Risk Stratification With Coccidioidal Skin Test to Prevent Valley Fever Among Inmates, California, 2015

Wheeler, Charlotte; Lucas, Kimberley D.; Derado, Gordana; McCotter, Orion; Tharratt, R. Steven; Chiller, Tom; Mohle-Boetani, Janet C.

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Risk Stratification With Coccidioidal Skin Test to Prevent Valley Fever Among Inmates, California, 2015

Published Date:

August 13 2018

Source:

J Correct Health Care. 24(4):342-351

Language:

English

[PDF-129.42 KB]

Details:

Personal Authors:

Wheeler, Charlotte ; Lucas, Kimberley D. ; Derado, Gordana ; McCotter, Orion ; Tharratt, R. Steven ; ... More ▼

Keywords:

[+]

Pubmed ID:

30099936

Pubmed Central ID:

PMC6515533

Description:

Two California state prisons (A and B) have very high rates of coccidioidomycosis (Valley Fever). The prison health care service sought to improve their prevention strategy by risk stratification with a newly available spherulin-based Coccidioides delayed-type hypersensitivity test. Of the 36,789 voluntarily screened inmates, 4.7% experienced adverse reactions. A positive test (8.6% of those tested) was independently associated with (1) incarceration at prisons A and B, (2) admission to prison from a Coccidioides-endemic county, (3) length of stay at prisons A and B, and (4) increasing age. These findings suggest that the test is safe and performing well at risk stratification; the prison system now restricts inmates with negative tests from prisons A and B. This novel use of the test might benefit other coccidioidomycosis prevention programs.

Document Type:

Journal Article

Collection(s):

CDC Public Access

Funding:

CC999999/Intramural CDC HHS/United States

Main Document Checksum:

[+]

Supporting Files:

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	nihms-982126-f0001.jpg	image/jpeg
	nihms-982126.nxml	text/xml

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