Malaria risk in travelers

Malaria risk in travelers
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DOI:
10.3201/eid1103.040677
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发表时间:
2005-03-01
影响因子:
11.8
通讯作者:
Ekdahl, K
Ekdahl, K
中科院分区:
医学2区
文献类型:
--
作者:
Askling, HH;Nilsson, J;Ekdahl, K

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在过去的20年里,输入性疟疾在几个西方国家已经成为一个日益严重的问题。为了计算瑞典旅行者的年龄、性别和旅行目的地的风险因素,我们使用了疟疾常规报告系统(接受和没有适当预防措施的患者的混合)的数据,旅行模式数据库,以及1997年至2003年瑞典旅行者的飞行或签证数据。旅行者的粗略风险从前往中美洲和加勒比的每10万名旅行者中有1人到中部非洲的每10万人中有357人不等。前往东非的旅行者被报告感染疟疾的调整优势比最高(OR=341,95%可信区间[CI]134-886),其次是前往中非和西非的旅行者。男性旅行者和儿童
Imported malaria has been an increasing problem in several Western countries in the last 2 decades. To calculate the risk factors of age, sex, and travel destination in Swedish travelers, we used data from the routine reporting system for malaria (mixture of patients with and without adequate prophylaxis), a database on travel patterns, and in-flight or visa data on Swedish travelers of 1997 to 2003. The crude risk for travelers varied from 1 per 100,000 travelers to Central America and the Caribbean to 357 per 100,000 in central Africa. Travelers to East Africa had the highest adjusted odds ratio (OR = 341, 95% confidence intervals [Cl] 134-886) for being reported with malaria, closely followed by travelers to central Africa and West Africa. Male travelers as well as children