Tags

Type your tag names separated by a space and hit enter

Dermatologic conditions of the ill returned traveler: an analysis from the GeoSentinel Surveillance Network.
Int J Infect Dis. 2008 Nov; 12(6):593-602.IJ

Abstract

BACKGROUND

Skin disorders are common in travelers. Knowledge of the relative frequency of post-travel-related skin disorders, including their geographic and demographic risk factors, will allow for effective pre-travel counseling, as well as improved post-travel diagnosis and therapeutic intervention.

METHODS

We performed a retrospective study using anonymous patient demographic, clinical, and travel-related data from the GeoSentinel Surveillance Network clinics from January 1997 through February 2006. The characteristics of these travelers and their itineraries were analyzed using SAS 9.0 statistical software.

RESULTS

A skin-related diagnosis was reported for 4594 patients (18% of all patients seen in a GeoSentinel clinic after travel). The most common skin-related diagnoses were cutaneous larva migrans (CLM), insect bites including superinfected bites, skin abscess, and allergic reaction (38% of all diagnoses). Arthropod-related skin diseases accounted for 31% of all skin diagnoses. Ill travelers who visited countries in the Caribbean experienced the highest proportionate morbidity due to dermatologic conditions. Pediatric travelers had significantly more dog bites and CLM and fewer insect bites compared with their adult counterparts; geriatric travelers had proportionately more spotted fever and cellulitis.

CONCLUSIONS

Clinicians seeing patients post-travel should be alert to classic travel-related skin diseases such as CLM as well as more mundane entities such as pyodermas and allergic reactions. To prevent and manage skin-related morbidity during travel, international travelers should avoid direct contact with sand, soil, and animals and carry a travel kit including insect repellent, topical antifungals, and corticosteroids and, in the case of extended and/or remote travel, an oral antibiotic with ample coverage for pyogenic organisms.

Authors+Show Affiliations

U.S. Naval Medical Research Unit No. 2, Jakarta, Indonesia. edith.lederman@med.navy.milNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

18343180

Citation

Lederman, Edith R., et al. "Dermatologic Conditions of the Ill Returned Traveler: an Analysis From the GeoSentinel Surveillance Network." International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases, vol. 12, no. 6, 2008, pp. 593-602.
Lederman ER, Weld LH, Elyazar IR, et al. Dermatologic conditions of the ill returned traveler: an analysis from the GeoSentinel Surveillance Network. Int J Infect Dis. 2008;12(6):593-602.
Lederman, E. R., Weld, L. H., Elyazar, I. R., von Sonnenburg, F., Loutan, L., Schwartz, E., & Keystone, J. S. (2008). Dermatologic conditions of the ill returned traveler: an analysis from the GeoSentinel Surveillance Network. International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases, 12(6), 593-602. https://doi.org/10.1016/j.ijid.2007.12.008
Lederman ER, et al. Dermatologic Conditions of the Ill Returned Traveler: an Analysis From the GeoSentinel Surveillance Network. Int J Infect Dis. 2008;12(6):593-602. PubMed PMID: 18343180.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dermatologic conditions of the ill returned traveler: an analysis from the GeoSentinel Surveillance Network. AU - Lederman,Edith R, AU - Weld,Leisa H, AU - Elyazar,Iqbal R F, AU - von Sonnenburg,Frank, AU - Loutan,Louis, AU - Schwartz,Eli, AU - Keystone,Jay S, AU - ,, Y1 - 2008/03/14/ PY - 2007/08/20/received PY - 2007/12/15/accepted PY - 2008/3/18/pubmed PY - 2009/1/28/medline PY - 2008/3/18/entrez SP - 593 EP - 602 JF - International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases JO - Int. J. Infect. Dis. VL - 12 IS - 6 N2 - BACKGROUND: Skin disorders are common in travelers. Knowledge of the relative frequency of post-travel-related skin disorders, including their geographic and demographic risk factors, will allow for effective pre-travel counseling, as well as improved post-travel diagnosis and therapeutic intervention. METHODS: We performed a retrospective study using anonymous patient demographic, clinical, and travel-related data from the GeoSentinel Surveillance Network clinics from January 1997 through February 2006. The characteristics of these travelers and their itineraries were analyzed using SAS 9.0 statistical software. RESULTS: A skin-related diagnosis was reported for 4594 patients (18% of all patients seen in a GeoSentinel clinic after travel). The most common skin-related diagnoses were cutaneous larva migrans (CLM), insect bites including superinfected bites, skin abscess, and allergic reaction (38% of all diagnoses). Arthropod-related skin diseases accounted for 31% of all skin diagnoses. Ill travelers who visited countries in the Caribbean experienced the highest proportionate morbidity due to dermatologic conditions. Pediatric travelers had significantly more dog bites and CLM and fewer insect bites compared with their adult counterparts; geriatric travelers had proportionately more spotted fever and cellulitis. CONCLUSIONS: Clinicians seeing patients post-travel should be alert to classic travel-related skin diseases such as CLM as well as more mundane entities such as pyodermas and allergic reactions. To prevent and manage skin-related morbidity during travel, international travelers should avoid direct contact with sand, soil, and animals and carry a travel kit including insect repellent, topical antifungals, and corticosteroids and, in the case of extended and/or remote travel, an oral antibiotic with ample coverage for pyogenic organisms. SN - 1878-3511 UR - https://www.unboundmedicine.com/medline/citation/18343180/full_citation L2 - http://linkinghub.elsevier.com/retrieve/pii/S1201-9712(08)00026-X DB - PRIME DP - Unbound Medicine ER -