Retrospective analysis of the cholera cases imported to France from 1973 to 2005
Retrospective analysis of the cholera cases imported to France from 1973 to 2005
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DOI：
10.1111/j.1708-8305.2007.00129.x
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发表时间：
2007-07-01
影响因子：
25.7
通讯作者：
Fournier, Jean-Michel
中科院分区：
文献类型：
--
作者：
Tarantola, Arnaud;Ioos, Sophie;Fournier, Jean-Michel
背景。旅行方式和旅行者对感染的脆弱性正在发生变化：旅行者数量不断增加、高龄旅行、与当地居民密切接触的“背包客”旅游。法国本土霍乱的流行病学情况和趋势如何？方法。使用当地卫生部门的强制通报数据和国家参考中心的信息，对1973年1月1日至2005年12月31日通报的所有输入法国的霍乱确诊病例进行了描述性回顾性研究。结果。 1973年至2005年间，共报告129例输入性霍乱病例（平均每年3.9例）。感染的地理来源随着时间的推移而发生变化：2000年，94%的患者在马格里布（摩洛哥和阿尔及利亚）被感染，而2000年则没有。另一方面，亚洲和西非逐渐出现，现在占主导地位。尽管某些数据信息不充分并且可能检测不足，但输入病例的数量似乎很低并且正在下降。结论。患者概况似乎已经发生了变化，并且越来越多地关注那些生活在法国主要移民盆地以外的高龄人群，并且越来越多地在非教学医院进行诊断。将讨论可能对临床医生有帮助的经验教训。
Background. The manners of traveling and travelers' vulnerability to infection are changing: increasing numbers of travelers, travels at the extreme ages of life, "backpacker" tourism in close contact with local populations. What is the epidemiologic situation and what are the trends of imported cholera to Metropolitan France?Method. A descriptive retrospective study was undertaken on all the confirmed cases of cholera imported to France, and notified from January 1, 1973, to December 31, 2005, using compulsory notification data from local health departments and information from the National Reference Centre.Results. A total of 129 imported cases of cholera were notified between 1973 and 2005 (3.9 cases/y on average). The geographical sources of infection have changed with time: in the 1980s, 94% of the patients were infected in Maghreb (Morocco and Algeria) but none were in 2000. On the other hand, Asia and West Africa progressively emerged and now predominate. In spite of certain poorly informed data and possible underdetection, the number of cases of importation appears to be low and falling.Conclusions. The patient profile seems to have evolved and increasingly concerns people at the extreme ages of life, living elsewhere than the principal basins of immigration in France, and diagnosis is increasingly made in nonteaching hospitals. The lessons likely to help clinicians will be discussed.