Journal Article

Coccidioidomycosis: knowledge, attitudes, and practices among healthcare providers — Arizona, 2007

Sanny Chen, Laura M. Erhart, Shoana Anderson, Ken Komatsu, Benjamin Park, Tom Chiller and Rebecca Sunenshine

in Medical Mycology

Published on behalf of International Society for Human and Animal Mycology

Volume 49, issue 6, pages 649-656
Published in print August 2011 | ISSN: 1369-3786
Published online August 2011 | e-ISSN: 1460-2709 | DOI: https://dx.doi.org/10.3109/13693786.2010.547995
Coccidioidomycosis: knowledge, attitudes, and practices among healthcare providers — Arizona, 2007

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  • Mycology and Fungi
  • Infectious Diseases
  • Medical Toxicology
  • Veterinary Medicine
  • Environmental Science

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Coccidioidomycosis presumably causes ≤ 33% of community-acquired pneumonias cases, although < 15% of the patients are tested for coccidioidomycosis. We assessed healthcare providers' knowledge, attitudes, and practices regarding coccidioidomycosis diagnosis and treatment in Arizona. A survey was mailed to 7,608 eligible healthcare providers licensed by the Arizona medical, osteopathic, and nursing boards in October and December 2007. We used weights to adjust for non-response and multivariate logistic regression models to identify predictors of ≥ 70% correct regarding knowledge and treatment practices. Of 1,823 (24%) respondents, 53% were physicians, 52% were male, and the mean age was 51 years. Approximately 50% reported confidence in their ability to treat coccidioidomycosis, and 21% correctly answered all four treatment questions. Predictors of ≥ 70% correct concerning knowledge and treatment practices included always counseling patients after diagnosis (adjusted odds ratio [AOR] = 4.4; 95% confidence interval [CI]: 2.8–7.1); specializing in infectious diseases (AOR = 2.4; 95% CI: 1.0–5.7); and having received coccidioidomycosis continuing medical education (CME) in the last year (AOR = 1.8; 95% CI: 1.2–2.6). These findings demonstrate that coccidioidomycosis CME improves knowledge of disease diagnosis and management, underscoring the need for a comprehensive coccidioidomycosis education campaign for healthcare providers in Arizona.

Keywords: coccidioidomycosis; fungus; KAP survey; community-acquired pneumonia; lung disease

Journal Article.  4101 words. 

Subjects: Mycology and Fungi ; Infectious Diseases ; Medical Toxicology ; Veterinary Medicine ; Environmental Science

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