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3.
Emerg Infect Dis ; 24(4): 790-793, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-29553319

RESUMO

We characterized posttravel hospitalizations of citizens returning to Israel by summarizing the returning traveler hospitalization dataset of the national referral Center for Travel Medicine and Tropical Diseases at Sheba Medical Center in Israel. Of 722 hospitalizations, 181 (25%) infections were life-threatening; most would have been preventable by chemoprophylaxis and pretravel vaccination.


Assuntos
Vigilância da População , Medicina de Viagem , Doença Relacionada a Viagens , Viagem , Adulto , Feminino , História do Século XXI , Hospitalização/estatística & dados numéricos , Humanos , Israel/epidemiologia , Masculino , Pessoa de Meia-Idade , Medicina de Viagem/história , Medicina de Viagem/estatística & dados numéricos
4.
Artigo em Inglês | IBECS | ID: ibc-170107

RESUMO

Introduction: A considerable increase of imported Zika virus (ZIKV) infection has been reported in Europe in the last year. This is the result of the large outbreak of the disease in the Americas, along with the increase in the numbers of travellers and immigrants arriving from ZIKV endemic areas. Methods: A descriptive study was conducted in the Tropical Medicine Unit of Hospital La Paz-Carlos III in Madrid on travellers returning from an endemic area for ZIKV from January to April 2016. Demographic, clinical and microbiological data were analyzed. Results: A total of 185 patients were screened for ZIKV (59.9% women, median age of 37.7±10.3 years). Main purpose of the travel was tourism to Colombia, Brazil, and México. Just under three-quarters (73%) were symptomatic, mostly with fever and headache. A total of 13 patients (7% of those screened) were diagnosed with ZIKV infections, of which four of them were pregnant. All of them were symptomatic patients, the majority immigrants, and mainly from Colombia. Diagnostic tests were based on positive neutralization antibodies (8 cases, 61.6%) and a positive RT-PCR in different organic fluids (7 cases, 53.8%) The four infected pregnant women underwent a neurosonography every 3 weeks, and no alterations were detected. RT-PCR in amniotic fluid was performed in three of them, with negative results. One of the children has already been born healthy. Conclusions: Our cases series represents the largest cohort of imported ZIKV to Spain described until now. Clinicians must increase awareness about the progression of the ZIKV outbreak and the affected areas so that they can include Zika virus infection in their differential diagnosis for travellers from those areas (AU)


Introducción: En el último año se ha registrado un importante aumento de casos de infección por virus Zika (ZIKV) importados en Europa. Este hecho es un reflejo de la epidemia que actualmente se está produciendo en las Américas, así como del aumento del número de viajeros e inmigrantes que proceden de zonas endémicas. Métodos: Estudio descriptivo de los viajeros retornados de área endémica para ZIKV en la Unidad de Medicina Tropical del Hospital La Paz-Carlos III en Madrid, de enero a abril de 2016. Se recogieron y analizaron datos demográficos, clínicos y microbiológicos. Resultados: Se cribaron para ZIKV un total de 185 pacientes (59,9% mujeres, mediana de edad de 37,7±10,3 años). El propósito por el que habían realizado el viaje fue por turismo a Colombia, Brasil y México. El 73% de los inicialmente cribados presentaron síntomas, fundamentalmente fiebre y cefalea. Se diagnosticó infección por ZIKV a 13 pacientes (7% de los cribados); 4 de ellos eran gestantes. Todos los casos con infección confirmada estaban sintomáticos, y la mayoría eran inmigrantes colombianos. El diagnóstico se basó en la presencia de anticuerpos neutralizantes positivos (8 casos, 61,6%) y RT-PCR positiva en diferentes fluidos orgánicos (7 casos, 53,8%). A las 4 gestantes infectadas se les realizó neurosonografía fetal seriada cada 3 semanas, no detectándose alteraciones en ninguna de ellas. En 3 casos se realizó RT-PCR en líquido amniótico, que fue negativo. Uno de los niños ha nacido, y está completamente sano. Conclusiones: Nuestra serie representa la cohorte más grande de infección por ZIKV importada en España hasta la fecha. Los clínicos deben estar alerta sobre la evolución de la epidemia del ZIKV y las zonas a las que afecta, para poder incluir la infección por ZIKV dentro del diagnóstico diferencial de viajeros que regresan de esas áreas (AU)


