Schistosomiasis and international travel
Schistosomiasis and international travel
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DOI：
10.1086/341895
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发表时间：
2002-08-15
影响因子：
11.8
通讯作者：
Corachan, M
中科院分区：
文献类型：
--
作者：
Corachan, M
血吸虫属感染是通过暴露于含有受感染蜗牛释放的尾蚴的淡水而获得的。虽然感染途径是明确的，在非免疫游客的临床表现，典型的建立感染不同于在地方性流行地区的当地人口。对于卫生保健从业者来说，旅行者综合征提出了独特的管理问题：水传播的细菌和病毒感染可能共存，在表现时确定疾病的阶段，沿着致病物种的识别，将最大限度地提高治疗选择。旅行医疗诊所作为流行病学的触角，帮助确定不同地理区域的物种传播动态。需要对前往流行地区的人员进行教育，并发展防止接触的机械保护。
Infection with Schistosoma species is acquired by exposure to fresh water that harbors cercariae released by infected snails. Although the route of infection is clear, clinical presentation of the established infection in the nonimmune tourist typically differs from that in the local population of areas of endemicity. For the health care practitioner, the traveler's syndrome presents distinctive management problems: water-transmitted bacterial and viral infections may coexist, and identification of the stage of disease at presentation, along with identification of the causative species, will maximize treatment options. Travel medicine clinics serve as epidemiological antennae, helping to identify the dynamics of species transmission in geographically distinct areas. Education of persons traveling to areas of endemicity and the development of mechanical protection against exposure are needed.