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GeoSentinel surveillance of illness in returned travelers, 2007-2011

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GeoSentinel surveillance of illness in returned travelers, 2007-2011. / Leder, Karin; Torresi, Joseph; Libman, Michael D; Cramer, Jakob P; Castelli, Francesco; Schlagenhauf, Patricia; Wilder-Smith, Annelies; Wilson, Mary E; Keystone, Jay S; Schwartz, Eli; Barnett, Elizabeth D; von Sonnenburg, Frank; Brownstein, John S; Cheng, Allen C; Sotir, Mark J; Esposito, Douglas H; Freedman, David O; GeoSentinel Surveillance Network.

In: ANN INTERN MED, Vol. 158, No. 6, 19.03.2013, p. 456-68.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Leder, K, Torresi, J, Libman, MD, Cramer, JP, Castelli, F, Schlagenhauf, P, Wilder-Smith, A, Wilson, ME, Keystone, JS, Schwartz, E, Barnett, ED, von Sonnenburg, F, Brownstein, JS, Cheng, AC, Sotir, MJ, Esposito, DH, Freedman, DO & GeoSentinel Surveillance Network 2013, 'GeoSentinel surveillance of illness in returned travelers, 2007-2011', ANN INTERN MED, vol. 158, no. 6, pp. 456-68. https://doi.org/10.7326/0003-4819-158-6-201303190-00005

APA

Leder, K., Torresi, J., Libman, M. D., Cramer, J. P., Castelli, F., Schlagenhauf, P., Wilder-Smith, A., Wilson, M. E., Keystone, J. S., Schwartz, E., Barnett, E. D., von Sonnenburg, F., Brownstein, J. S., Cheng, A. C., Sotir, M. J., Esposito, D. H., Freedman, D. O., & GeoSentinel Surveillance Network (2013). GeoSentinel surveillance of illness in returned travelers, 2007-2011. ANN INTERN MED, 158(6), 456-68. https://doi.org/10.7326/0003-4819-158-6-201303190-00005

Vancouver

Leder K, Torresi J, Libman MD, Cramer JP, Castelli F, Schlagenhauf P et al. GeoSentinel surveillance of illness in returned travelers, 2007-2011. ANN INTERN MED. 2013 Mar 19;158(6):456-68. https://doi.org/10.7326/0003-4819-158-6-201303190-00005

Bibtex

@article{cbe78df9e2eb4444881a9454113c399a,
title = "GeoSentinel surveillance of illness in returned travelers, 2007-2011",
abstract = "BACKGROUND: International travel continues to increase, particularly to Asia and Africa. Clinicians are increasingly likely to be consulted for advice before travel or by ill returned travelers.OBJECTIVE: To describe typical diseases in returned travelers according to region, travel reason, and patient demographic characteristics; describe the pattern of low-frequency travel-associated diseases; and refine key messages for care before and after travel.DESIGN: Descriptive, using GeoSentinel records.SETTING: 53 tropical or travel disease units in 24 countries.PATIENTS: 42 173 ill returned travelers seen between 2007 and 2011.MEASUREMENTS: Frequencies of demographic characteristics, regions visited, and illnesses reported.RESULTS: Asia (32.6%) and sub-Saharan Africa (26.7%) were the most common regions where illnesses were acquired. Three quarters of travel-related illness was due to gastrointestinal (34.0%), febrile (23.3%), and dermatologic (19.5%) diseases. Only 40.5% of all ill travelers reported pretravel medical visits. The relative frequency of many diseases varied with both travel destination and reason for travel, with travelers visiting friends and relatives in their country of origin having both a disproportionately high burden of serious febrile illness and very low rates of advice before travel (18.3%). Life-threatening diseases, such as Plasmodium falciparum malaria, melioidosis, and African trypanosomiasis, were reported.LIMITATIONS: Sentinel surveillance data collected by specialist clinics do not reflect healthy returning travelers or those with mild or self-limited illness. Data cannot be used to infer quantitative risk for illness.CONCLUSION: Many illnesses may have been preventable with appropriate advice, chemoprophylaxis, or vaccination. Clinicians can use these 5-year GeoSentinel data to help tailor more efficient pretravel preparation strategies and evaluate possible differential diagnoses of ill returned travelers according to destination and reason for travel.PRIMARY FUNDING SOURCE: Centers for Disease Control and Prevention.",
keywords = "Adolescent, Adult, Africa South of the Sahara, Aged, Aged, 80 and over, Asia, Caribbean Region, Child, Child, Preschool, Fever, Gastrointestinal Diseases, Humans, Infant, Infection, Latin America, Middle Aged, Respiratory Tract Infections, Sentinel Surveillance, Skin Diseases, Travel, Young Adult",
author = "Karin Leder and Joseph Torresi and Libman, {Michael D} and Cramer, {Jakob P} and Francesco Castelli and Patricia Schlagenhauf and Annelies Wilder-Smith and Wilson, {Mary E} and Keystone, {Jay S} and Eli Schwartz and Barnett, {Elizabeth D} and {von Sonnenburg}, Frank and Brownstein, {John S} and Cheng, {Allen C} and Sotir, {Mark J} and Esposito, {Douglas H} and Freedman, {David O} and {GeoSentinel Surveillance Network}",
year = "2013",
month = mar,
day = "19",
doi = "10.7326/0003-4819-158-6-201303190-00005",
language = "English",
volume = "158",
pages = "456--68",
journal = "ANN INTERN MED",
issn = "0003-4819",
publisher = "American College of Physicians",
number = "6",

