ABSTRACT
The aim of this study is to highlight the potentially fatal risk of Strongyloidiasis Hyperinfection Syndrome for hospitalized immigrant patients with moderate to severe COVID-19 disease and undiagnosed Strongyloidiasis. We reviewed electronic medical records of immigrants from 2010 to 2022 and extracted the number of patients with eosinophilia, strongyloidiasis and COVID-19 infection, outpatient and hospitalized. While 885 outpatients were diagnosed with eosinophilia, only 356 (40.2%) were tested for strongyloidiasis and 160 (44.9%) yielded a reactive serology. COVID-19 infection was reported in 6,412 patients. 1135 (17.7%) of these patients sought hospital care. Patients with undiagnosed strongyloidiasis are at risk for a potentially fatal parasitosis if treated with systemic corticosteroids for COVID-19. This supports clinical guidelines in hospital settings for those with severe COVID-19. Strongyloidiasis should be considered by taking a thorough travel or migration history and testing before giving immunosuppressive drugs.
Subject(s)
COVID-19 , Eosinophilia , Strongyloides stercoralis , Strongyloidiasis , Transients and Migrants , Animals , Humans , Strongyloidiasis/drug therapy , Strongyloidiasis/diagnosis , Adrenal Cortex Hormones/therapeutic useABSTRACT
As the use of connected devices rises, an understanding of how digital health technologies can be used for equitable healthcare across diverse communities is needed. We surveyed 1007 adult patients at six Federally Qualified Health Centers regarding wearable fitness trackers. Findings indicate the majority interest in having fitness trackers. Barriers included cost and lack of information, revealing that broad digital health device adoption requires education, investment, and high-touch methods.
ABSTRACT
New immigrants to Lyme-endemic areas of the United States are unaware of this infection. This study, which took place in a community with a large population of new immigrants, demonstrated a lack of awareness of Lyme disease. A short educational tool was proven effective in increasing recognition.
Subject(s)
Emigration and Immigration/statistics & numerical data , Health Education/methods , Lyme Disease/ethnology , Lyme Disease/prevention & control , Central America/ethnology , Female , Health Knowledge, Attitudes, Practice , Humans , Male , New York/epidemiology , Program Evaluation , South America/ethnologyABSTRACT
Travel health has become a popular and widely accepted component of the medical community. With the increase in medical travel, NPs must be aware of the guidelines pertaining to health issues and diseases that arise in underdeveloped countries.