Zorbozan Orçun, Ünver Ayşegül, Gürüz Adnan Yüksel
Ege Üniversitesi Tıp Fakültesi, Tıbbi Parazitoloji Anabilim Dalı, İzmir, Türkiye.
Turkiye Parazitol Derg. 2017 Dec;41(4):233-238. doi: 10.5152/tpd.2017.5278.
Travel-related health problems have been reported in 22-64% of travelers to developing countries. Approximately 8% of these patients are moderately ill and are referred to health facilities. Post-travel infections are usually symptomatic in the early stages, but they may last for up to months or even years, depending on the incubation period. It has been reported that it is not necessary to have extensive knowledge on tropical diseases to be able to make a clinical evaluation after the trip. All post-travel consultations should be performed by physicians and should include travel-related illness identification, timely medical intervention, and, if necessary, referral to a senior hospital. Situations that should be taken into consideration by physicians when evaluating a possible patient with travel-related health problems are as follows: the severity of illness, the route travelled, the time between illness and travel, the underlying disease, vaccine and prophylaxis history, and exposure history. The most common clinical syndromes after travel to developing countries are systemic febrile illness, acute diarrhea, dermatological disorders, respiratory disorders, and eosinophilia. This review summarizes the approach to possible clinical situations among returned travelers.
据报道，前往发展中国家的旅行者中，22%至64%出现过与旅行相关的健康问题。这些患者中约8%病情中等，需转诊至医疗机构。旅行后感染在早期通常有症状，但根据潜伏期不同，可能持续数月甚至数年。据报道，旅行后进行临床评估时，无需具备广泛的热带疾病知识。所有旅行后咨询均应由医生进行，应包括识别与旅行相关的疾病、及时进行医疗干预，必要时转诊至上级医院。医生在评估可能患有与旅行相关健康问题的患者时应考虑的情况如下：病情严重程度、旅行路线、发病与旅行的时间间隔、基础疾病、疫苗接种和预防史以及暴露史。前往发展中国家旅行后最常见的临床综合征是全身性发热疾病、急性腹泻、皮肤病、呼吸系统疾病和嗜酸性粒细胞增多症。本综述总结了归国旅行者可能出现的临床情况的处理方法。
