1. Epidemiological and etiological features of travel-related febrile illnesses in hospitalized Russian children and adults: A single-centre, retrospective analysis in Moscow.
- Author
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Zvereva NN, Saifullin MA, Sayfullin RF, Erovichenkov AA, Bazarova MV, and Pshenichnaya NY
- Subjects
- Adolescent, Adult, Age Distribution, Asia, Child, Child, Preschool, Female, Hospitalization, Humans, Infant, Male, Middle Aged, Moscow epidemiology, Respiratory Tract Infections microbiology, Retrospective Studies, Risk Factors, Russia, Seasons, Young Adult, Fever epidemiology, Fever microbiology, Respiratory Tract Infections epidemiology, Travel-Related Illness, Vector Borne Diseases epidemiology
- Abstract
Background: A number of factors can lead to differences in infectious disease morbidity in children versus adults after a trip abroad. We aimed to investigate the epidemiological and etiological features of infectious diseases in children after international travel., Methods: we analyzed the medical records of 2135 patients (416 children) who were hospitalized during the period 2009-2017 after return from international travel., Results: Hospitalized children were under the age of 1 year in 8.7% of cases, 1-3 years - 39.4%, 4-6 years - 17.3%, 7-11 years - 16.8%, 12-17 years - 17.8%. Children were hospitalized after visiting the following main destinations: Turkey (15%), Egypt (12%), Central Asia microregion [11%] and Thailand (9%). Hospitalizations among children occurred mainly in summer (38.0%; CI 33.3-42.4). In adults there were no significant seasonal differences. Children were more likely to have acute diarrhea (18.3 vs 11.1%), acute respiratory tract infections (51.2 vs 41.2%) and enterovirus infections (8.2 vs 3.1%). Among the non-endemic infections for Russia, 8 children were diagnosed with dengue fever, 1 with typhoid, 1 with malaria, and 1 with wild-poliovirus excretion., Conclusion: children were mainly hospitalized during summer. Among hospitalized children, almost half was under 3 years old. In children acute respiratory infection and intestinal infections predominated, while in adults, vector-borne diseases were more frequently observed., (Copyright © 2019 Elsevier Ltd. All rights reserved.)
- Published
- 2020
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