丹麦传染病病房中六分之一的住院患者患有输入性疾病：一项横断面分析。

One-sixth of inpatients in a Danish infectious disease ward have imported diseases: A cross-sectional analysis.

机构信息

Department of Infectious Diseases, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus N, Denmark.

Department of Infectious Diseases, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus N, Denmark; GloHAU, Department of Public Health, Section of Global Health, Aarhus University, Bartholins Allé 2-Building 1260, 8000 Aarhus C, Denmark.

出版信息

Travel Med Infect Dis. 2017 Nov-Dec;20:43-48. doi: 10.1016/j.tmaid.2017.10.012. Epub 2017 Oct 21.

DOI:10.1016/j.tmaid.2017.10.012

PMID:29066404

Abstract

BACKGROUND

The aim of the study was to describe travel demographics and disease patterns of patients hospitalized with travel-related diseases, and assess risk factors to improve pre-travel information and post-travel diagnostics and treatment.

METHODS

The study included all patients hospitalized with travel-related diseases in 2015 at a Danish infectious diseases ward. Patient data was extracted from the in-patient hospital registry. was analyzed regarding diagnoses, destination, purpose of travel and pre-travel information.

RESULTS

240 patients were hospitalized with a total of 289 travel-related diseases, accounting for 16.6% (240/1450) of all admissions. Febrile illnesses were the most common (39.5%, 114/289) followed by respiratory (19.7%, 57/289) and gastrointestinal diagnoses (19.0%, 55/289). Most of the diseases were acquired in Sub-Saharan Africa (35.6%, 103/289) followed by South East Asia (27.0%, 78/289), and 60.0% (144/240) of the patients were tourists. One-third (36.3%, 81/223) of the non-migrants had received pre-travel information. The lowest rate was seen in people visiting friends and relatives (18.2%, 6/32).

CONCLUSION

Travel-related diseases are common among patients admitted to this Danish infectious disease ward. Malaria is the most common disease among both travelers and immigrants. In approximately one third of all the patients in our study etiology was unknown.

摘要

背景

本研究旨在描述因旅行相关疾病住院患者的旅行人口统计学和疾病模式，并评估风险因素，以改善旅行前信息和旅行后诊断及治疗。

方法

本研究纳入了 2015 年在丹麦传染病病房因旅行相关疾病住院的所有患者。从住院患者登记处提取患者数据。对诊断、目的地、旅行目的和旅行前信息进行分析。

结果

共有 240 名患者因旅行相关疾病共住院 289 次，占所有住院患者的 16.6%（240/1450）。发热性疾病最常见（39.5%，114/289），其次是呼吸道疾病（19.7%，57/289）和胃肠道疾病（19.0%，55/289）。大多数疾病发生在撒哈拉以南非洲（35.6%，103/289），其次是东南亚（27.0%，78/289），60.0%（144/240）的患者为游客。三分之一（36.3%，81/223）的非移民接受过旅行前信息。在探亲访友的人群中，这一比例最低（18.2%，6/32）。