}

RIS

TY - JOUR

T1 - GeoSentinel surveillance of illness in returned travelers, 2007-2011

AU - Leder, Karin

AU - Torresi, Joseph

AU - Libman, Michael D

AU - Cramer, Jakob P

AU - Castelli, Francesco

AU - Schlagenhauf, Patricia

AU - Wilder-Smith, Annelies

AU - Wilson, Mary E

AU - Keystone, Jay S

AU - Schwartz, Eli

AU - Barnett, Elizabeth D

AU - von Sonnenburg, Frank

AU - Brownstein, John S

AU - Cheng, Allen C

AU - Sotir, Mark J

AU - Esposito, Douglas H

AU - Freedman, David O

AU - GeoSentinel Surveillance Network

PY - 2013/3/19

Y1 - 2013/3/19

N2 - BACKGROUND: International travel continues to increase, particularly to Asia and Africa. Clinicians are increasingly likely to be consulted for advice before travel or by ill returned travelers.OBJECTIVE: To describe typical diseases in returned travelers according to region, travel reason, and patient demographic characteristics; describe the pattern of low-frequency travel-associated diseases; and refine key messages for care before and after travel.DESIGN: Descriptive, using GeoSentinel records.SETTING: 53 tropical or travel disease units in 24 countries.PATIENTS: 42 173 ill returned travelers seen between 2007 and 2011.MEASUREMENTS: Frequencies of demographic characteristics, regions visited, and illnesses reported.RESULTS: Asia (32.6%) and sub-Saharan Africa (26.7%) were the most common regions where illnesses were acquired. Three quarters of travel-related illness was due to gastrointestinal (34.0%), febrile (23.3%), and dermatologic (19.5%) diseases. Only 40.5% of all ill travelers reported pretravel medical visits. The relative frequency of many diseases varied with both travel destination and reason for travel, with travelers visiting friends and relatives in their country of origin having both a disproportionately high burden of serious febrile illness and very low rates of advice before travel (18.3%). Life-threatening diseases, such as Plasmodium falciparum malaria, melioidosis, and African trypanosomiasis, were reported.LIMITATIONS: Sentinel surveillance data collected by specialist clinics do not reflect healthy returning travelers or those with mild or self-limited illness. Data cannot be used to infer quantitative risk for illness.CONCLUSION: Many illnesses may have been preventable with appropriate advice, chemoprophylaxis, or vaccination. Clinicians can use these 5-year GeoSentinel data to help tailor more efficient pretravel preparation strategies and evaluate possible differential diagnoses of ill returned travelers according to destination and reason for travel.PRIMARY FUNDING SOURCE: Centers for Disease Control and Prevention.

AB - BACKGROUND: International travel continues to increase, particularly to Asia and Africa. Clinicians are increasingly likely to be consulted for advice before travel or by ill returned travelers.OBJECTIVE: To describe typical diseases in returned travelers according to region, travel reason, and patient demographic characteristics; describe the pattern of low-frequency travel-associated diseases; and refine key messages for care before and after travel.DESIGN: Descriptive, using GeoSentinel records.SETTING: 53 tropical or travel disease units in 24 countries.PATIENTS: 42 173 ill returned travelers seen between 2007 and 2011.MEASUREMENTS: Frequencies of demographic characteristics, regions visited, and illnesses reported.RESULTS: Asia (32.6%) and sub-Saharan Africa (26.7%) were the most common regions where illnesses were acquired. Three quarters of travel-related illness was due to gastrointestinal (34.0%), febrile (23.3%), and dermatologic (19.5%) diseases. Only 40.5% of all ill travelers reported pretravel medical visits. The relative frequency of many diseases varied with both travel destination and reason for travel, with travelers visiting friends and relatives in their country of origin having both a disproportionately high burden of serious febrile illness and very low rates of advice before travel (18.3%). Life-threatening diseases, such as Plasmodium falciparum malaria, melioidosis, and African trypanosomiasis, were reported.LIMITATIONS: Sentinel surveillance data collected by specialist clinics do not reflect healthy returning travelers or those with mild or self-limited illness. Data cannot be used to infer quantitative risk for illness.CONCLUSION: Many illnesses may have been preventable with appropriate advice, chemoprophylaxis, or vaccination. Clinicians can use these 5-year GeoSentinel data to help tailor more efficient pretravel preparation strategies and evaluate possible differential diagnoses of ill returned travelers according to destination and reason for travel.PRIMARY FUNDING SOURCE: Centers for Disease Control and Prevention.

KW - Adolescent

KW - Adult

KW - Africa South of the Sahara

KW - Aged

KW - Aged, 80 and over

KW - Asia

KW - Caribbean Region

KW - Child

KW - Child, Preschool

KW - Fever

KW - Gastrointestinal Diseases

KW - Humans

KW - Infant

KW - Infection

KW - Latin America

KW - Middle Aged

KW - Respiratory Tract Infections

KW - Sentinel Surveillance

KW - Skin Diseases

KW - Travel

KW - Young Adult

U2 - 10.7326/0003-4819-158-6-201303190-00005

DO - 10.7326/0003-4819-158-6-201303190-00005

M3 - SCORING: Journal article

C2 - 23552375

VL - 158

SP - 456

EP - 468

JO - ANN INTERN MED

JF - ANN INTERN MED

SN - 0003-4819

IS - 6

ER -