西班牙返回旅行者和移民的进口发烧,2009-2021. 由+REDIVI网络进行的分析
Pedro Guevara-Hernández1, Jara Llenas-García2, Marta Díaz-Menéndez3
1Infectious Diseases Unit-Internal Medicine Department, Vega Baja Hospital, Orihuela, Spain.
Travel medicine and infectious disease
|March 17, 2025
概括
疟疾和登革热是旅行者和移民发烧的主要原因. 地理区域和旅行者类型显著影响进口发烧的原因,指导临床管理.
科学领域:
- 传染性疾病 传染性疾病
- 热带医学 热带医学
- 公共卫生 公共卫生
背景情况:
- 发烧综合征在旅行者和移民中很常见,有多种可能危及生命的原因.
- 了解这些原因对于有效的临床管理和经验治疗策略至关重要.
研究的目的:
- 确定旅行者和移民中发烧的主要原因.
- 分析发烧病因,旅行的地理区域和旅行者的类型之间的关联.
主要方法:
- 在+REDIVI网络 (2009-2021) 内的前性多中心研究.
- 收集了移民,旅行者和访问朋友和亲戚 (VFR) 的人群中发烧综合征病例的数据.
- 基于患者类别和旅行/原产地地区的比较分析.
主要成果:
- 疟疾是最常见的诊断 (31.0%),其次是登革热 (12.0%).
- 疟疾主要发生在撒哈拉以南非洲地区的人群中 (58.4%).
- 登革热在其他热带地区更为普遍;结核病在移民中更为常见,疟疾在VFR中更为常见,旅行者和VFR中的树状病毒感染更为常见.
结论:
- 地理区域和旅行者类型是进口发烧原因的关键决定因素.
- 疟疾仍然是最常见的原因,特别是在撒哈拉以南非洲的VFR中.
- 登革热在其他热带地区普遍存在.
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