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Cutaneous Fungal Infections in the United States: A Cross-Sectional Analysis of National Surveys
Cutaneous Fungal Infections in the United States: A Cross-Sectional Analysis of National S...
Cutaneous Fungal Infections in the United States: A Cross-Sectional Analysis of National Surveys

상세정보

자료유형  
 학위논문 서양
최종처리일시  
20260202103052
ISBN  
9798314887141
DDC  
614
저자명  
Spaulding, Sarah L.
서명/저자  
Cutaneous Fungal Infections in the United States: A Cross-Sectional Analysis of National Surveys
발행사항  
[Sl] : Yale University, 2024
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2024
형태사항  
50 p
주기사항  
Source: Dissertations Abstracts International, Volume: 86-11, Section: B.
주기사항  
Advisor: Cohen, Jeffrey M.
학위논문주기  
Thesis (M.D.)--Yale University, 2024.
초록/해제  
요약Superficial cutaneous fungal infections (SCFIs), caused by yeasts, dermatophytes, and nondermatophyte molds, are prevalent skin conditions with substantial economic and quality-of-life implications. This study aimed to evaluate trends in the prevalence of SCFIs in the United States between 2005 and 2016, using data from the National Ambulatory Medical Care Survey (NAMCS) and the National Hospital Ambulatory Medical Care Survey (NHAMCS).We performed a cross-sectional analysis of outpatient visits with SCFIs diagnoses, identified through the International Classification of Diseases, Ninth and Tenth Revisions, Clinical Modification (ICD-9-CM and ICD-10-CM). Diagnoses included conditions such as tinea unguium, tinea pedis, and candidiasis of the skin and nails. Data from the surveys were weighted to estimate national visit counts. Statistical analysis was conducted using the Jonckheere-Terpstra test to identify trends over the 12-year period.An estimated 6,001,852 annual visits for SCFIs occurred during the study period, totaling 72,022,226 visits. SCFIs accounted for approximately 0.54% of all ambulatory visits, with tinea unguium (20.5%), tinea pedis (12.2%), and tinea corporis (12.0%) representing the most common diagnoses. A significant increasing trend in the prevalence of SCFIs was observed (Z = 2.19, P = 0.03).The findings highlight the substantial burden of SCFIs in the United States and their increasing prevalence over time. These conditions have a notable impact on healthcare resources and patient well-being, underscoring the need for effective prevention, diagnosis, and management strategies. Future research should focus on demographic disparities and modifiable risk factors to inform public health interventions and clinical practice. Additionally, healthcare providers play a critical role in addressing SCFIs to mitigate their broader implications on population health and healthcare costs.
일반주제명  
Health sciences
일반주제명  
Microbiology
일반주제명  
Public health
키워드  
Candida
키워드  
Cutaneous fungal infections
키워드  
Dermatophyte
키워드  
Fungal infections
키워드  
Tinea
기타저자  
Yale University Yale School of Medicine
기본자료저록  
Dissertations Abstracts International. 86-11B.
전자적 위치 및 접속  
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MARC

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■035    ▼a(MiAaPQ)AAI31931972
■040    ▼aMiAaPQ▼cMiAaPQ
■0820  ▼a614
■1001  ▼aSpaulding,  Sarah  L.
■24510▼aCutaneous  Fungal  Infections  in  the  United  States:  A  Cross-Sectional  Analysis  of  National  Surveys
■260    ▼a[Sl]▼bYale  University▼c2024
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2024
■300    ▼a50  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  86-11,  Section:  B.
■500    ▼aAdvisor:  Cohen,  Jeffrey  M.
■5021  ▼aThesis  (M.D.)--Yale  University,  2024.
■520    ▼aSuperficial  cutaneous  fungal  infections  (SCFIs),  caused  by  yeasts,  dermatophytes,  and  nondermatophyte  molds,  are  prevalent  skin  conditions  with  substantial  economic  and  quality-of-life  implications.  This  study  aimed  to  evaluate  trends  in  the  prevalence  of  SCFIs  in  the  United  States  between  2005  and  2016,  using  data  from  the  National  Ambulatory  Medical  Care  Survey  (NAMCS)  and  the  National  Hospital  Ambulatory  Medical  Care  Survey  (NHAMCS).We  performed  a  cross-sectional  analysis  of  outpatient  visits  with  SCFIs  diagnoses,  identified  through  the  International  Classification  of  Diseases,  Ninth  and  Tenth  Revisions,  Clinical  Modification  (ICD-9-CM  and  ICD-10-CM).  Diagnoses  included  conditions  such  as  tinea  unguium,  tinea  pedis,  and  candidiasis  of  the  skin  and  nails.  Data  from  the  surveys  were  weighted  to  estimate  national  visit  counts.  Statistical  analysis  was  conducted  using  the  Jonckheere-Terpstra  test  to  identify  trends  over  the  12-year  period.An  estimated  6,001,852  annual  visits  for  SCFIs  occurred  during  the  study  period,  totaling  72,022,226  visits.  SCFIs  accounted  for  approximately  0.54%  of  all  ambulatory  visits,  with  tinea  unguium  (20.5%),  tinea  pedis  (12.2%),  and  tinea  corporis  (12.0%)  representing  the  most  common  diagnoses.  A  significant  increasing  trend  in  the  prevalence  of  SCFIs  was  observed  (Z  =  2.19,  P  =  0.03).The  findings  highlight  the  substantial  burden  of  SCFIs  in  the  United  States  and  their  increasing  prevalence  over  time.  These  conditions  have  a  notable  impact  on  healthcare  resources  and  patient  well-being,  underscoring  the  need  for  effective  prevention,  diagnosis,  and  management  strategies.  Future  research  should  focus  on  demographic  disparities  and  modifiable  risk  factors  to  inform  public  health  interventions  and  clinical  practice.  Additionally,  healthcare  providers  play  a  critical  role  in  addressing  SCFIs  to  mitigate  their  broader  implications  on  population  health  and  healthcare  costs.
■590    ▼aSchool  code:  0265.
■650  4▼aHealth  sciences
■650  4▼aMicrobiology
■650  4▼aPublic  health
■653    ▼aCandida
■653    ▼aCutaneous  fungal  infections
■653    ▼aDermatophyte
■653    ▼aFungal  infections
■653    ▼aTinea
■690    ▼a0566
■690    ▼a0410
■690    ▼a0769
■690    ▼a0573
■71020▼aYale  University▼bYale  School  of  Medicine.
■7730  ▼tDissertations  Abstracts  International▼g86-11B.
■790    ▼a0265
■791    ▼aM.D.
■792    ▼a2024
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17356868▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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