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前往热带地区旅行时的发病率及疾病类型:一项针对儿童及其父母的前瞻性对照研究。

Incidence and types of illness when traveling to the tropics: a prospective controlled study of children and their parents.

作者信息

Newman-Klee Catherine, D'Acremont Valérie, Newman Christopher J, Gehri Mario, Genton Blaise

机构信息

Department of Pediatrics, University Hospital, Lausanne, Switzerland.

出版信息

Am J Trop Med Hyg. 2007 Oct;77(4):764-9.

PMID:17978085
Abstract

Increasingly, families travel to tropical destinations exposing them to infectious agents and tropical diseases not encountered at home. We studied 157 children (0-16 years) and their adult relatives traveling to the tropics, who attended a pretravel clinic and were generally adherent to prescribed advice. Incidence rates of common illness in children and adults were respectively 16.9 (14.3-19.7) and 15.1 (12.7-17.8) episodes/100 person-weeks. Diarrhea, abdominal pain, and fever were the most frequent complaints. There was no significant difference in the incidence of morbid episodes between children and adults, except for fever (more frequent in children). Most episodes occurred in the first 10 days of travel. The similar incidence of morbidity in children and adults and the episodes' mildness challenge the view that it is unwise to travel with small children.

摘要

越来越多的家庭前往热带地区,使他们接触到在国内未曾遇到的传染源和热带疾病。我们研究了157名前往热带地区旅行的儿童(0至16岁)及其成年亲属,他们都去过旅行前诊所,并且通常遵循所开的建议。儿童和成人常见疾病的发病率分别为每100人周16.9(14.3 - 19.7)次和15.1(12.7 - 17.8)次。腹泻、腹痛和发烧是最常见的症状。除发烧外(儿童中更常见),儿童和成人发病次数的发生率没有显著差异。大多数发病发生在旅行的前10天。儿童和成人发病率相似且症状较轻,这对带幼儿旅行不明智的观点提出了挑战。

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