Dengue fever in travelers to the tropics, 1998 and 1999

被引:51
作者
Lindbäck, H
Lindbäck, J
Tegnell, A
Janzon, R
Vene, S
Ekdahl, K [1 ]
机构
[1] Swedish Inst Infect Dis Control, Dept Epidemiol, SE-17182 Solna, Sweden
[2] Uppsala Univ, Uppsala, Sweden
关键词
D O I
10.3201/eid0904.020267
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Dengue fever (DF) has become common in western travelers to the tropics. To improve the basis for travel advice, risk factors and dengue manifestations were assessed in 107 Swedish patients for whom DF was diagnosed after return from travel in 1998 and 1999. Patient data were compared with data on a sample of all Swedish travelers to dengue-endemic countries in the same years. Only three of the patients had received pretravel advice concerning DF from their physicians. Hemorrhagic manifestations were common (21 of 74 patients) but caused no deaths. Risk factors for a DF diagnosis were travel to the Malay Peninsula (odds ratio [OR] 4.95; confidence interval [Cl] 2.92 to 8.46), age 15-29 years (OR 3.03; Cl 1.87 to 4.92), and travel duration >25 days (OR 8.75; Cl 4.79 to 16.06). Pretravel advice should be given to all travelers to DF-endemic areas, but young persons traveling to southern and Southeast Asia for >3 weeks (who constituted 31 % of the patients in our study) may be more likely to benefit by adhering to it.
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收藏
页码:438 / 442
页数:5
相关论文
共 14 条
  • [1] Changing epidemiology of dengue hemorrhagic fever in Thailand
    Chareonsook, O
    Foy, HM
    Teeraratkul, A
    Silarug, N
    [J]. EPIDEMIOLOGY AND INFECTION, 1999, 122 (01) : 161 - 166
  • [2] EKDAHL K, 2001, COMMUNICABLE DIS 200
  • [3] Dengue and dengue hemorrhagic fever
    Gubler, DJ
    [J]. CLINICAL MICROBIOLOGY REVIEWS, 1998, 11 (03) : 480 - +
  • [4] Hokenberg I, 1994, Lakartidningen, V91, P3692
  • [5] Dengue and dengue haemorrhagic fever
    Rigau-Pérez, JG
    Clark, GG
    Gubler, DJ
    Reiter, P
    Sanders, RJ
    Vorndam, AV
    [J]. LANCET, 1998, 352 (9132) : 971 - 977
  • [6] Changing epidemiology of dengue fever in travelers to Thailand
    Schwartz, E
    Moskovitz, A
    Potasman, I
    Peri, G
    Grossman, Z
    Alkan, ML
    [J]. EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES, 2000, 19 (10) : 784 - 786
  • [7] Dengue fever among travelers
    Schwartz, E
    Mendelson, E
    Sidi, Y
    [J]. AMERICAN JOURNAL OF MEDICINE, 1996, 101 (05) : 516 - 520
  • [8] *SWED CIV AV ADM, 1999, PASS INT TRAFF 1 DES
  • [9] INDIRECT IMMUNOFLUORESCENCE FOR SEROLOGICAL DIAGNOSIS OF DENGUE VIRUS-INFECTIONS IN SWEDISH PATIENTS
    VENE, S
    MANGIAFICO, J
    NIKLASSON, B
    [J]. CLINICAL AND DIAGNOSTIC VIROLOGY, 1995, 4 (01): : 43 - 50
  • [10] WHO, 1999, WHO REC SURV STAND