Travel and migration associated infectious diseases morbidity in Europe, 2008.
Travel and migration associated infectious diseases morbidity in Europe, 2008.
复制标题
DOI：
10.1186/1471-2334-10-330
复制
发表时间：
2010-11-17
影响因子：
3.7
通讯作者：
EuroTravNet network
中科院分区：
文献类型：
--
作者：
Field V;Gautret P;Schlagenhauf P;Burchard GD;Caumes E;Jensenius M;Castelli F;Gkrania-Klotsas E;Weld L;Lopez-Velez R;de Vries P;von Sonnenburg F;Loutan L;Parola P;EuroTravNet network
欧洲人占国际旅行者的大多数，遇到返回患者的临床医生在识别和传达与旅行相关的公共卫生风险方面发挥着重要作用。为了调查欧洲旅行者旅行相关传染病的发病率，我们分析了6957名在2008年因假定旅行相关疾病而到EuroTravNet中心就诊的患病回国旅行者的人口统计学、临床和旅行相关疾病预测因素的诊断。胃肠道疾病占疾病的33%，其次是发热性全身疾病（20%）、皮肤病（12%）和呼吸道疾病（8%）。有3例死亡记录：大肠杆菌肾盂肾炎引起的败血症、登革热休克综合征和恶性疟原虫疟疾。胃肠道疾病包括细菌性急性腹泻（6.9%），以及贾第虫病和阿米巴（2.3%）。在已确定病原体的发热性全身性疾病中，疟疾（5.4%）占大多数病例，其次是登革热（1.9%），其他包括基孔肯雅热、立克次体病、钩端螺旋体病、布鲁氏菌病、爱泼斯坦巴尔病毒感染、蜱传脑炎和病毒性肝炎。皮肤病以细菌感染、节肢动物咬伤、皮肤幼虫移行症和动物咬伤为主，需要进行狂犬病暴露后预防，还有利什曼病、糠虫病、通江虫病和1例麻风病。呼吸系统疾病包括112例结核病（包括耐多药或广泛耐药结核病）、104例流感样疾病和5例军团病。性传播感染占诊断总数的0.6%，包括艾滋病毒感染和梅毒。共报告了165例潜在的疫苗可预防疾病。确定了旅行目的和目的地特有的风险因素，用于几种诊断，如南美洲移民旅行者的恰加斯病和撒哈拉以南非洲移民的恶性疟原虫疟疾。欧洲境内旅行也与健康风险有关，东欧和西欧的情况各不相同。2008年，EuroTravNet核心站点诊断出了一系列与旅行有关的疾病。根据患病旅行者访问的地区，诊断结果各不相同。与旅行相关的发病率范围也表明，有必要消除这样一种误解，即在欧洲离家近的地方旅行不会有重大的健康风险。
Europeans represent the majority of international travellers and clinicians encountering returned patients have an essential role in recognizing, and communicating travel-associated public health risks. To investigate the morbidity of travel associated infectious diseases in European travellers, we analysed diagnoses with demographic, clinical and travel-related predictors of disease, in 6957 ill returned travellers who presented in 2008 to EuroTravNet centres with a presumed travel associated condition. Gastro-intestinal (GI) diseases accounted for 33% of illnesses, followed by febrile systemic illnesses (20%), dermatological conditions (12%) and respiratory illnesses (8%). There were 3 deaths recorded; a sepsis caused by Escherichia coli pyelonephritis, a dengue shock syndrome and a Plasmodium falciparum malaria. GI conditions included bacterial acute diarrhea (6.9%), as well as giardiasis and amebasis (2.3%). Among febrile systemic illnesses with identified pathogens, malaria (5.4%) accounted for most cases followed by dengue (1.9%) and others including chikungunya, rickettsial diseases, leptospirosis, brucellosis, Epstein Barr virus infections, tick-borne encephalitis (TBE) and viral hepatitis. Dermatological conditions were dominated by bacterial infections, arthropod bites, cutaneous larva migrans and animal bites requiring rabies post-exposure prophylaxis and also leishmaniasis, myasis, tungiasis and one case of leprosy. Respiratory illness included 112 cases of tuberculosis including cases of multi-drug resistant or extensively drug resistant tuberculosis, 104 cases of influenza like illness, and 5 cases of Legionnaires disease. Sexually transmitted infections (STI) accounted for 0.6% of total diagnoses and included HIV infection and syphilis. A total of 165 cases of potentially vaccine preventable diseases were reported. Purpose of travel and destination specific risk factors was identified for several diagnoses such as Chagas disease in immigrant travellers from South America and P. falciparum malaria in immigrants from sub-Saharan Africa. Travel within Europe was also associated with health risks with distinctive profiles for Eastern and Western Europe. In 2008, a broad spectrum of travel associated diseases were diagnosed at EuroTravNet core sites. Diagnoses varied according to regions visited by ill travellers. The spectrum of travel associated morbidity also shows that there is a need to dispel the misconception that travel, close to home, in Europe, is without significant health risk.
登录
查看更多内容
影响因子：
5.5
作者：
Gautret, Philippe;Schwartz, Eli;Torresi, Joseph
通讯作者：
Torresi, Joseph
影响因子：
25.7
作者：
Schmid, Sabine;Chiodini, Peter;Schlagenhauf, Patricia
通讯作者：
Schlagenhauf, Patricia
影响因子：
28.2
作者：
Swaminathan, Ashwin;Torresi, Joseph;O'Brien, Daniel P.
通讯作者：
O'Brien, Daniel P.
影响因子：
25.7
作者：
Calleri, Guido;Behrens, Ron H.;Caramello, Pietro
通讯作者：
Caramello, Pietro
影响因子：
6.2
作者：
Marti, Franziska;Steffen, Robert;Mutsch, Margot
通讯作者：
Mutsch, Margot