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Infecção por Zika virus/epidemiologia , Infecção por Zika virus/prevenção & controle , Doenças Endêmicas/prevenção & controle , Medicina de Viagem/métodos , Infecções por Arbovirus/diagnóstico , Infecções por Arbovirus/microbiologia , Infecção por Zika virus/microbiologia , Espanha/epidemiologia , Medicina de Viagem/história , Medicina de Viagem/tendências , Infecções por Arbovirus/epidemiologia , Arbovirus/isolamento & purificação , Estudos Retrospectivos
5.
Rev. clín. med. fam ; 10(2): 136-137, jun. 2017. ilus
Artigo em Espanhol | IBECS | ID: ibc-164979

RESUMO

Estas historias de la LIBRETA DE VIAJE DEL MÉDICO DE FAMILIA, que forman una biblioteca del médico caminante o viajero emocional, son hojas sueltas en las que se escribe sobre paisajes y emociones; son un atlas de geografía emocional. La evocación de un paisaje ante la asistencia a un paciente -montañas, ríos, valles, playas, mares, desiertos, mesetas, islas, pantanos, cascadas, dunas, bosques, salinas, lagos, etc.-, con las sensaciones sentidas por el médico, de calor, frescor, humedad, dificultad, agobio, serenidad, inmensidad, soledad, etc. No es un diario, sólo una libreta de apuntes con las vivencias del médico sobre los patrones y procesos de la consulta en un cierto caso clínico, que a su vez, puede ilustrar un prototipo de esa clase de casos (AU)


These stories of the THE FAMILY PHYSICIAN’S TRAVEL NOTEBOOK, which form a library of the walking doctor or emotional traveler, are loose-leaf pages with writings about landscapes and emotions; they are an atlas of emotional geography. The evocation of a landscape before attending a patient -mountains, rivers, valleys, beaches, seas, deserts, plateaus, islands, swamps, waterfalls, dunes, forests, salt marshes, lakes, etc.-, with the sensations felt by the doctor -heat, coolness, humidity, hardship, stress, serenity, vastness, loneliness, etc. It is not a diary, only a notebook with the doctor's experiences about the patterns and processes of consultation in a clinical case, which in turn may illustrate a prototype for this type of cases (AU)


Assuntos
Humanos , Feminino , Idoso , Viagem , Saúde do Viajante , Expedições , Medicina de Família e Comunidade/métodos , Osteoartrite do Joelho/tratamento farmacológico , Medicina de Viagem/métodos , Medicina de Viagem/organização & administração , Geografia , Medicina de Família e Comunidade/tendências , Glucosamina/uso terapêutico , Medicina de Viagem/história
10.
J Travel Med ; 20(2): 119-24, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23464720

RESUMO

BACKGROUND: Over the last 150 years, a little South American fish with alleged unsavory habits has become the stuff legends are made of. With growing visitor numbers to the Amazon basin, the question of whether the animal poses a threat to the many travelers to the region arises. METHODS: Scientific literature was identified by searching MEDLINE, ScienceDirect, ProQuest, and Google Scholar. The reference lists of all obtained sources served to refine the search, including the original historical writings where obtainable. Nonscientific material was discovered through extensive web searches. RESULTS: First, the current popular understanding of the fish and its interaction with humans are presented followed by an overview of the historical literature on which this understanding is based. Next, the fish and its supposed attraction to humans are introduced. Finally, this review queries the evidence current medical advice utilizes for the prevention of attacks and the treatment of unfortunate hosts. CONCLUSIONS: Until evidence of the fish's threat to humans is forthcoming, there appears to be no need for considering the candiru in health advice for travelers to the Amazon.


