Incidence and trends of blastomycosis-associated hospitalizations in the United States

We used the State Inpatient Databases from the United States Agency for Healthcare Research and Quality to provide state-specific age-adjusted blastomycosis-associated hospitalization incidence throughout the entire United States. Among the 46 states studied, states within the Mississippi and Ohio R...

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Bibliographic Details
Published in:PloS one 2014-08, Vol.9 (8), p.e105466-e105466
Main Authors: Seitz, Amy E, Younes, Naji, Steiner, Claudia A, Prevots, D Rebecca
Format: Article
Language:English
Subjects:
Age
Biology and Life Sciences
Blastomyces dermatitidis
Blastomycosis
Blastomycosis - epidemiology
Blastomycosis - therapy
Codes
Epidemics
Epidemiology
Female
Fungal infections
Health care
Hospitalization - trends
Hospitals
Humans
Incidence
Infectious diseases
Laboratories
Male
Medical research
Medicine and Health Sciences
Middle Aged
Public health
Quality
Reporting requirements
River valleys
Rivers
Trends
United States - epidemiology
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Summary:We used the State Inpatient Databases from the United States Agency for Healthcare Research and Quality to provide state-specific age-adjusted blastomycosis-associated hospitalization incidence throughout the entire United States. Among the 46 states studied, states within the Mississippi and Ohio River valleys had the highest age-adjusted hospitalization incidence. Specifically, Wisconsin had the highest age-adjusted hospitalization incidence (2.9 hospitalizations per 100,000 person-years). Trends were studied in the five highest hospitalization incidence states. From 2000 to 2011, blastomycosis-associated hospitalizations increased significantly in Illinois and Kentucky with an average annual increase of 4.4% and 8.4%, respectively. Trends varied significantly by state. Overall, 64% of blastomycosis-associated hospitalizations were among men and the median age at hospitalization was 53 years. This analysis provides a complete epidemiologic description of blastomycosis-associated hospitalizations throughout the endemic area in the United States.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0105466