Centre for Infectious Disease Control, National Institute for Public Health and the Environment, P.O. Box 1, 3720 BA Bilthoven, The Netherlands.
J Clin Virol. 2012 Nov;55(3):191-203. doi: 10.1016/j.jcv.2012.07.004. Epub 2012 Jul 25.
Western tourists are increasingly traveling to exotic locations often located in tropical or subtropical regions of the world. The magnitude of international travel and the constantly changing dynamics of arbovirus diseases across the globe demand up-to-date information about arbovirus threats to travelers and the countries they visit. In this review, the current knowledge on arbovirus threats to global travelers is summarized and prioritized per region. Based on most common clinical syndromes, currently known arboviruses can be grouped to develop diagnostic algorithms to support decision-making in diagnostics. This review systematically combines and structures the current knowledge on medically important travel-related arboviruses and illustrates the necessity of a detailed patient history (travel history, symptoms experienced, vaccination history, engaged activities, tick or mosquito bite and use of repellent and onset of symptoms), to guide the diagnosis.
西方游客越来越多地前往位于世界热带或亚热带地区的异国他乡。国际旅行的规模以及全球虫媒病毒病不断变化的动态，要求有关旅行者和他们访问的国家面临的虫媒病毒威胁的最新信息。在这篇综述中，按地区对全球旅行者面临的虫媒病毒威胁的现有知识进行了总结和优先排序。根据最常见的临床综合征，目前已知的虫媒病毒可以进行分组，以制定诊断算法来支持诊断中的决策制定。本综述系统地结合和构建了有关医学上重要的与旅行相关的虫媒病毒的现有知识，并说明了详细的病史（旅行史、经历的症状、疫苗接种史、参与的活动、蜱或蚊子叮咬以及使用驱虫剂和症状发作的时间）对于指导诊断的必要性。
