Abstract:
BACKGROUND:We conducted a prospective study to evaluate the aetiologies of fever in returning travelers and to identify the clinical and laboratory factors predictive of malaria in travelers returning from tropical areas with fever. METHODS:We included those consulting for fever appearing less than 3 months after return. Destinations were classified according to the visited continent (America including Caribbean, Asia, Africa, Oceania). We prospectively included all returning travelers consulting our department between November 2002 and May 2003 for health problems and investigated those presenting fever within 3 months after return from a tropical country. We then conducted a case control study to identify factors predictive of malaria. Control group was defined as febrile travelers without malaria. RESULTS:A total of 272 febrile travelers were included. They were 152 tourists (55.9%), 58 immigrants (21.3%), 33 expatriates (12.1%), and 29 business travelers (10.7%). Besides malaria (54 cases), the main diagnosis in the 218 controls were bacterial enteritis, bacterial pneumonia, infectious cellulitis, pyelonephritis, prostatis, dengue fever, primary viral infection (HIV, EBV, CMV, parvovirus B19), and tuberculosis. Multivariate regression analysis showed correlations between malaria and travel to Africa (OR = 11.9), abdominal pain (OR = 14.1), vomiting (OR = 19.4), myalgia (OR = 6.3), inadequate prophylaxis (OR = 10.1), and platelets <150,000/microL (OR = 25.2). CONCLUSIONS:Our results suggest that no single clinical or biological feature had both good sensitivity and specificity to predict malaria in febrile travelers seen as outpatients within 3 months after returning from the tropics.
journal_name
J Travel Medjournal_title
Journal of travel medicineauthors
Ansart S,Perez L,Thellier M,Danis M,Bricaire F,Caumes Edoi
10.1111/j.1708-8305.2009.00382.xsubject
Has Abstractpub_date
2010-03-01 00:00:00pages
124-9issue
2eissn
1195-1982issn
1708-8305pii
JTM382journal_volume
17pub_type
杂志文章abstract:BACKGROUND:Sexual behavior during travel has increasingly become a focus of travel medicine research. The perceived freedom when away from home can lead to increased casual sexual activities, often unprotected. Local sexual partners, particularly those who are in close contact with tourists due to their occupation, nee...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2007.00110.x
更新日期:2007-05-01 00:00:00
abstract:BACKGROUND:Drug abuse constitutes a worldwide problem. The purpose of this study was to investigate the characteristics of illicit drug use during long-term travel to the tropics, and to estimate the effects of antidrug brochures provided before travel on the use of drugs during travel. METHODS:An interventional study...
journal_title:Journal of travel medicine
pub_type: 临床试验,杂志文章
doi:10.2310/7060.2004.17047
更新日期:2004-03-01 00:00:00
abstract::A case of Japanese encephalitis virus (JEV) infection is reported in a young traveler returning from Thailand. Clinical suspicion of JEV in travelers returning from endemic areas with neurologic symptoms is warranted. Confirmation of the diagnosis is complex and requires specialized laboratory services. Individualized...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2011.00582.x
更新日期:2012-03-01 00:00:00
abstract::Although delusional parasitosis is frequently diagnosed by travel medicine and infectious disease specialists, factitious illness/Munchausen syndrome is extremely rare. ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.2310/7060.2002.30179
更新日期:2002-11-01 00:00:00
abstract:BACKGROUND:Cebiche is a common dish in Latin America, prepared using raw fish mixed with vegetables and marinated with lime juice. The acidity of the lime juice is commonly believed to destroy bacteria and render cebiche as safe to eat. Little data exist concerning rates of cebiche-associated gastroenteritis outbreaks,...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2010.00465.x
更新日期:2010-11-01 00:00:00
abstract::We report three laboratory-confirmed dengue virus (DENV) infections imported to Belgium by travelers returning from Madeira (Portugal). Despite the use of a mosquito-repellent spray as reported by two patients, the infection could not be prevented. Diagnosis was made by antigen detection and real-time reverse transcri...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/jtm.12113
更新日期:2014-09-01 00:00:00
abstract::Our observation of histoplasmosis cases augments the current knowledge on transmission by bats. In the presented cases, the only contact happened in the proximity of a bat cave but not inside the cave. We wish to communicate and stress that even outside of caves, bats may disperse the organism. ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2008.00193.x
更新日期:2008-03-01 00:00:00
abstract:Background:The novel oral antibiotic formulation Rifamycin SV-MMX®, with a targeted delivery to the distal small bowel and colon, was superior to placebo in treating travellers' diarrhea (TD) in a previous study. Thus, a study was designed to compare this poorly absorbed antibiotic with the systemic agent ciprofloxacin...
