalent in the community. Patients with exposure to endemic coccidioidomycosis who develop erythema nodosum or pneumonia should routinely be tested for coccidioidomycosis. Data from private health care organizations can augment surveillance of diseases important to public health.
METHODS: Banner Urgent Care Service has many clinics within Maricopa County, Arizona, a highly endemic region for coccidioidomycosis. All clinic visits and subset analyses for patients with International Classification of Diseases, Tenth Revision codes for pneumonia (J18.*) or erythema nodosum (L52) during 2018-2024 were included. Tabulated were daily frequencies of visits, pneumonia and erythema nodosum coding, coccidioidal testing, and test results. Banner Urgent Care Services\' counts of monthly coccidioidomycosis diagnoses were compared with those of confirmed coccidioidomycosis cases reported to Maricopa County Department of Public Health.
RESULTS: Monthly frequencies of urgent care coccidioidomycosis diagnoses strongly correlated with public health coccidioidomycosis case counts (r = 0.86). Testing frequency for coccidioidomycosis correlated with overall pneumonia frequency (r = 0.52). The proportion of pneumonia due to coccidioidomycosis varied between <5% and >45% within and between years. Coccidioidomycosis was a common cause of erythema nodosum (65%; 95% confidence interval, 45%-67%) and independent of pneumonia. Over half of Banner Urgent Care Services\' coccidioidomycosis diagnoses were coded for neither pneumonia nor erythema nodosum.
CONCLUSIONS: Data provided by the coccidioidomycosis dashboard can assist urgent care practitioners in knowing when coccidioidomycosis is prevalent in the community. Patients with exposure to endemic coccidioidomycosis who develop erythema nodosum or pneumonia should routinely be tested for coccidioidomycosis. Data from private health care organizations can augment surveillance of diseases important to public health.
摘要：
背景：流行区域内的球孢子菌病通常未被诊断，因为没有进行适当的测试。开发了一个仪表板，以提供有关全年球虫菌病患病率的信息。
方法：Banner紧急护理服务在马里科帕县有许多诊所，亚利桑那,球虫菌病的高度流行区。ICD10编码肺炎患者的所有临床就诊和子集分析(J18。*）或2018-2024年间的结节性红斑（L52）被包括在内。列出了每天的访问频率，肺炎和结节性红斑编码，球虫测试,和测试结果。将Banner紧急护理服务每月诊断的球孢子菌病计数与向Maricopa县公共卫生部报告的确诊球孢子菌病病例进行比较。
结果：紧急护理球孢子菌病诊断的每月频率与公共卫生球孢子菌病病例数密切相关（r=0.86）。球孢子菌病的检测频率与总体肺炎频率相关（r=0.52）。在几年内和几年之间，由于球孢子菌病引起的肺炎的比例在<5％和大于45％之间变化。球孢子菌病是结节性红斑的常见原因（65％，95%的置信度：45%-67%），独立于肺炎。超过一半的Banner紧急护理服务\'球孢子菌病诊断既不是肺炎也不是结节性红斑。
结论：球孢子菌病仪表板提供的数据可以帮助紧急护理从业者了解社区中球孢子菌病的流行时间。暴露于地方性球孢子菌病并发展为结节性红斑或肺炎的患者应常规检查球孢子菌病。来自私营医疗机构的数据可以加强对公共卫生重要疾病的监测。
方法：Banner紧急护理服务在马里科帕县有许多诊所，亚利桑那,球虫菌病的高度流行区。ICD10编码肺炎患者的所有临床就诊和子集分析(J18。*）或2018-2024年间的结节性红斑（L52）被包括在内。列出了每天的访问频率，肺炎和结节性红斑编码，球虫测试,和测试结果。将Banner紧急护理服务每月诊断的球孢子菌病计数与向Maricopa县公共卫生部报告的确诊球孢子菌病病例进行比较。
结果：紧急护理球孢子菌病诊断的每月频率与公共卫生球孢子菌病病例数密切相关（r=0.86）。球孢子菌病的检测频率与总体肺炎频率相关（r=0.52）。在几年内和几年之间，由于球孢子菌病引起的肺炎的比例在<5％和大于45％之间变化。球孢子菌病是结节性红斑的常见原因（65％，95%的置信度：45%-67%），独立于肺炎。超过一半的Banner紧急护理服务\'球孢子菌病诊断既不是肺炎也不是结节性红斑。
结论：球孢子菌病仪表板提供的数据可以帮助紧急护理从业者了解社区中球孢子菌病的流行时间。暴露于地方性球孢子菌病并发展为结节性红斑或肺炎的患者应常规检查球孢子菌病。来自私营医疗机构的数据可以加强对公共卫生重要疾病的监测。
