Self-reported Treatment Practices by Healthcare Providers Could Lead to Death from Rocky Mountain Spotted Fever

2014 ◽  
Vol 33 (7) ◽  
pp. 769
Author(s):  
&NA;
2014 ◽  
Vol 164 (2) ◽  
pp. 416-418 ◽  
Author(s):  
Jillian Zientek ◽  
F. Scott Dahlgren ◽  
Jennifer H. McQuiston ◽  
Joanna Regan

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S889-S890
Author(s):  
Alison M Binder ◽  
Paige Armstrong

Abstract Background Tickborne rickettsial diseases (TBRDs), including Rocky Mountain spotted fever (RMSF), are major causes of illness in the United States. Doxycycline is the first-line treatment for patients of all ages; delay in treatment is the single most important predictor of fatal outcome. Recent assessments have identified a lack of knowledge in recognition and treatment of RMSF among providers. CDC developed an online toolkit to address the need for increased awareness in the medical and public health communities. Methods In August 2018, CDC released the Rocky Mountain Spotted Fever (and other tickborne diseases) Toolkit for Healthcare Providers, an online platform including: (1) Narrated video discussing RMSF clinical presentation, diagnosis, and treatment, (2) Physician pocket card, (3) Clinical timeline with images to aid diagnosis, and (4) Tickborne Diseases of the United States Manual. Participants receive free continuing education (CE) by scoring ≥75% on a posttest and providing an evaluation. We summarized post-test scores and evaluations to assess impact on participant knowledge and satisfaction with the format. Results As of April 30, 2019, there have been 14,103 visits to the toolkit website. In total, 247 participants registered for CE and completed the posttest; 245 (99%) passed. The majority of participants self-reported as nurses (121, 49%), followed by other professionals (32, 13%) and physicians (31, 13%). All posttest questions except one indicated correct responses were selected by ≥80%. In all, 245 provided a course evaluation; 94% agreed the content and materials addressed a gap in their knowledge, and 84% agreed the knowledge gained from the activity could be applied to practice. Nearly all (96%) agreed the delivery methods used was appropriate and aided in learning the content. Suggested improvements included integration of case-based scenarios, Spanish-language materials, and more information on epidemiology and information on TBRDs in vulnerable populations. Conclusion Participation in this online toolkit led to improved knowledge and confidence among providers regarding timely diagnosis and treatment of TBRDs, highlighting the utility of online education in addressing gaps in provider awareness of TBRDs in the United States. Disclosures All authors: No reported disclosures.


Praxis ◽  
2005 ◽  
Vol 94 (47) ◽  
pp. 1869-1870
Author(s):  
Balestra ◽  
Nüesch

Eine 37-jährige Patientin stellt sich nach der Rückkehr von einer Rundreise durch Nordamerika mit einem Status febrilis seit zehn Tagen und einem makulösem extremitätenbetontem Exanthem seit einem Tag vor. Bei suggestiver Klinik und Besuch der Rocky Mountains wird ein Rocky Mountain spotted fever diagnostiziert. Die Serologie für Rickettsia conorii, die mit Rickettsia rickettsii kreuzreagiert, war positiv und bestätigte die klinische Diagnose. Allerdings konnte der beweisende vierfache Titeranstieg, möglicherweise wegen spät abgenommener ersten Serologie, nicht nachgewiesen werden. Nach zweiwöchiger antibiotischer Therapie mit Doxycycline waren Status febrilis und Exanthem regredient.


2019 ◽  
Vol 19 (3) ◽  
pp. 238-257
Author(s):  
Suresh Antony

Background:In the United States, tick-borne illnesses account for a significant number of patients that have been seen and treated by health care facilities. This in turn, has resulted in a significant morbidity and mortality and economic costs to the country.Methods:The distribution of these illnesses is geographically variable and is related to the climate as well. Many of these illnesses can be diagnosed and treated successfully, if recognized and started on appropriate antimicrobial therapy early in the disease process. Patient with illnesses such as Lyme disease, Wet Nile illness can result in chronic debilitating diseases if not recognized early and treated.Conclusion:This paper covers illnesses such as Lyme disease, West Nile illness, Rocky Mountain Spotted fever, Ehrlichia, Tularemia, typhus, mosquito borne illnesses such as enteroviruses, arboviruses as well as arthropod and rodent borne virus infections as well. It covers the epidemiology, clinical features and diagnostic tools needed to make the diagnosis and treat these patients as well.


2020 ◽  
Vol 15 (06) ◽  
pp. 269-275
Author(s):  
Kaila Lessner ◽  
Conrad Krawiec

AbstractWhen unrecognized and antibiotic delay occurs, Lyme disease, Rocky Mountain–spotted fever, babesiosis, and human ehrlichiosis and anaplasmosis can result in multiorgan system dysfunction and potentially death. This review focuses on the early recognition, evaluation, and stabilization of the rare life-threatening sequelae seen in tick-borne illnesses that require admission in the pediatric intensive care unit.


Author(s):  
Kathryn T Duncan ◽  
Meriam N Saleh ◽  
Kellee D Sundstrom ◽  
Susan E Little

Abstract Throughout North America, Dermacentor spp. ticks are often found feeding on animals and humans, and are known to transmit pathogens, including the Rocky Mountain spotted fever agent. To better define the identity and distribution of Dermacentor spp. removed from dogs and cats in the United States, ticks submitted from 1,457 dogs (n = 2,924 ticks) and 137 cats (n = 209 ticks) from veterinary practices in 44/50 states from February 2018-January 2020 were identified morphologically (n = 3,133); the identity of ticks from regions where Dermacentor andersoni (Stiles) have been reported, and a subset of ticks from other regions, were confirmed molecularly through amplification and sequencing of the ITS2 region and a 16S rRNA gene fragment. Of the ticks submitted, 99.3% (3,112/3,133) were Dermacentor variabilis (Say), 0.4% (12/3,133) were D. andersoni, and 0.3% (9/3,133) were Dermacentor albipictus (Packard). While translocation of pets prior to tick removal cannot be discounted, the majority (106/122; 87%) of Dermacentor spp. ticks removed from dogs and cats in six Rocky Mountain states (Montana, Idaho, Wyoming, Nevada, Utah, and Colorado) were D. variabilis, suggesting this species may be more widespread in the western United States than is currently recognized, or that D. andersoni, if still common in the region, preferentially feeds on hosts other than dogs and cats. Together, these data support the interpretation that D. variabilis is the predominant Dermacentor species found on pets throughout the United States, a finding that may reflect recent shifts in tick distribution.


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