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Source: http://wwwnc.cdc.gov/eid/article/22/10/16-0115_article
Volume 22, Number 10?October 2016
Research
Cat-Scratch Disease in the United States, 2005?2013
Christina A. NelsonComments to Author , Shubhayu Saha, and Paul S. Mead
Author affiliations: Centers for Disease Control and Prevention, Fort Collins, Colorado, USA (C.A. Nelson, P.S. Mead); Emory University, Atlanta, Georgia, USA (S. Saha)
Abstract
Cat-scratch disease (CSD) is mostly preventable. More information about the epidemiology and extent of CSD would help direct prevention efforts to those at highest risk. To gain such information, we reviewed the 2005?2013 MarketScan national health insurance claims databases and identified patients <65 years of age with an inpatient admission or outpatient visit that included a CSD code from the International Classification of Diseases, Ninth Revision, Clinical Modification. Incidence of CSD was highest among those who lived in the southern United States (6.4 cases/100,000 population) and among children 5?9 years of age (9.4 cases/100,000 population). Inpatients were significantly more likely than outpatients to be male and 50?64 years of age. We estimate that each year, 12,000 outpatients are given a CSD diagnosis and 500 inpatients are hospitalized for CSD. Prevention measures (e.g., flea control for cats) are particularly helpful in southern states and in households with children...
Volume 22, Number 10?October 2016
Research
Cat-Scratch Disease in the United States, 2005?2013
Christina A. NelsonComments to Author , Shubhayu Saha, and Paul S. Mead
Author affiliations: Centers for Disease Control and Prevention, Fort Collins, Colorado, USA (C.A. Nelson, P.S. Mead); Emory University, Atlanta, Georgia, USA (S. Saha)
Abstract
Cat-scratch disease (CSD) is mostly preventable. More information about the epidemiology and extent of CSD would help direct prevention efforts to those at highest risk. To gain such information, we reviewed the 2005?2013 MarketScan national health insurance claims databases and identified patients <65 years of age with an inpatient admission or outpatient visit that included a CSD code from the International Classification of Diseases, Ninth Revision, Clinical Modification. Incidence of CSD was highest among those who lived in the southern United States (6.4 cases/100,000 population) and among children 5?9 years of age (9.4 cases/100,000 population). Inpatients were significantly more likely than outpatients to be male and 50?64 years of age. We estimate that each year, 12,000 outpatients are given a CSD diagnosis and 500 inpatients are hospitalized for CSD. Prevention measures (e.g., flea control for cats) are particularly helpful in southern states and in households with children...