Page 29 - Delaware Medical Journal - May/June 2019
P. 29
CASE REPORT
the non-Amish group was heterozygous, 12% were homozygous, and 48% did not carry the delta F508 mutation (P=0.057). The Amish population was prescribed dietary supplements at a rate of 89% versus 50% for non-Amish (P=0.087). The prevalence of a BMI >75th percentile was 51.25% in Amish patients and 61.25% in non-Amish patients, with the variation
(Figure 1). The mean FEV1 percentage Figure 2), while the average FEF 25-75 value was 58% versus 86% in Amish compared
to the non-Amish group. Organisms
Staphylococcus aureus (MSSA); Methicillin-resistant Staphylococcus aureus (MRSA); Haemophilus Pseudomonas aeruginosa (P. aeruginosa); Stenotrophomonas maltophilia; Salmonella Heidelberg; Enterobacter cloacae complex; Acinetobacter ursingii;
Klebsiella oxytoca; Acinetobacter
Citrobacter freundii; Candida albicans; Bordetella bronchiseptica; Streptococcus pneumoniae; Pseudomonas putida; Acinetobacter, baumannii complex; Candida lusitaniae; Escherichia coli; Enterococcus faecalis; Beta Hemolytic Streptococcus Group B; Candida parapsilosis; Candida rugose; Aspergillus fumigatus; Beta Hemolytic Streptococcus Group A; Klebsiella pneumoniae; and Enterobacter cloacae. The mean number of total episodes of infection per patient
in the Amish population was 9, compared
most prevalent organism being H. (P=0.672).
There was a considerable difference in the number of incidents of the same infection per patient between Amish and non-Amish population (1 IQR 0–1 versus 0 IQR 0–1;
p=0.012). The average rate of antibiotic prescribing per patient in the Amish
group was 7.9 prescriptions (95% CI,
in non-Amish group (95% CI, from -1.1
6 out of 28 in non-Amish) (P=0.046).
Forty percent of the Amish population assistance programs, compared to 100%
of the non-Amish population (Table 1). Forty-four percent of the Amish group
had electricity in the home, compared to 100% in the non-Amish group (P=0.001, Table 1). The average activity level in the Amish population was higher at 4.12, as compared to the non-Amish Figure 3). Use of well water in the Amish was nine individuals group (P=0.001, OR: 401/1). All patients were up to date on recommended vaccines.
