Patterns of illness in travelers visiting Mexico and Central America: the GeoSentinel experience
| Autor: | Flores Figueroa, J, Okhuysen, Pc, von Sonnenburg, F, Dupont, Hl, Libman, Md, Keystone, Js, Hale, Dc, Burchard, G, Han, Pv, Wilder Smith, A, Freedman, Do, GeoSentinel Surveillance Network, Kain, Kc, Gelman, Ss, Ward, B, Dick Maclean, J, Jean Haulman, N, Roesel, D, Jong, Ec, Schwartz, E, Stauffer, Wm, Walker, Pf, Kozarsky, Pe, Franco Paredes, C, Pandey, P, Murphy, H, Loutan, L, Chappuis, F, Mccarthy, A, Connor, Ba, Chen, Lh, Wilson, Me, Lynch, Mw, Licitra, C, Crespo, A, Caumes, E, Pérignon, A, de Vries PJ, Gadroen, K, Nutman, Tb, Klion, Ad, Hynes, N, Bradley Sack, R, Mckenzie, R, Field, V, Gurtman, A, Coyle, Cm, Wittner, M, Parola, P, Simon, F, Delmont, J, Leder, K, Torresi, J, Brown, G, Jensenius, M, Wang, A, Macdonald, S, López Vélez, R, Antonio Perez Molina, J, Cahill, Jd, Mckinley, G, Schlagenhauf, P, Weber, R, Steffen, R, Shaw, M, Hern, A, Perret, C, Valdivieso, F, Valdez, L, Siu, H, Carosi, G, Castelli, Francesco, Tachikawa, N, Kurai, H, Sagara, H, Kass, R, Barnett, Ed, Mclellan, S, Holtom, P, Goad, J, Anglim, A, Hagmann, S, Henry, M, Miller, Ao, Ansdell, V, Kato, Y, Borwein, S, Anderson, N, Batchelor, T, Meisch, D, Gkrania Klotsas, E, Doyle, P, Ghesquiere, W, Piper Jenks, N, Kerr, C, Lian Lim, P, Piyaphanee, W, Silachamroon, U, Mendelson, M, Vincent, P, Africa, S, Virk, A, Sia, I. |
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| Přispěvatelé: | Infectious diseases |
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Microbiology (medical)
Adult Diarrhea Male medicine.medical_specialty Endemic Diseases Fever Neurocysticercosis Skin Diseases Dengue Risk Factors Epidemiology medicine Travel medicine Imported diseases Humans Respiratory Tract Infections Travel Chi-Square Distribution business.industry Outbreak Central America Odds ratio Middle Aged medicine.disease Leptospirosis Malaria Infectious Diseases Latin America Cross-Sectional Studies Emergency medicine Immunology Female Morbidity business Onchocerciasis Sentinel Surveillance human activities |
| Zdroj: | Clinical infectious diseases, 53(6), 523-531. Oxford University Press |
| ISSN: | 1058-4838 |
| Popis: | BACKGROUND: Mexico and Central America are important travel destinations for North American and European travelers. There is limited information on regional differences in travel related morbidity. METHODS: We describe the morbidity among 4779 ill travelers returned from Mexico and Central America who were evaluated at GeoSentinel network clinics during December 1996 to February 2010. RESULTS: The most frequent presenting syndromes included acute and chronic diarrhea, dermatologic diseases, febrile systemic illness, and respiratory disease. A higher proportion of ill travelers from the United States had acute diarrhea, compared with their Canadian and European counterparts (odds ratio, 1.9; P < .0001). During the 2009 H1N1 influenza outbreak from March 2009 through February 2010, the proportionate morbidity (PM) associated with respiratory illnesses in ill travelers increased among those returned from Mexico, compared with prior years (196.0 cases per 1000 ill returned travelers vs 53.7 cases per 1000 ill returned travelers; P < .0001); the PM remained constant in the rest of Central America (57.3 cases per 1000 ill returned travelers). We identified 50 travelers returned from Mexico and Central America who developed influenza, including infection due to 2009 H1N1 strains and influenza-like illness. The overall risk of malaria was low; only 4 cases of malaria were acquired in Mexico (PM, 2.2 cases per 1000 ill returned travelers) in 13 years, compared with 18 from Honduras (PM, 79.6 cases per 1000 ill returned travelers) and 14 from Guatemala (PM, 34.4 cases per 1000 ill returned travelers) during the same period. Plasmodium vivax malaria was the most frequent malaria diagnosis. CONCLUSIONS: Travel medicine practitioners advising and treating travelers visiting these regions should dedicate special attention to vaccine-preventable illnesses and should consider the uncommon occurrence of acute hepatitis A, leptospirosis, neurocysticercosis, acute Chagas disease, onchocerciasis, mucocutaneous leishmaniasis, neurocysticercosis, HIV, malaria, and brucellosis. |
| Databáze: | OpenAIRE |
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