Assuntos
Comportamento Animal , Mordeduras e Picadas , Peixes-Gato , Viagem , Animais , Mordeduras e Picadas/epidemiologia , Mordeduras e Picadas/etiologia , Mordeduras e Picadas/história , Mordeduras e Picadas/prevenção & controle , Mordeduras e Picadas/psicologia , Cultura , História do Século XIX , História do Século XX , Humanos , América do Sul/epidemiologia , Medicina de Viagem/história
12.
Med Sci (Paris) ; 27(12): 1121-5, 2011 Dec.
Artigo em Francês | MEDLINE | ID: mdl-22192752

RESUMO

With steam navigation, men, but also seeds of diseases, move faster. In 1865, the pilgrimage to Mecca induced a terrible cholera pandemic. This caused deep trauma in Europe and prompted the international community, recently born, to focus on the pilgrims who were regarded as the main "risk group" in the spread of epidemics. Through a series of international sanitary conferences, European powers, in agreement with the Ottoman Empire, imposed a heavy control over the pilgrims, much harsher than that applied to ordinary commercial navigation exchanges. These decisions led to the establishment of a huge quarantine device in the Red Sea and the Levant, including two lazaretto, one at the entrance and the other at the exit of the Red Sea, where the pilgrims were trapped and disinfected during their sacred journey. This contrasted with the concommitant disappearance of quarantines everywhere else. The pilgrims did not show hostility towards medical and prophylactic treatments but protested against the dehumanizing conditions of their realization. The combined pressures of nationalism and sovereignty claims from Saudi Arabia ended this system in 1957.


Assuntos
Bactérias/crescimento & desenvolvimento , Surtos de Doenças , Islamismo , Viagem , Vírus/crescimento & desenvolvimento , Bactérias/patogenicidade , Cólera/epidemiologia , Cólera/transmissão , Surtos de Doenças/prevenção & controle , Surtos de Doenças/estatística & dados numéricos , História do Século XVIII , História do Século XIX , História do Século XX , Humanos , Cooperação Internacional , Islamismo/história , Masculino , Império Otomano , Quarentena , Características de Residência , Viagem/história , Medicina de Viagem/história , Vírus/patogenicidade , Organização Mundial da Saúde/organização & administração
13.
Expert Rev Vaccines ; 10(11): 1609-20, 2011 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-22043959

RESUMO

Vaccine recommendations are a prominent part of health preparations before international travel. We review progress made in the past decade regarding vaccines used primarily by persons traveling from high-income countries to low- and middle-income countries. The combined hepatitis A-B vaccine, the recently licensed Vero cell-derived Japanese encephalitis vaccine and conjugated quadrivalent meningococcal vaccines are discussed. This article provides updates on yellow fever vaccine-associated visceral and neurologic adverse events, indications for influenza vaccine in travelers, the rapid immunization schedule for tick-borne encephalitis vaccine, schedules for postexposure rabies prophylaxis, and new insights about oral cholera vaccines following the outbreak in Haiti. The future should bring vaccines for serogroup B Neiserria meningitidis, dengue and malaria, as well as an inactivated yellow fever vaccine.


Assuntos
Medicina de Viagem/métodos , Vacinação/métodos , Infecções Bacterianas/prevenção & controle , Vacinas Bacterianas/administração & dosagem , Vacinas Bacterianas/efeitos adversos , Vacinas Bacterianas/imunologia , História do Século XXI , Humanos , Profilaxia Pós-Exposição/métodos , Viagem , Medicina de Viagem/história , Medicina de Viagem/tendências , Vacinação/história , Vacinação/tendências , Vacinas Virais/administração & dosagem , Vacinas Virais/efeitos adversos , Vacinas Virais/imunologia , Viroses/prevenção & controle
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