Díaz-Menéndez Marta, Pérez-Molina Jose A, Serre Nuria, Treviño Begoña, Torrús Diego, Matarranz Mariano, Martín Esteban, Rojo-Marcos Gerardo, Aguilera Paloma, Rico Alicia, Suárez-García Inés, López-Vélez Rogelio
Servicio de Enfermedades Infecciosas, Hospital Ramón y Cajal, Madrid, España.
Enferm Infecc Microbiol Clin. 2012 Nov;30(9):528-34. doi: 10.1016/j.eimc.2012.01.026. Epub 2012 Mar 10.
Imported diseases by travellers and immigrants are a priority in the prevention of emerging infectious diseases in the 21st century. There are international records on imported diseases, but no such records are available in Spain.
The cooperative network +Redivi was created in 2009 and consists of 11 national healthcare centres. +Redivi collects demographic data relating to travel/migration and infectious diseases in brief, computerised forms.
From January 2009 to October 2011, we collected 4,570 patients and recorded the main demographic data (age, sex, presence of immunosuppression), travel data (destination, duration, time between the return trip and the consultation) and data regarding the migratory process (country of origin, time between the arrival in Spain and the first consultation), as well as preventive measures that have been taken (pre-travel advice, need for malaria chemoprophylaxis, drug that was used and whether it was correct), the reason for coming to the consultation, and final diagnoses of the travellers, immigrants and immigrants-travellers. Likewise, the most frequent diagnoses of asymptomatic patients who came for a check-up are described for each of the three groups.
The +Redivi network allows us to identify and quantify the geographical origin and the type of patients affected, as well as time pattern of infections imported by migrants and travellers. Preliminary data show the significant presence of transmissible diseases and the potential reintroduction in Spain, as well as the importance of systematic screening in patients that came from tropical areas. The objective of +Redivi is to evaluate the impact of imported diseases in Spain in order to contribute to improving the care of patients, to have an influence on prevention and treatment of the most prevalent imported diseases, and to detect possible outbreaks.
旅行者和移民带来的输入性疾病是21世纪预防新发传染病的重点。国际上有关于输入性疾病的记录，但西班牙尚无此类记录。
合作网络+Redivi于2009年创建，由11个国家医疗中心组成。+Redivi以简短的计算机化表格收集与旅行/移民及传染病相关的人口统计学数据。
2009年1月至2011年10月，我们收集了4570例患者的数据，记录了主要人口统计学数据（年龄、性别、免疫抑制情况）、旅行数据（目的地、持续时间、返程与就诊间隔时间）以及移民过程相关数据（原籍国、抵达西班牙与首次就诊间隔时间），还有所采取的预防措施（旅行前建议、疟疾化学预防需求、所用药物及是否正确）、就诊原因以及旅行者、移民和移民-旅行者的最终诊断结果。同样，还描述了三组中前来体检的无症状患者最常见的诊断情况。
+Redivi网络使我们能够识别和量化受影响患者的地理来源和类型，以及移民和旅行者输入感染的时间模式。初步数据显示，西班牙存在大量可传播疾病且有潜在再次引入的情况，以及对来自热带地区患者进行系统筛查的重要性。+Redivi的目标是评估输入性疾病对西班牙的影响，以便为改善患者护理、影响最常见输入性疾病的预防和治疗以及检测可能的疫情暴发做出贡献。
