在发病率较低的环境中,肠热的医疗负担越来越大
Seung Y Lee1, Annaleise R Howard-Jones2, Venkata Ln Lavu3
1Department of General Paediatrics, The Children's Hospital at Westmead, Westmead NSW 2145 Australia.
Infectious diseases now
|April 21, 2024
概括
肠热在非流行地区正在上升,特别是在前往南亚的儿童中. 访问朋友和亲戚 (VFR) 是一个关键的风险因素,强调了有针对性的旅行建议的必要性.
科学领域:
- 传染性疾病 传染性疾病
- 旅行 医学 旅行 医学
- 公共卫生 公共卫生
背景情况:
- 肠热对从流行地区返回的旅行者构成重大健康风险.
- 低发病率的环境面临着由进口肠热病例带来的越来越大的负担.
研究的目的:
- 在发病率较低的地区分析肠热的医疗负担.
- 为了确定旅游者肠热的风险因素和预防策略.
主要方法:
- 来自第三级儿科中心的回顾性病例系列分析 (2015-2019).
- 包括公共卫生和实验室数据 (2018-2019).
- 专注于西悉尼,澳大利亚,与南亚的旅行联系.
主要成果:
- 确定了89例肠热病例;43名儿童拥有完整的数据.
- 观察到肠热病例每年增加4.9%.
- 儿童的发病率是成人发病率的三倍.
- 旅行到印度和访问朋友和亲戚 (VFR) 被确定为风险因素.
- 旅行前肠热疫苗接种率较低.
结论:
- 儿童前往高发病率国家,特别是南亚,面临越来越高的肠热风险.
- 访问朋友和亲戚 (VFR) 旅行是一个重要的风险因素.
- 为VFR旅行者提供有针对性的旅行前健康咨询对于降低医疗负担至关重要.
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