García F, Gascón J, Ruiz L, Gómez-Olivé X, Corachán M
Sección Medicina Tropical, Hospital Clínic i Provincial de Barcelona.
Rev Clin Esp. 1994 Aug;194(8):599-602.
Among the immunizable diseases, viral hepatitis is the most frequently diagnosed in travellers. The epidemiology and the clinical presentation of the imported viral hepatitis among patients in the Tropical Medicine Unit of Hospital Clínic (Barcelona) are studied in this article. A retrospective review of 47 viral hepatitis in Spanish travellers seen during the period 1988-1991 is presented, representing 2.47% of all diagnosis. Only a third of the patients were hepatitis A cases. The duration of the trip was significantly shorter in those who acquired hepatitis of the A and non-A--non-B types. Africa (60% cases), India and South East Asia (17%) and Central America (16%) were considered areas of risk. The B, C and non-A--non-B hepatitis types had a more silent clinical and biological presentation. Gathered data confirm the importance of hepatitis as an imported disease, the partial protection of the Spanish population against hepatitis A and the need to introduce this infection among the advice to be given in a travellers clinic.
在可免疫预防的疾病中，病毒性肝炎是旅行者中最常被诊断出的疾病。本文研究了巴塞罗那临床医院热带医学科收治的输入性病毒性肝炎患者的流行病学和临床表现。对1988年至1991年期间在西班牙旅行者中发现的47例病毒性肝炎进行了回顾性研究，占所有诊断病例的2.47%。只有三分之一的患者为甲型肝炎病例。感染甲型肝炎和非甲非乙型肝炎的患者旅行时间明显较短。非洲（60%的病例）、印度和东南亚（17%）以及中美洲（16%）被视为风险地区。乙型、丙型和非甲非乙型肝炎的临床和生物学表现更为隐匿。收集的数据证实了肝炎作为一种输入性疾病的重要性、西班牙人群对甲型肝炎的部分保护作用以及在旅行者诊所提供建议时纳入这种感染相关内容的必要性。
