Characteristics of Schistosomiasis in Travelers Reported to the GeoSentinel Surveillance Network 1997-2008
Characteristics of Schistosomiasis in Travelers Reported to the GeoSentinel Surveillance Network 1997-2008
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DOI：
10.4269/ajtmh.2008.79.729
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发表时间：
2008-11-01
影响因子：
3.3
通讯作者：
Kozarsky, Phyllis E.
中科院分区：
文献类型：
--
作者：
Nicolls, Deborah J.;Weld, Leisa H.;Kozarsky, Phyllis E.
十多年来，在向 GeoSentinel 监测网络报告的血吸虫流行地区返回的患病旅行者中，确诊了 410 例血吸虫病：102 例曼氏血吸虫，88 例埃及血吸虫。 7 种日本血吸虫和 213 种未知人类血吸虫。总共83%是在非洲收购的。与之前的大箱系列不同。出生在流行地区的个体被排除在外。控制年龄和性别后，那些因传教士或志愿者工作或外籍人士而旅行的人更有可能被诊断出患有血吸虫病。百分之六十三的血吸虫病患者在旅行后六个月内就诊。与较晚就诊的患者相比，较早就诊的患者更常出现发烧和呼吸道症状。三分之一的血吸虫病患者在诊断时没有症状。接受血吸虫病检查的人中有一半被诊断出感染。应鼓励对所有可能接触血吸虫病的旅行者，特别是传教士进行血吸虫病筛查。志愿者和外籍人士。
Among ill returned travelers to Schistosoma-endemic areas reported to the GeoSentinel Surveillance Network over a decade 410 schistosomiasis diagnoses were identified: 102 Schistosoma mansoni, 88 S. haematobium. 7 S. japonicum, and 213 Schistosoma unknown human species. A total of 83% Were acquired in Africa. Unlike previous large case series. individuals born in endemic areas were excluded. Controlling for age and sex, those traveling for missionary or Volunteer work, or as expatriates were more likely to be diagnosed with schistosomiasis. Sixty-three percent of those with schistosomiasis presented within six months of travel. Those seen early more often presented with fever and respiratory symptoms compared with those who presented later. One-third of patients with schistosomiasis were asymptomatic at diagnosis. Half of those examined for schistosomiasis were diagnosed with infection. Screening for schistosomiasis should be encouraged for all potentially exposed travelers and especially for missionaries. volunteers, and expatriates.