Schistosomiasis in European Travelers and Migrants: Analysis of 14 Years TropNet Surveillance Data.

Details

Serval ID
serval:BIB_20E7C5BC4456
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Schistosomiasis in European Travelers and Migrants: Analysis of 14 Years TropNet Surveillance Data.
Journal
The American journal of tropical medicine and hygiene
Author(s)
Lingscheid T., Kurth F., Clerinx J., Marocco S., Trevino B., Schunk M., Muñoz J., Gjørup I.E., Jelinek T., Develoux M., Fry G., Jänisch T., Schmid M.L., Bouchaud O., Puente S., Zammarchi L., Mørch K., Björkman A., Siikamäki H., Neumayr A., Nielsen H., Hellgren U., Paul M., Calleri G., Kosina P., Myrvang B., Ramos J.M., Just-Nübling G., Beltrame A., Saraiva da Cunha J., Kern P., Rochat L., Stich A., Pongratz P., Grobusch M.P., Suttorp N., Witzenrath M., Hatz C., Zoller T.
Working group(s)
TropNet Schistosomiasis Investigator Group
ISSN
1476-1645 (Electronic)
ISSN-L
0002-9637
Publication state
Published
Issued date
08/2017
Peer-reviewed
Oui
Volume
97
Number
2
Pages
567-574
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Schistosomiasis remains one of the most prevalent parasitic diseases worldwide and the infection is frequently found in travelers and migrants. The European Network for Tropical Medicine and Travel Health conducted a sentinel surveillance study on imported schistosomiasis between 1997 and 2010. This report summarizes epidemiological and clinical data from 1,465 cases of imported schistosomiasis. Direct pathogen detection and serology were the main diagnostic tools applied. Of these, 486 (33%) cases were identified among European travelers, 231 (16%) among long-term expatriates, and 748 (51%) among non-European immigrants. Overall, only 18.6% of travelers had received pretravel advice; 95% of infections were acquired in the African region. On species level, javax.xml.bind.JAXBElement@36dce310 was identified in 570 (39%) and javax.xml.bind.JAXBElement@3d9ae51f in 318 (22%) cases; 57.5% of patients were symptomatic. Acute symptoms were reported in 27% of patients leading to earlier presentation within 3 months. Praziquantel was used in all patients to treat schistosomiasis. Many infections were detected in asymptomatic patients. In 47.4% of asymptomatic patients infection was detected by microscopy and in 39% by serology or antigen testing. Schistosomiasis remains a frequent infection in travelers and migrants to Europe. Travelers should be made aware of the risk of schistosomiasis infection when traveling to sub-Saharan Africa. Posttravel consultations particularly for returning expatriates are useful given the high potential for detecting asymptomatic infections.

Keywords
Adolescent, Adult, Africa South of the Sahara/epidemiology, Aged, Aged, 80 and over, Animals, Anthelmintics/therapeutic use, Child, Child, Preschool, Europe/epidemiology, Female, Humans, Infant, Infant, Newborn, Male, Middle Aged, Praziquantel/therapeutic use, Prevalence, Schistosomiasis/diagnosis, Schistosomiasis/drug therapy, Schistosomiasis/epidemiology, Transients and Migrants/statistics & numerical data, Travel/statistics & numerical data, Young Adult
Pubmed
Web of science
Open Access
Yes
Create date
09/08/2017 9:21
Last modification date
20/08/2019 12:57
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