Hearn Pasco, Johnston Victoria
is a Registrar in Infectious Diseases at the Hospital for Tropical Diseases, University College London Hospitals NHS Foundation Trust, London, UK. Competing interests: none-declared.
is a Senior Lecturer at the London School of Hygiene and Tropical Medicine, London, UK and a Consultant Physician at the Hospital for Tropical Diseases, University College London Hospitals NHS Foundation Trust, London, UK and North Middlesex University Hospital NHS Trust, London, UK. Competing interests: none declared.
Medicine (Abingdon). 2014 Feb;42(2):66-72. doi: 10.1016/j.mpmed.2013.11.009. Epub 2014 Jan 25.
Millions of people travel to the tropics each year and a significant minority of them become ill, either during their stay, or shortly after their return. Most have mild, self-limiting illnesses, but a few will have a life-threatening condition. This article outlines how to evaluate fever in the returning traveller and discusses important infection control and public health measures. A detailed travel history, which takes into account travel destinations, specific activities and risk factors in relation to the onset of symptoms, is essential for constructing a comprehensive list of differential diagnoses and guiding appropriate investigations. Importantly, all travellers returning from the tropics with a fever should be investigated for malaria, even if their return was 3 months ago or longer.
每年有数百万人前往热带地区，其中相当一部分人在逗留期间或返回后不久会生病。大多数人患的是轻度自限性疾病，但少数人会出现危及生命的状况。本文概述了如何评估归国旅行者的发热情况，并讨论了重要的感染控制和公共卫生措施。详细的旅行史对于构建全面的鉴别诊断清单和指导适当的检查至关重要，该旅行史需考虑旅行目的地、具体活动以及与症状发作相关的危险因素。重要的是，所有从热带地区归来且发热的旅行者都应接受疟疾检查，即使他们返回已过去3个月或更长时间。
