Antibiotic and antifungal treatment among persons with confirmed coccidioidomycosis - Southern California, 2011

Med Mycol. 2020 Apr 1;58(3):411-413. doi: 10.1093/mmy/myz073.

Abstract

We investigated coccidioidomycosis testing and treatment patterns among persons in an integrated healthcare delivery system to identify gaps in diagnosis and treatment. Coccidioidomycosis diagnosis delays were common. Among persons who tested positive, 70% were prescribed antibiotics before positive coccidioidomycosis tests. Antibiotic treatment decreased and antifungal treatment increased after positive testing.

Keywords: antibiotics; antifungals; coccidioidomycosis; electronic health records; treatment.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Anti-Bacterial Agents / administration & dosage*
  • Antifungal Agents / therapeutic use*
  • California
  • Child
  • Child, Preschool
  • Coccidioidomycosis / diagnosis
  • Coccidioidomycosis / drug therapy*
  • Drug Prescriptions / statistics & numerical data*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Practice Patterns, Physicians'
  • Young Adult

Substances

  • Anti-Bacterial Agents
  • Antifungal Agents