Characteristics of HIV infected individuals traveling abroad. Results from the plus REDIVI Collaborative Network
| Autor: | Perez-Molina JA, Martinez-Perez A, Serre N, Trevino B, Ruiz-Giardin JM, Torrus D, Goikoetxea J, Echevarria EM, Malmierca E, Rojo G, Calabuig E, Gutierrez B, Norman F, Lopez-Velez R, +REDIVI Collaborative Network |
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| Rok vydání: | 2016 |
| Předmět: | |
| Zdroj: | ENFERMEDADES INFECCIOSAS Y MICROBIOLOGIA CLINICA r-FISABIO: Repositorio Institucional de Producción Científica Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO) r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante instname |
| ISSN: | 0213-005X |
| Popis: | Introduction: The improvement in the prognosis of HIV infection, coupled with the increase in international travel and migration, has led to a rising number of HIV infected travelers. The objective of this study was to describe the epidemiological and clinical features of returning travelers, according to their HIV status. Methods: An observational prospective study was conducted including travelers and immigrants who traveled to visit friends and relatives (VFRs) registered in the +REDIVI collaborative network (January-2009; October-2014). +REDIVI is a national network that registers information regarding infections imported by travelers and immigrants at 21 different centers using a standardized protocol. Results: A total of 3464 travellers were identified: 72 were HIV+ (2.1%) and 3.392 HIV-(98%). HIV+ vs. HIV travelers were often older (40.5y vs. 34.2y P = .001), VFRs (79.1% vs. 44.4%; P < .001), and consulted less for pre-travel advice (27% vs. 37%; P = .078). The main destinations for both groups were sub-Saharan Africa and Latin America. The most frequent reasons for consultation after travel were fever, request for a health examination, gastrointestinal complaints, and abnormal laboratory tests (mainly eosinophilia and anemia), which differed between groups. The most frequent diagnoses in HIV+ travelers were malaria (38.8%), newly diagnosed HIV infection (25%), and intestinal parasites (19.4%), while for HIV-travelers the main diagnoses were "healthy" (17.9%), malaria (14%), and intestinal parasites (17.3%). Conclusions: The typical profile of an HIV+ traveler in +REDIVI was that of a VFR traveler who did not seek pre-travel advice and made high-risk trips. This may increase the chance of acquiring travel-related infections which may pose a special risk for HIV-infected travelers. The post-travel visit was a good opportunity for HIV infection screening. (C) 2015 Elsevier Espana, S.L.U. and Sociedad Espanola de Enfermedades Infecciosas y Microbiologia Clinica. All rights reserved. |
| Databáze: | OpenAIRE |
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