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Risk Stratification With Coccidioidal Skin Test to Prevent Valley Fever Among Inmates, California, 2015.
- Source :
- Journal of Correctional Health Care; Oct2018, Vol. 24 Issue 4, p342-351, 10p
- Publication Year :
- 2018
-
Abstract
- 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. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 10783458
- Volume :
- 24
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Journal of Correctional Health Care
- Publication Type :
- Academic Journal
- Accession number :
- 131881731
- Full Text :
- https://doi.org/10.1177/1078345818792679