SwePub
Sök i LIBRIS databas

  Utökad sökning

onr:"swepub:oai:DiVA.org:umu-53187"
 

Sökning: onr:"swepub:oai:DiVA.org:umu-53187" > Patterns of illness...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004172naa a2200433 4500
001oai:DiVA.org:umu-53187
003SwePub
008120315s2011 | |||||||||||000 ||eng|
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-531872 URI
0247 a https://doi.org/10.1093/cid/cir4682 DOI
040 a (SwePub)umu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Flores-Figueroa, Jose4 aut
2451 0a Patterns of illness in travelers visiting Mexico and Central America :b the GeoSentinel experience.
264 c 2011-08-10
264 1b Oxford University Press,c 2011
338 a print2 rdacarrier
520 a BACKGROUND: Mexico and Central America are important travel destinations for North American and European travelers. There is limited information on regional differences in travel related morbidity. METHODS: We describe the morbidity among 4779 ill travelers returned from Mexico and Central America who were evaluated at GeoSentinel network clinics during December 1996 to February 2010. RESULTS: The most frequent presenting syndromes included acute and chronic diarrhea, dermatologic diseases, febrile systemic illness, and respiratory disease. A higher proportion of ill travelers from the United States had acute diarrhea, compared with their Canadian and European counterparts (odds ratio, 1.9; P < .0001). During the 2009 H1N1 influenza outbreak from March 2009 through February 2010, the proportionate morbidity (PM) associated with respiratory illnesses in ill travelers increased among those returned from Mexico, compared with prior years (196.0 cases per 1000 ill returned travelers vs 53.7 cases per 1000 ill returned travelers; P < .0001); the PM remained constant in the rest of Central America (57.3 cases per 1000 ill returned travelers). We identified 50 travelers returned from Mexico and Central America who developed influenza, including infection due to 2009 H1N1 strains and influenza-like illness. The overall risk of malaria was low; only 4 cases of malaria were acquired in Mexico (PM, 2.2 cases per 1000 ill returned travelers) in 13 years, compared with 18 from Honduras (PM, 79.6 cases per 1000 ill returned travelers) and 14 from Guatemala (PM, 34.4 cases per 1000 ill returned travelers) during the same period. Plasmodium vivax malaria was the most frequent malaria diagnosis. CONCLUSIONS: Travel medicine practitioners advising and treating travelers visiting these regions should dedicate special attention to vaccine-preventable illnesses and should consider the uncommon occurrence of acute hepatitis A, leptospirosis, neurocysticercosis, acute Chagas disease, onchocerciasis, mucocutaneous leishmaniasis, neurocysticercosis, HIV, malaria, and brucellosis.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
7001 a Okhuysen, Pablo C4 aut
7001 a von Sonnenburg, Frank4 aut
7001 a DuPont, Herbert L4 aut
7001 a Libman, Michael D4 aut
7001 a Keystone, Jay S4 aut
7001 a Hale, Devon C4 aut
7001 a Burchard, Gerd4 aut
7001 a Han, Pauline V4 aut
7001 a Wilder-Smith, Anneliesu Institute of Public Health, University of Heidelberg, Germany4 aut0 (Swepub:umu)anwi0099
7001 a Freedman, David O4 aut
7102 a Institute of Public Health, University of Heidelberg, Germany4 org
7730 t Clinical infectious diseases : an official publication of the Infectious Diseases Society of Americad : Oxford University Pressg 53:6, s. 523-531q 53:6<523-531x 1537-6591
7730 t Clinical Infectious Diseasesd : Oxford University Pressg 53:6, s. 523-531q 53:6<523-531x 1058-4838
8564 u https://academic.oup.com/cid/article-pdf/53/6/523/1022685/cir468.pdf
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-53187
8564 8u https://doi.org/10.1093/cid/cir468

Hitta via bibliotek

Till lärosätets databas

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Stäng

Kopiera och spara länken för att återkomma till aktuell vy