journal_title:Journal of travel medicine
pub_type: 杂志文章,随机对照试验
doi:10.1093/jtm/tay116
更新日期:2018-01-01 00:00:00
abstract::Travellers visiting friends and relatives (VFRs) often have complex pre-travel needs. We identified the characteristics, destinations, vaccinations and pre-travel advice provided to VFRs and compared these with non-VFR travellers. The significant differences we found suggest that future research should focus on improv...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1093/jtm/tax038
更新日期:2017-09-01 00:00:00
abstract::Travel medicine has virtually stopped in light of the coronavirus pandemic. It is worth contemplating how travel medicine will be affected by the ongoing pandemic when international travel starts to become more possible. How will we advise patients, and utilize the coming vaccines that may be available? Travel medicin...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1093/jtm/taaa148
更新日期:2020-08-28 00:00:00
abstract:BACKGROUND:Medical tourism is a growing phenomenon. This review of the literature maps current knowledge and discusses findings with reference to the UK National Health Service (NHS). METHODS:Databases were systematically searched between September 2011 and March 2012 and 100 papers were selected for review. RESULTS:...
journal_title:Journal of travel medicine
pub_type: 杂志文章,评审
doi:10.1111/jtm.12147
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:Neurocysticercosis (NCC) is an important cause of adult-onset seizures in endemic areas, whereas it is emerging in some nonendemic areas as well because of extensive immigration. METHOD:We describe three cases of imported NCC recently admitted to San Bortolo Hospital in Vicenza, located in Northern Italy. ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/jtm.12066
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:This experiment was carried out to determine whether there is any difference in circulating rabies antibody when rabies immune globulin is administered into fat or muscle tissue. METHODS:Blood samples were taken at 24 and 48 hours after administering 40 IU/kg body weight of purified equine rabies immune glo...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.2310/7060.2000.00057
更新日期:2000-07-01 00:00:00
abstract::Mass gathering is well known to concentrate and amplify the transmission of infectious respiratory diseases. Here we report a possible case of coinfection with influenza A/H1N1 and varicella in a young French traveler returning from a rock festival in Hungary. We report a cluster of influenza A/H1N1 cases at this fest...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2010.00410.x
更新日期:2010-05-01 00:00:00
abstract:BACKGROUND:International travel and trade are known to be associated with the risk of spreading communicable diseases across borders. No international surveillance system for infectious diseases on ships exists. Outbreak reports and systematic studies mainly focus on disease activity on cruise ships. The study aims to ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2009.00343.x
更新日期:2009-11-01 00:00:00
abstract:RATIONALE FOR SYSTEMATIC REVIEW:Lassa fever is the most common cause of imported haemorrhagic fevers cases in non-endemic countries. As a disease with a high case fatality rate that has regularly caused clusters of nosocomial transmission in endemic areas, prompt diagnosis is vital. We conducted a systematic review of ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1093/jtm/taaa035
更新日期:2020-07-14 00:00:00
abstract:INTRODUCTION:Spain could be a potential area in Europe for the development and spread of emerging diseases from the tropics due to its geoclimatic characteristics, but there is little information on infectious diseases imported by travelers. The aim of this article was to analyze clinical-epidemiological characteristic...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2010.00433.x
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:Previous studies investigating the travelers' knowledge, attitudes, and practices (KAP) profile indicated an important educational need among those traveling to risk destinations. Initiatives to improve such education should target all groups of travelers, including business travelers, those visiting friends...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2011.00578.x
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Little is known about the awareness of travellers with diabetes about the health effects of international travel. This study aimed to design and validate a questionnaire to examine the travel health knowledge, attitudes and practices of people living with type 1 diabetes. METHODS:A set of 74 items based on ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1093/jtm/taaa110
更新日期:2020-09-26 00:00:00
abstract:BACKGROUND:Dengue has emerged as a frequent problem in international travelers. The risk depends on destination, duration, and season of travel. However, data to quantify the true risk for travelers to acquire dengue are lacking. METHODS:We used mathematical models to estimate the risk of nonimmune persons to acquire ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2009.00310.x
更新日期:2009-05-01 00:00:00
abstract::Canadians are increasingly travelling to areas that would necessitate a pre-travel consultation. Changes in professional regulations in Canada allow greater autonomy of nurses and pharmacists, resulting in shifts in provision of travel health services. We surveyed 824 Canadian travel clinics, 270 (33%) of whom respond...
