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拉美移民中的输入性传染病:西班牙一家热带病转诊中心 2017-2022 年的回顾性研究。

Imported infectious diseases in migrants from Latin America: A retrospective study from a referral centre for tropical diseases in Spain, 2017-2022.

机构信息

National Referral Unit for Imported Tropical Diseases, Tropical and Travel Medicine Unit, Hospital La Paz- Carlos III, Calle Sinesio Delgado, 10, 28029, Madrid, Spain; CIBERINFEC, Spain.

National Referral Unit for Imported Tropical Diseases, Tropical and Travel Medicine Unit, Hospital La Paz- Carlos III, Calle Sinesio Delgado, 10, 28029, Madrid, Spain; CIBERINFEC, Spain.

出版信息

Travel Med Infect Dis. 2024 May-Jun;59:102708. doi: 10.1016/j.tmaid.2024.102708. Epub 2024 Mar 11.

DOI:10.1016/j.tmaid.2024.102708
PMID:38467231
Abstract

INTRODUCTION

Detecting imported diseases by migrants and individuals visiting friends and relatives (VFR) is key in the prevention and management of emergent infectious diseases acquired abroad.

METHODS

Retrospective descriptive study on migrants and VFR from Central and South America between 2017 and 2022 attended at a National Referral Centre for Tropical Diseases in Madrid, Spain. Demographic characteristics, syndromes and confirmed travel-related diagnoses were obtained from hospital patient medical records.

RESULTS

1654 cases were registered, median age of 42 years, 69.1% were female, and 55.2% were migrants. Most cases came from Bolivia (49.6%), followed by Ecuador (12.9%). Health screening while asymptomatic (31.6%) was the main reason for consultation, followed by Chagas disease follow-up (31%). Of those asymptomatic at screening, 47,2% were finally diagnosed of any disease, mainly Chagas disease (19,7%) and strongyloidiasis (10,2%) CONCLUSION: Our study emphasizes the importance of proactive health screening to detect asymptomatic conditions in migrants and VFR, enabling timely intervention and improved health outcomes. By understanding the unique health profiles of immigrant populations, targeted public health interventions can be devised to safeguard the well-being of these vulnerable groups.

摘要

简介

通过移民和探亲访友旅行者(VFR)发现输入性疾病对于预防和管理在国外获得的新发传染病至关重要。

方法

对 2017 年至 2022 年期间在西班牙马德里的一家国家热带病转诊中心就诊的来自中美洲和南美洲的移民和 VFR 进行回顾性描述性研究。从医院患者病历中获取人口统计学特征、综合征和确诊的与旅行相关的诊断。

结果

共登记了 1654 例病例,中位年龄为 42 岁,69.1%为女性,55.2%为移民。大多数病例来自玻利维亚(49.6%),其次是厄瓜多尔(12.9%)。无症状时进行健康筛查(31.6%)是就诊的主要原因,其次是查加斯病随访(31%)。在无症状筛查中,47.2%的人最终被诊断出患有任何疾病,主要是查加斯病(19.7%)和旋毛虫病(10.2%)。

结论

我们的研究强调了对移民和 VFR 进行主动健康筛查以发现无症状疾病的重要性,这可以实现及时干预和改善健康结果。通过了解移民人群的独特健康状况,可以制定有针对性的公共卫生干预措施,以保障这些弱势群体的健康。

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Imported infectious diseases in migrants from Latin America: A retrospective study from a referral centre for tropical diseases in Spain, 2017-2022.拉美移民中的输入性传染病:西班牙一家热带病转诊中心 2017-2022 年的回顾性研究。
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