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[Children hospitalised with fever following a stay abroad]
Simon Dyrbye Hansen1, Vibeke Rosenfeldt Nielsen
1H:S Hvidovre Hospital, Børneafdelingen. simondyrbye@hotmail.com
Insights
Pediatric fever cases after international travel were studied. Immigrant children experienced more severe infections, highlighting a need for improved hepatitis A vaccination practices.
Area of Science:
- Pediatric infectious diseases
- Travel medicine
Context:
- Children admitted to hospital with fever after international travel present unique diagnostic challenges.
- A retrospective study analyzed cases from June to September 2003.
Purpose:
- To describe illness patterns in febrile children hospitalized after travel abroad.
- To identify common and serious infections in this pediatric population.
Summary:
- 48 children were included; 56% were immigrants.
- Common diagnoses included gastroenteritis (31%, with Salmonella identified in 8 cases), hepatitis A (21%), and malaria (1 case).
- Unspecified viral infections and common infections with unknown foci accounted for 19% each.
Impact:
- Immigrant children represented the majority and experienced a higher burden of severe infections.
- Low adherence to hepatitis A vaccination recommendations for immigrant children traveling to their native countries was noted.
- Findings underscore the importance of considering travel history in pediatric fever cases and addressing vaccination gaps.
Introduction:
The aim of this study was to describe cases of illness in children admitted to hospital with a fever following a stay abroad.
Materials And Methods:
We performed a retrospective study based on journals dating from June 2003 to September 2003. Patients with a temperature of > or = 37.5 degrees C and of whom it was recorded that they had travelled abroad within the previous three months were included, as were demographic data, travel destination, discharge diagnosis and the results of microbiological and serological tests performed, if any.
Results:
A total of 48 children were included; 56% were immigrants. Fifteen (31%) suffered from diarrhea/gastroenteritis; eight of these cases were caused by Salmonella species. Ten (21%) had a serologically verified hepatitis A infection. There was one case of verified malaria. Nine patients (19%) were discharged with a diagnosis of unspecified viral infection, while nine had a commonly occurring infection with an unidentified focus.
Conclusion:
Immigrant children constituted the majority of the hospitalised children. This group contracts not only more infections but also more serious ones than do children with Danish parents. As for infectious hepatitis, it is remarkable that despite the recommendations of the National Board of Health to vaccinate immigrant children against hepatitis A before a visit to their native country, this seems to be far from the actual practice.
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