journal_title:Journal of travel medicine
pub_type: 社论,评审
doi:10.1093/jtm/tay032
更新日期:2018-05-01 00:00:00
abstract::Infections caused by Burkholderia pseudomallei are rare in nonendemic areas, such as Scandinavia. We report the first two cases of melioidosis in Norway presenting with bacteraemia and splenic and prostatic abscesses, respectively. ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2011.00550.x
更新日期:2011-11-01 00:00:00
abstract:BACKGROUND:Dengue viruses have spread widely in recent decades and cause tens of millions of infections mostly in tropical and subtropical areas. Vaccine candidates are being studied aggressively and may be ready for licensure soon. METHODS:We surveyed patients with past or upcoming travel to dengue-endemic countries ...
journal_title:Journal of travel medicine
pub_type: 杂志文章,多中心研究
doi:10.1111/jtm.12056
更新日期:2013-11-01 00:00:00
abstract:BACKGROUND:To our knowledge, there is no data on the epidemiology of patients hospitalized in intensive care unit (ICU) after a stay in Madagascar or other low-income countries. It is possible that such data may improve transfer delays and care quality for these patients. METHODS:In a retrospective study, we reviewed ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1093/jtm/taw023
更新日期:2016-05-04 00:00:00
abstract:BACKGROUND:Nonimmune travelers in malaria-endemic areas are exposed to transmission and may experience clinical malaria attacks during or after their travel despite using antivectorial devices or chemoprophylaxis. Environment plays an essential role in the epidemiology of this disease. Remote-sensed environmental infor...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2008.00202.x
更新日期:2008-07-01 00:00:00
abstract::A non-pregnant Canadian woman returning from India presented with a 1-week history of jaundice and malaise. Subsequently, she developed fulminant hepatic failure caused by hepatitis E virus (HEV). HEV can cause fulminant hepatic failure, most commonly in pregnant women and those with chronic liver disease; however, al...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1093/jtm/taw021
更新日期:2016-04-11 00:00:00
abstract::Dr. Pfausler and colleagues report in this issue of Journal of Travel Medicine a series of patients with an interesting and potentially fatal neurovascular disorder; they raise the question, is this condition more frequent in travelers? Over a period of 18 months, Dr. Pfausler and colleagues identified five of fifteen...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.1996.tb00726.x
更新日期:1996-09-01 00:00:00
abstract:BACKGROUND:International travel and use of modern information technology are expressions of modern life style. Seeking on-line travel health advice via E-mail for preventive (teleprevention) or diagnostic reasons may become increasingly popular among patients with financial resources and Internet access. This study was...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.2310/7060.2001.24423
更新日期:2001-05-01 00:00:00
abstract:Background:Obstructive sleep apnoea syndrome is a common condition for which continuous positive airways pressure (CPAP) is the standard treatment. The condition affects a population of which a substantial proportion will be travelling. Methods:We use a questionnaire survey of CPAP users to gain understanding regardin...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1093/jtm/tax085
更新日期:2018-01-01 00:00:00
abstract:AIM:International travel has become popular among young adults. This study evaluated the rate and characteristics of travel-associated health risks among young adults with type 1 diabetes mellitus (T1DM) compared with healthy same-aged individuals. METHODS:A retrospective study was conducted of 47 young adults with T1...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/jtm.12136
更新日期:2014-11-01 00:00:00