Division of Tropical Medicine and Clinical International Health, Department of Infectious Diseases and Tropical Medicine, CHU Bordeaux, Bordeaux, France.
Univ. Bordeaux, Inserm 1219 - Infectious Diseases in Lower Income Countries, ISPED, Bordeaux, France.
Clin Exp Dermatol. 2020 Jul;45(5):580-583. doi: 10.1111/ced.14170. Epub 2020 Feb 17.
Skin disorders are frequent in travellers, but data vary between different studies. The objectives of the current study were to describe imported dermatoses in the Bordeaux GeoSentinel prospective database between August 2015 and March 2018. During the study period, 1025 travellers were seen in the clinic, 201 of them with dermatoses. Patients with skin disorders were more likely to be aged > 60 years (OR = 1.88, 95% CI 1.22-2.89), to be tourists (OR 3.04, 95% CI 2.03-4.55) and to have travelled to South America (OR = 2.18, 95% CI 1.29-3.67), and less likely to have sought pretravel advice (OR = 0.53, 95% CI 0.31-0.91). Skin bacterial infections (19.4%) and Zika virus infections (18.4%) were the most common dermatoses. Dengue fever and bacterial skin infections were the leading causes of hospitalization. The contribution of tropical diseases to imported dermatoses remains important. Lack of pretravel advice puts tourists at risk of significant diseases such as dengue fever, Zika virus and bacterial infections.
旅行者中皮肤疾病很常见，但不同研究的数据存在差异。本研究的目的是描述 2015 年 8 月至 2018 年 3 月波尔多 GeoSentinel 前瞻性数据库中输入性皮肤病。研究期间，诊所共诊治了 1025 例旅行者，其中 201 例患有皮肤病。患有皮肤疾病的旅行者更可能年龄>60 岁（OR=1.88，95%CI 1.22-2.89），是游客（OR 3.04，95%CI 2.03-4.55），且前往过南美洲（OR=2.18，95%CI 1.29-3.67），不太可能寻求旅行前咨询（OR=0.53，95%CI 0.31-0.91）。皮肤细菌感染（19.4%）和寨卡病毒感染（18.4%）是最常见的皮肤病。登革热和细菌皮肤感染是导致住院的主要原因。热带病对输入性皮肤病的贡献仍然很重要。缺乏旅行前咨询会使游客面临登革热、寨卡病毒和细菌感染等重大疾病的风险。
