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Infectious diseases related aeromedical evacuation of French soldiers in a level 4 military treatment facility: a ten year retrospective analysis.
Travel Med Infect Dis. 2014 Jul-Aug; 12(4):355-9.TM

Abstract

BACKGROUND

Infectious diseases are a frequent cause of morbidity in French troops deployed abroad. They are usually minor in severity and managed by field practitioners. We aimed to describe the etiological spectrum of travel-related infections in French soldiers evacuated to a level 4 military treatment facility.

METHODS

We evaluated the diagnoses of all service members who were medically evacuated from abroad to our infectious diseases department from January 1, 2004 to October 30, 2013.

RESULTS

One hundred and twenty five cases, median age 32 years were referred, 117 (94%) were male and 78 (62%) were from the Army. Main areas of deployment were Africa in 80 cases (64%), Afghanistan in 15 cases (12%), and French Guiana in 10 cases (8%). Median time between initial consultation and hospitalization in the reference center was 5 days (IQ 2-7 d). Thirty (24%) immediate aeromedical evacuations were carried out. The top five diagnoses were Plasmodium falciparum malaria (30), fever of unknown origin (15), cerebro-meningeal infections (10), invasive amebiasis (9), and HIV primary infections (9). Thirteen individuals were admitted in ICU. No death was recorded.

CONCLUSIONS

Infectious diseases were a rare of cause of medevac. Most of them were preventable. Lethal etiologies were represented by malaria and cerebro-meningeal infections.

Authors+Show Affiliations

Ecole du Val de Grâce, 1 place Alphonse Laveran, 75230 Paris, France; Infectious Diseases Department, Bégin Military Hospital, 69 avenue de Paris, 94163 Saint-Mandé, France. Electronic address: rappchristophe5@gmail.com.Infectious Diseases Department, Bégin Military Hospital, 69 avenue de Paris, 94163 Saint-Mandé, France.Infectious Diseases Department, Bégin Military Hospital, 69 avenue de Paris, 94163 Saint-Mandé, France.Infectious Diseases Department, Bégin Military Hospital, 69 avenue de Paris, 94163 Saint-Mandé, France.Infectious Diseases Department, Bégin Military Hospital, 69 avenue de Paris, 94163 Saint-Mandé, France.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24694520

Citation

Rapp, C, et al. "Infectious Diseases Related Aeromedical Evacuation of French Soldiers in a Level 4 Military Treatment Facility: a Ten Year Retrospective Analysis." Travel Medicine and Infectious Disease, vol. 12, no. 4, 2014, pp. 355-9.
Rapp C, Aoun O, Ficko C, et al. Infectious diseases related aeromedical evacuation of French soldiers in a level 4 military treatment facility: a ten year retrospective analysis. Travel Med Infect Dis. 2014;12(4):355-9.
Rapp, C., Aoun, O., Ficko, C., Andriamanantena, D., & Flateau, C. (2014). Infectious diseases related aeromedical evacuation of French soldiers in a level 4 military treatment facility: a ten year retrospective analysis. Travel Medicine and Infectious Disease, 12(4), 355-9. https://doi.org/10.1016/j.tmaid.2014.03.005
Rapp C, et al. Infectious Diseases Related Aeromedical Evacuation of French Soldiers in a Level 4 Military Treatment Facility: a Ten Year Retrospective Analysis. Travel Med Infect Dis. 2014 Jul-Aug;12(4):355-9. PubMed PMID: 24694520.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Infectious diseases related aeromedical evacuation of French soldiers in a level 4 military treatment facility: a ten year retrospective analysis. AU - Rapp,C, AU - Aoun,O, AU - Ficko,C, AU - Andriamanantena,D, AU - Flateau,C, Y1 - 2014/03/19/ PY - 2013/12/31/received PY - 2014/02/27/revised PY - 2014/03/05/accepted PY - 2014/4/4/entrez PY - 2014/4/4/pubmed PY - 2015/4/1/medline KW - Aeromedical evacuation KW - Fever KW - French armed forces KW - Infectious diseases KW - Malaria SP - 355 EP - 9 JF - Travel medicine and infectious disease JO - Travel Med Infect Dis VL - 12 IS - 4 N2 - BACKGROUND: Infectious diseases are a frequent cause of morbidity in French troops deployed abroad. They are usually minor in severity and managed by field practitioners. We aimed to describe the etiological spectrum of travel-related infections in French soldiers evacuated to a level 4 military treatment facility. METHODS: We evaluated the diagnoses of all service members who were medically evacuated from abroad to our infectious diseases department from January 1, 2004 to October 30, 2013. RESULTS: One hundred and twenty five cases, median age 32 years were referred, 117 (94%) were male and 78 (62%) were from the Army. Main areas of deployment were Africa in 80 cases (64%), Afghanistan in 15 cases (12%), and French Guiana in 10 cases (8%). Median time between initial consultation and hospitalization in the reference center was 5 days (IQ 2-7 d). Thirty (24%) immediate aeromedical evacuations were carried out. The top five diagnoses were Plasmodium falciparum malaria (30), fever of unknown origin (15), cerebro-meningeal infections (10), invasive amebiasis (9), and HIV primary infections (9). Thirteen individuals were admitted in ICU. No death was recorded. CONCLUSIONS: Infectious diseases were a rare of cause of medevac. Most of them were preventable. Lethal etiologies were represented by malaria and cerebro-meningeal infections. SN - 1873-0442 UR - https://www.unboundmedicine.com/medline/citation/24694520/Infectious_diseases_related_aeromedical_evacuation_of_French_soldiers_in_a_level_4_military_treatment_facility:_a_ten_year_retrospective_analysis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1477-8939(14)00052-0 DB - PRIME DP - Unbound Medicine ER -