Animal-associated injuries and related diseases among returned travellers: A review of the GeoSentinel Surveillance Network
Animal-associated injuries and related diseases among returned travellers: A review of the GeoSentinel Surveillance Network
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DOI：
10.1016/j.vaccine.2006.12.034
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发表时间：
2007-03-30
期刊：
影响因子：
5.5
通讯作者：
Torresi, Joseph
中科院分区：
文献类型：
--
作者：
Gautret, Philippe;Schwartz, Eli;Torresi, Joseph
背景资料：越来越多的旅行到异国情调的目的地在世界各地正在升级的风险，暴露于动物相关的伤害与风险收购rabysics.Methods：我们已经检查了数据报告GeoSentinel监测网络，突出特点的动物相关的伤害在travelers.Results：共320例报告，从1998年至2005年。旅行者主要是来自发达国家的游客，旅行时间中位数为23天。45.0%的病例记录了旅行前的遭遇。与其他旅行相关诊断相比，动物相关损伤患者中女性比例显著更高（54.7% vs 47.4%），最可能的患者年龄< 15岁（6.2% vs 2.6%）。与澳大利亚-新西兰（1.9%）、非洲（1.0%）、拉丁美洲（0.8%）、北美（0.9%）和欧洲（1.2%）相比，前往东南亚（3.9%）和亚洲其他地区（2.2%）的旅行者中持续动物咬伤的发病率较高。75%的病例发生在狂犬病流行的国家。其中狗占51.3%，猴子占21.2%，猫占8.2%，蝙蝠占0.7%，人类占0.7%。女性旅行者中动物相关伤害的可能性较高，这取决于所涉及的动物种类，猴子占大多数伤害。相比之下，男性更容易被狗伤害。只有66.1%的所有患者报告与动物相关的伤害接受狂犬病暴露后prophylaxis.Conclusions：该数据表明，动物相关的伤害并不罕见的返回旅客提出GeoSentinel网站。受伤比例最高的是前往亚洲的旅行者，主要是在狂犬病流行的地区，这导致了PEP的要求。(c)2006爱思唯尔有限公司保留所有权利。
Background: Increased travel to exotic destinations around the world is escalating the risk of exposure to animal-associated injuries with a risk of acquiring rabies.Methods: We have examined data reported to GeoSentinel Surveillance Network to highlight characteristics of animal-associated injuries in travellers.Results: A total of 320 cases were reported from 1998 to 2005. Travellers were predominantly tourists from developed countries with median travel duration of 23 days. A pre-travel encounter was recorded in 45.0% of the cases. A significantly greater proportion of patients with animal-related injuries were female compared to other travel associated diagnosis (54.7% versus 47.4%) and were most likely patients aged < 15 years (6.2% versus 2.6%). The proportionate morbidity for sustaining an animal bite was higher among travellers visiting Southeast Asia (3.9%) and the rest of Asia (2.2%) compared to Australia-New Zealand (1.9%), Africa (1.0%), Latin America (0.8%), North America (0.9%) and Europe (1.2%). Seventy-five percent of cases occurred in countries endemic for rabies. Dogs were involved in 51.3% of cases, monkeys in 21.2%, cats in 8.2%, bats in 0.7% and humans in 0.7%. The higher likelihood for animal-related injuries among female travellers was dependant on the animal species involved, with monkeys accounting for the majority of injuries. In contrast, males were more likely to be injured by dogs. Only 66.1 % of all patients reported with animal-related injury received rabies post-exposure prophylaxis.Conclusions: This data shows that animal-associated injuries are not uncommon among returned travellers presenting to GeoSentinel sites. The highest proportion of injuries was recorded in travellers to Asia, mostly in regions, which are endemic for rabies, and this had led to a requirement for PEP. (c) 2006 Elsevier Ltd. All rights reserved.