Spencer Hannah, Ustianowski Andrew, Farooq Hamzah
ST3 Registrar, Department of Infectious Diseases, Regional Infectious Diseases Unit, North Manchester General Hospital, Manchester M8 5RB.
Consultant in Infectious Diseases and Tropical Medicine, Department of Infectious Diseases, Regional Infectious Diseases Unit, North Manchester General Hospital, Manchester.
Br J Hosp Med (Lond). 2018 Oct 2;79(10):560-566. doi: 10.12968/hmed.2018.79.10.560.
Evaluation of people returning from trips abroad with fever is an important skill for all general physicians given the increasing trend in foreign travel. This evaluation should comprise a detailed travel history, thorough clinical examination, appropriate initial tests and a knowledge of when to ask for further advice. An understanding of the incubation periods of common imported infections and a syndromic approach to patients' symptoms is helpful in order to narrow down the likely diagnosis. The need to implement relevant infection control precautions has been highlighted by the recent Middle East respiratory syndrome coronavirus and Ebola virus disease outbreaks.
鉴于出国旅行人数呈上升趋势,对所有普通医生来说,评估回国发热人员是一项重要技能。这种评估应包括详细的旅行史、全面的临床检查、适当的初步检查以及知道何时寻求进一步建议。了解常见输入性感染的潜伏期并对患者症状采用综合征方法有助于缩小可能的诊断范围。近期中东呼吸综合征冠状病毒和埃博拉病毒病疫情凸显了实施相关感染控制预防措施的必要性。