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. 2021 Aug 5;10(16):e020992. doi: 10.1161/JAHA.120.020992

Table 6.

Disease Severity

Mild (n=452) Moderate (n=188) Severe (n=232) P value
Sex 0.03
Male 245 (54.2%) 98 (52.1%) 101 (43.5%)
Female 207 (45.8%) 90 (47.9%) 131 (56.5%)
N=436 N=180 N=222
Age at diagnosis, y, median (interquartile range) 9 (7–12) 10 (8–12) 10 (7–13) 0.11
Race <0.001
American Indian or Alaska Native 17 (3.8%) 14 (7.4%) 8 (3.4%)
Asian 14 (3.1%) 9 (4.8%) 17 (7.3%)
Black 58 (12.8%) 37 (19.7%) 61 (26.3%)
Native Hawaiian or other Pacific Islander 30 (6.6%) 11 (5.9%) 24 (10.3%)
White 235 (52.0%) 80 (42.6%) 71 (30.6%)
Other 64 (14.2%) 23 (5.1%) 39 (16.8%)
Unknown 34 (7.5%) 14 (7.4%) 12 (5.2%)
Ethnicity 0.79
Hispanic or Latino 73 (16.2%) 29 (15.4%) 42 (18.1%)
Non‐Hispanic or Latino 339 (75.0%) 139 (73.9%) 172 (74.1%)
Unknown 40 (8.8%) 20 (10.6%) 18 (7.8%)
Primary language 0.001
English 392 (86.7%) 155 (82.4%) 183 (78.9%)
Spanish 36 (8.0%) 20 (10.6%) 18 (7.8%)
Other 17 (3.8%) 13 (6.9%) 28 (12.1%)
Unknown 7 (1.5%) 0 (0%) 3 (1.3%)
N=436 N=176 N=226
Has health insurance 407 (90.0%) 165 (87.8%) 206 (88.8%) 0.51
N=399 N=170 N=222
Type of health insurance 0.64
Private 167 (36.9%) 69 (36.7%) 79 (34.1%)
Medicaid or Medicare 201 (44.5%) 90 (47.9%) 123 (53.0%)
Both 2 (0.4%) 0 (0%) 0 (0%)
Unknown 37 (8.2%) 6 (3.2%) 4 (1.7%)
Diagnosed in the United States 0.09
Yes 381 (84.3%) 164 (87.2%) 186 (80.2%)
No 54 (11.9%) 18 (9.6%) 38 (16.4%)
Unknown 17 (3.8%) 6 (3.2%) 8 (3.4%)
N=354 N=161 N=182
Parent primary language English 297 (65.7%) 133 (70.7%) 137 (59.1%) 0.047
Travel exposure before diagnosis 0.02
Yes 65 (14.4%) 29 (15.4%) 53 (22.8%)
No 68 (15.0%) 32 (17.0%) 45 (19.4%)
Unknown 319 (70.6%) 127 (67.6%) 134 (57.8%)
Travel to endemic region 49 (10.8%) 25 (13.3%) 45 (19.4%) 0.31
Prescribed secondary prophylaxis

0.43

Yes 437 (96.7%) 181 (96.3%) 224 (96.6%)
No 9 (2.0%) 7 (3.7%) 5 (2.2%)
Unknown 6 (1.3%) 0 (0%) 3 (1.2%)
N=430 N=180 N=221
Initial antibiotic choice for secondary prophylaxis 0.09
BPG, intramuscular 231 (53.7%) 118 (65.5%) 142 (64.2%)
Oral penicillin 172 (40.0%) 52 (28.9%) 67 (30.3%)
Macrolid 10 (2.3%) 6 (3.3%) 7 (3.2%)
Sulfadiazine 5 (1.2%) 1 (0.6%) 2 (0.9%)
Other 12 (2.8%) 3 (1.7%) 3 (1.4%)
N=80 N=27 N=32
Reason for not using BPG 0.130
Patient/family preference 62 (77.5%) 20 (74.1%) 22 (68.8%)
Patient allergy 16 (20%) 4 (14.8%) 10 (31.2%)
Other 2 (2.5%) 3 (11.1%) 0 (0%)

n (%) unless otherwise indicated. BPG indicates benzathine penicillin G.