Pattern of infections in French and migrant homeless hospitalised at Marseille infectious disease units, France: A retrospective study, 2017-2018

Autor: Philippe Gautret, Thi Loi Dao, Philippe Parola, Van Thuan Hoang, David Braunstein, Tran Duc Anh Ly, Jean-Christophe Lagier, Philippe Brouqui
Přispěvatelé: Vecteurs - Infections tropicales et méditerranéennes (VITROME), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut de Recherche Biomédicale des Armées [Brétigny-sur-Orge] (IRBA), Institut Hospitalier Universitaire Méditerranée Infection (IHU Marseille), Centre d'études et de recherche sur les services de santé et la qualité de vie (CEReSS), Aix Marseille Université (AMU), Microbes évolution phylogénie et infections (MEPHI), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Centre National de la Recherche Scientifique (CNRS), Institut de Recherche Biomédicale des Armées (IRBA)-Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)
Rok vydání: 2020
Předmět:
medicine.medical_specialty
Tuberculosis
Pleural effusion
030231 tropical medicine
Communicable Diseases
03 medical and health sciences
0302 clinical medicine
[SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system
[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases
Pulmonary tuberculosis
Internal medicine
medicine
Humans
[SDV.MP.PAR]Life Sciences [q-bio]/Microbiology and Parasitology/Parasitology
030212 general & internal medicine
Respiratory system
ComputingMilieux_MISCELLANEOUS
Retrospective Studies
Transients and Migrants
[SDV.MHEP.ME]Life Sciences [q-bio]/Human health and pathology/Emerging diseases
Respiratory tract infections
business.industry
Public Health
Environmental and Occupational Health
Retrospective cohort study
medicine.disease
[SDV.MP.BAC]Life Sciences [q-bio]/Microbiology and Parasitology/Bacteriology
3. Good health
Infectious Diseases
Infectious disease (medical specialty)
[SDV.MP.VIR]Life Sciences [q-bio]/Microbiology and Parasitology/Virology
Ill-Housed Persons
France
Complication
business
Zdroj: Travel Medicine and Infectious Disease
Travel Medicine and Infectious Disease, 2020, pp.101768. ⟨10.1016/j.tmaid.2020.101768⟩
Travel Medicine and Infectious Disease, Elsevier, 2020, pp.101768. ⟨10.1016/j.tmaid.2020.101768⟩
ISSN: 1873-0442
1477-8939
Popis: No research has been conducted on the clinical characteristics and outcomes of homeless patients (HP) hospitalized in Infectious Disease Units (IDU).We conducted a retrospective survey among 98 HP and 98 non-HP admitted between 2017 and 2018 in several IDUs in Marseille, France.HP were more likely to be migrant, to report frequent alcohol consumption or illicit drug use, and to present with respiratory symptoms at admission compared to controls. The most common final diagnoses in HP were respiratory tract infections (other than pulmonary tuberculosis [PTB], 35.7%), sexually transmitted infections (20.4%), cutaneous and mucosal infections (19.4%) and tuberculosis (12.2%). Sexually transmitted infections and ectoparasite infestations were significantly more frequent in HP compared to controls. One HP died from pleural effusion as a complication of PTB. The surviving HP had a longer length of stay (LOS, average 11.6 ± 13.6 days, p 0.0001) than controls; independent factors of increased LOS were tobacco use (p = 0.009), tuberculosis infection (p 0.0001), urinary tract infection (p = 0.018) and bacteraemia (p = 0.018). After hospital discharge, attendance at subsequent planned consultations was significantly lower in HP (0.72 ± 1.25 times/persons) compared to controls (2.03 ± 2.2).We suggest that HP present specific demographic characteristics and patterns of infectious diseases compared to other patients and therefore require adapted management.
Databáze: OpenAIRE
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