Risk Stratification With Coccidioidal Skin Test to Prevent Valley Fever Among Inmates, California, 2015.
Open accessAbstract
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.
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Knowledge gaps among Hispanic farm workers about coccidioidomycosis can make recognizing the disease and providing early treatment challenging.
“Another factor to account for is the knowledge gaps among Hispanic farm workers about coccidioidomycosis [142] that can make recognizing the disease and providing early treatment challenging.”
From Race and ethnicity: Risk factors for fungal infections? (2023) · cites this paper as [142]
In the skin test study, the number of inmates who agreed to the skin test was smaller among minority racial and ethnic groups compared to white inmates.
“However, in the latter study the number of inmates who agreed to the skin test was smaller among minority racial and ethnic groups compared to white inmates.”
From Race and ethnicity: Risk factors for fungal infections? (2023) · cites this paper as [142]
A study using skin tests to screen for coccidioidomycosis showed no association between coccidioidomycosis and race.
“a study using skin tests to screen for coccidioidomycosis showed no association between coccidioidomycosis and race [142].”
From Race and ethnicity: Risk factors for fungal infections? (2023) · cites this paper as [142]
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Self-citation
- Authors
- Wheeler, C., Lucas, K. D., Derado, G., McCotter, O., Tharratt, R. S., Chiller, T., & Mohle-Boetani, J. C.
- Affiliations
- Public Health Branch, California Correctional Health Care Services, Elk Grove, CA, USA
- Centers for Disease Control and Prevention (US)
- Health Care Operations, California Correctional Health Care Services, Elk Grove, CA, USA
- Corresponding author
- Lucas, Kimberley D.
- Venue
- Journal of Correctional Health Care
- Publisher
- SAGE Publications
- Published
- 2018-10-01
- Volume
- 24
- Issue
- 4
- Pages
- 342-351
- ISSN
- 1078-3458 (ISSN-L)
- 1940-5200
- PMC
- PMC6515533
- OpenAlex
- W2887316335
- Cited by
- 17
- References
- 24
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 4 · 2022: 2 · 2021: 1 · 2020: 3 · 2019: 3 · 2018: 1
- FWCI
- 1.56
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Journal of Correctional Health Care (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- California Department of Public Health
- National Institutes of Health (CC999999)
- Topics
- Health Sciences › Medicine › Epidemiology › Fungal Infections and Studies
- Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
- Health Sciences › Medicine › Microbiology › Actinomycetales infections and treatment
- Keywords
- coccidioidomycosis, Coccidioides, delayed-type hypersensitivity skin test, risk stratification, prison health care, test safety
- MeSH terms
- Adolescent, Adult, Aged, Black or African American, California, Coccidioidomycosis, Hispanic or Latino, Hospitalization, Humans, Male, Middle Aged, Prisons, Risk Factors, Skin Tests, Logistic Models, Young Adult
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