tetano
Editor, Senior Moderator
Clin Microbiol Infect. 2011 Jun 10. doi: 10.1111/j.1469-0691.2011.03596.x. [Epub ahead of print]
Travel-related imported infections in Europe, EuroTravNet 2009.
Odolini S, Parola P, Gkrania-Klotsas E, Caumes E, Schlagenhauf P, L?pez-V?lez R, Burchard GD, Santos-O'Connor F, Weld L, von Sonnenburg F, Field V, de Vries P, Jensenius M, Loutan L, Castelli F.
Source
Institute for Infectious and Tropical Diseases, University of Brescia, Brescia, Italy Service des Maladies Infectieuses et Tropicales, H?pital Nord, AP-HM, Marseille, France Addenbrooke's Hospital, Hills Road, Infectious Diseases Department, Cambridge University Hospital, Cambridge, UK Service des Maladies Infectieuses et Tropicales, Hopital Piti?-Salp?tri?re, Paris, France University of Zurich Centre for Travel Medicine, University of Zurich, Zurich, Switzerland Tropical Medicine and Clinical Parasitology, Infectious Disease Department, Ramon y Cajal Hospital, Madrid, Spain University Medical Centre Hamburg-Eppendorf, Department of Tropical Medicine and Bernhard-Nocht Outpatient Department, Hamburg, Germany European Centres for Disease Control, Stockolm, Sweden ISTM/GeoSentinel Statician Consultant, Victoria, BC, Canada Department of Infectious Diseases and Tropical Medicine, LMU University of Munich, Munich, Germany InterHealth and National Travel Health Network and Centre (NaTHNaC), London, UK Division of Infectious Diseases, Tropical Medicine and AIDS, Academic Medical Centre, Amsterdam, The Netherlands University Hospital Ullev?l and University of Oslo, Oslo, Norway Division of International and Humanitarian Health, Geneva University Hospitals, Geneva, Switzerland.
Abstract
Clin Microbiol Infect ABSTRACT: The aim of this study was to investigate travel-associated morbidity in European travellers in 2009 in comparison with 2008, with a particular emphasis on emerging infectious diseases with the potential for introduction into Europe. Diagnoses with demographic, clinical and travel-related predictors of disease from ill returning travelers presenting to 12 core EuroTravNet sites from January to December 2009 were analysed. A total of 6392 patients were seen at EuroTravNet core sites in 2009, as compared with 6957 in 2008. As compared with 2008, there was a marked increase in the number of travellers exposed in North America and western Europe. Respiratory illnesses, in particular pandemic A(H1N1) influenza, influenza-like syndromes, and tuberculosis, were also observed more frequently. A significant increase in reported dengue cases in 2009 as compared with 2008 was observed (n = 172, 2.7% vs. n = 131, 1.90%) (p 0.002). The numbers of malaria and chikungunya cases were also increasing, although not significantly. Two deaths were recorded: visceral leishmaniasis and sepsis in a Sudanese migrant, and Acinetobacter sp. pneumonia in a patient who had visited Spain. This is the most comprehensive study of travel-related illness in Europe in 2009 as compared with 2008. A significant increase in travel-related respiratory and vector-borne infections was observed, highlighting the potential risk for introduction of these diseases into Europe, where competent vectors are present. The number of traveller deaths is probably underestimated. The possible role of the travellers in the emergence of infectious diseases of public health concern is highlighted.
? 2011 The Authors. Clinical Microbiology and Infection ? 2011 European Society of Clinical Microbiology and Infectious Diseases.
PMID:
21848975
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/21848975
Travel-related imported infections in Europe, EuroTravNet 2009.
Odolini S, Parola P, Gkrania-Klotsas E, Caumes E, Schlagenhauf P, L?pez-V?lez R, Burchard GD, Santos-O'Connor F, Weld L, von Sonnenburg F, Field V, de Vries P, Jensenius M, Loutan L, Castelli F.
Source
Institute for Infectious and Tropical Diseases, University of Brescia, Brescia, Italy Service des Maladies Infectieuses et Tropicales, H?pital Nord, AP-HM, Marseille, France Addenbrooke's Hospital, Hills Road, Infectious Diseases Department, Cambridge University Hospital, Cambridge, UK Service des Maladies Infectieuses et Tropicales, Hopital Piti?-Salp?tri?re, Paris, France University of Zurich Centre for Travel Medicine, University of Zurich, Zurich, Switzerland Tropical Medicine and Clinical Parasitology, Infectious Disease Department, Ramon y Cajal Hospital, Madrid, Spain University Medical Centre Hamburg-Eppendorf, Department of Tropical Medicine and Bernhard-Nocht Outpatient Department, Hamburg, Germany European Centres for Disease Control, Stockolm, Sweden ISTM/GeoSentinel Statician Consultant, Victoria, BC, Canada Department of Infectious Diseases and Tropical Medicine, LMU University of Munich, Munich, Germany InterHealth and National Travel Health Network and Centre (NaTHNaC), London, UK Division of Infectious Diseases, Tropical Medicine and AIDS, Academic Medical Centre, Amsterdam, The Netherlands University Hospital Ullev?l and University of Oslo, Oslo, Norway Division of International and Humanitarian Health, Geneva University Hospitals, Geneva, Switzerland.
Abstract
Clin Microbiol Infect ABSTRACT: The aim of this study was to investigate travel-associated morbidity in European travellers in 2009 in comparison with 2008, with a particular emphasis on emerging infectious diseases with the potential for introduction into Europe. Diagnoses with demographic, clinical and travel-related predictors of disease from ill returning travelers presenting to 12 core EuroTravNet sites from January to December 2009 were analysed. A total of 6392 patients were seen at EuroTravNet core sites in 2009, as compared with 6957 in 2008. As compared with 2008, there was a marked increase in the number of travellers exposed in North America and western Europe. Respiratory illnesses, in particular pandemic A(H1N1) influenza, influenza-like syndromes, and tuberculosis, were also observed more frequently. A significant increase in reported dengue cases in 2009 as compared with 2008 was observed (n = 172, 2.7% vs. n = 131, 1.90%) (p 0.002). The numbers of malaria and chikungunya cases were also increasing, although not significantly. Two deaths were recorded: visceral leishmaniasis and sepsis in a Sudanese migrant, and Acinetobacter sp. pneumonia in a patient who had visited Spain. This is the most comprehensive study of travel-related illness in Europe in 2009 as compared with 2008. A significant increase in travel-related respiratory and vector-borne infections was observed, highlighting the potential risk for introduction of these diseases into Europe, where competent vectors are present. The number of traveller deaths is probably underestimated. The possible role of the travellers in the emergence of infectious diseases of public health concern is highlighted.
? 2011 The Authors. Clinical Microbiology and Infection ? 2011 European Society of Clinical Microbiology and Infectious Diseases.
PMID:
21848975
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/21848975