Trends in imported infections among migrants and travellers to Spain: a decade of analysis through the +Redivi network (2012-2022).

Autor:	Alkaissy Y; Vrije Universiteit Amsterdam, De Boelelaan 1105, 1081 HV Amsterdam, The Netherlands., Serre-Delcor N; International Health Unit Vall d'Hebron-Drassanes, Infectious Diseases Department, Vall d'Hebron University Hospital, PROSICS, Calle de San Oleguer, 17, 08001 Barcelona, Spain.; CIBERINFEC. Instituto de Salud Carlos III, Av. Monforte de Lemos, 3-5, Pabellón 11, Planta baja, 28029 Madrid, Spain., Vicente MA; CIBERINFEC. Instituto de Salud Carlos III, Av. Monforte de Lemos, 3-5, Pabellón 11, Planta baja, 28029 Madrid, Spain.; National Referral Unit for Imported Infectious Diseases, Hospital La Paz-Carlos III, Paseo de la Castellana, 261, 28046 Madrid, Spain., Molina I; CIBERINFEC. Instituto de Salud Carlos III, Av. Monforte de Lemos, 3-5, Pabellón 11, Planta baja, 28029 Madrid, Spain.; Tropical Medicine Unit Vall d'Hebron-Drassanes, Infectious Diseases Department, Vall d'Hebron University Hospital, PROSICS, Paseo de la Vall d'Hebron, 119-129, 08035 Barcelona, Spain., Norman FF; CIBERINFEC. Instituto de Salud Carlos III, Av. Monforte de Lemos, 3-5, Pabellón 11, Planta baja, 28029 Madrid, Spain.; National Reference Centre for Imported Tropical Diseases. Infectious Diseases Department, Hospital Universitario Ramón y Cajal, IRYCIS, Carretera de Colmenar Km 9.1, 28034 Madrid, Spain., Goikoetxea AJ; Cruces University Hospital, Plaza Cruces, s/n, 48903 Barakaldo, Spain., de Dios B; Department of Internal Medicine. Hospital Universitario 12 de Octubre, Avenida de Córdoba, s/n, 28041 Madrid, Spain., Torrús D; Unidad de Referencia de Enfermedades Importadas y Salud Internacional, Unidad de Enfermedades Infecciosas, Hospital General Universitario Dr. Balmis de Alicante, Alicante, Spain.; Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), Alicante, Spain., Navarrete Lorite MN; Unidad Clínica de Enfermedades Infecciosas y Microbiologia del Hospital Universitario Virgen Macarena, Avenida Dr. Fedriani, 3, 41009 Sevilla, Spain., Rodríguez-Guardado A; Área de Gestión Clínica Medicina Interna. Hospital Universitario Central de Asturias, Avenida de Roma, s/n, 33011 Oviedo, Spain.; Grupo de Microbiología Traslacional, Instituto de Investigación del Principado de Asturias, Avenida Hospital Universitario s/n, 33011 Oviedo, Spain., Lombide I; Basurto University Hospital, Avenida de Montevideo, 18, 48013 Bilbao, Spain., Calabuig E; La Fe University and Polytechnic Hospital, University of Valencia, Avenida de Fernando Abril Martorell, 106, 46026 València, Spain., Muriel A; Clinical Biostatistic Unit, Hospital Universitario Ramón y Cajal, IRYCIS, Carretera de Colmenar Km 9.1, 28034 Madrid, Spain.; CIBERESP, Instituto de Salud Carlos III, Calle Monforte de Lemos, 3-5, Pabellón 11, Planta baja, 28029 Madrid, Spain.; Universidad de Alcalá, Plaza de San Diego, s/n, 28801 Alcalá de Henares, Spain., Perez-Molina JA; CIBERINFEC. Instituto de Salud Carlos III, Av. Monforte de Lemos, 3-5, Pabellón 11, Planta baja, 28029 Madrid, Spain.; National Reference Centre for Imported Tropical Diseases. Infectious Diseases Department, Hospital Universitario Ramón y Cajal, IRYCIS, Carretera de Colmenar Km 9.1, 28034 Madrid, Spain.
Jazyk:	angličtina
Zdroj:	Journal of travel medicine [J Travel Med] 2024 Aug 03; Vol. 31 (6).
DOI:	10.1093/jtm/taae067
Abstrakt:	Background: High-speed global travel, increased trade, world population growth, migration, urbanization and climate change have favoured the emergence and spread of pathogens. We aimed to analyse the evolution of imported infections in Spain during 2012-2022 and the potential impact of some of the abovementioned factors on differential morbidity patterns. Methods: In this retrospective study (January 2012 to December 2022), we analysed data collected by the +Redivi network across 25 health centres. The network's standardised database records new cases of imported infections, including patient demographics, travel history, pre-travel advice and diagnostic information. To assess outcome rates over time and potential interactions, we constructed penalized weighted models to reduce the bias related to a low event rate and used weighted logistic regression for morbidity outcomes. Results: We recorded 25 632 episodes, comprising 13 913 migrants, 4047 visiting friends and relatives (VFR) immigrants, 392 VFR travellers and 7280 travellers. Most immigrants came from South America (48.3%), Sub-Saharan Africa (28.5%), North Africa (6.6%), South Central Asia (5.4%) and Central America/Caribbean (5.3%). The most common regions visited by travellers were Sub-Saharan Africa (33.5%), South America (24.5%), Central America/Caribbean (13.5%), Southeast Asia (12%) and South Central Asia (10%). The proportion of diagnoses of malaria, strongyloidiasis and unspecified self-limiting febrile syndrome < 3 weeks remained unchanged during the study period. An increased frequency of diagnosis was reported for schistosomiasis, blastocystosis, giardiasis, dengue, diarrhoea, new cases of HIV, latent and pulmonary tuberculosis, whereas a decrease was reported for syphilis, chikungunya fever, Chagas disease and eosinophilia. We detected interactions between time and sex or type of participant across the different diagnoses. Conclusions: Our study underscores the importance of epidemiological data in understanding infectious diseases dynamics among travellers and migrants, emphasizing how demographic shifts, migration trends and healthcare policies affect disease profiles. Comprehensive data play an essential role in enhancing public health policies and travel advice. (© The Author(s) 2024. Published by Oxford University Press on behalf of International Society of Travel Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
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