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[Infections and diseases after travelling].

G Harms1, F Dörner, U Bienzle

  • 1Institut für Tropenmedizin, und Medizinische Fakultät Charité der Humboldt-Universität zu Berlin, Germany. gundel.harms@charite.de

Deutsche Medizinische Wochenschrift (1946)
|August 23, 2002
PubMed
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Travelers returning from tropical areas frequently experience diarrhea, fever, and skin issues. Malaria and intestinal pathogens like Giardia lamblia are common, highlighting the need for better travel medicine expertise and chemoprophylaxis.

Area of Science:

  • Tropical medicine
  • Infectious diseases
  • Public health

Context:

  • Rising international travel increases the risk of imported infections and diseases.
  • Systematic studies on travel-associated illnesses in Germany are limited.
  • The Institute of Tropical Medicine Berlin serves as a key referral center.

Purpose:

  • To analyze travel-associated infections and diseases in patients returning from tropical and subtropical areas.
  • To identify common symptoms, diagnoses, and pathogens.
  • To assess the adherence to malaria chemoprophylaxis guidelines.

Summary:

  • Diarrhea, fever, and skin conditions were the most common reasons for consultation among 2024 travelers.
  • Malaria was diagnosed in 1.5% of travelers, with suboptimal chemoprophylaxis use reported.

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  • Giardia lamblia was the most frequent intestinal pathogen; Blastocystis hominis was associated with diarrhea.

    • Impact:

    • Findings underscore the need for improved diagnostic strategies for travel-related illnesses.
    • Highlights deficiencies in malaria prevention, necessitating enhanced collaboration in travel medicine.
    • Anticipates a growing demand for travel medicine expertise among healthcare providers.