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Imported malaria including HIV and pregnant woman risk groups: overview of the case of a Spanish city 2004-2014.
Malar J. 2015 Sep 17; 14:356.MJ

Abstract

BACKGROUND

Arrival of inmigrants from malaria endemic areas has led to a emergence of cases of this parasitic disease in Spain. The objective of this study was to analyse the high incidence rate of imported malaria in Fuenlabrada, a city in the south of Madrid, together with the frequent the lack of chemoprophylaxis, for the period between 2004 and 2014. Both pregnant women and HIV risk groups have been considered.

METHODS

Retrospective descriptive study of laboratory-confirmed malaria at the Fuenlabrada University Hospital, in Madrid, during a 10-year period (2004-2014). These data were obtained reviewing medical histories of the cases. Relevant epidemiological, clinical and laboratory results were analysed, with focus on the following risk groups: pregnant women and individuals with HIV.

RESULTS

A total of 185 cases were diagnosed (90.3 % Plasmodium falciparum). The annual incidence rate was 11.9/100,000 inhabitants/year. The average age was 30.8 years (SD: 14.3). Infections originating in sub-Saharan Africa comprised the 97.6 % of the cases. A total of 85.9 % were Visiting Friends and Relatives. Only a 4.3 % completed adequate prophylaxis. A total of 14.28 % of the fertile women were pregnant, and 8 cases (4.3 %) had HIV. None of them in these special groups completed prophylaxis.

CONCLUSIONS

The incidence rate in Fuenlabrada is higher than in the rest of Spain, due to the large number of immigrants from endemic areas living in the municipality. However, the results are not representative of all the country. It seems to be reasonable to implement prevention and pre-travel assessment programs to increase chemoprophylaxis. Pregnancy tests and HIV serology should be completed for all patients to improve prophylactic methods.

Authors+Show Affiliations

Department of Internal Medicine, Fuenlabrada University Hospital, Fuenlabrada, C/Camino del Molino, 2, Zip Code 28942, Fuenlabrada, Madrid, Spain. fdzlopezm@gmail.com. Rey Juan Carlos University, Alcorcón, Madrid, Spain. fdzlopezm@gmail.com.Department of Internal Medicine, Fuenlabrada University Hospital, Fuenlabrada, C/Camino del Molino, 2, Zip Code 28942, Fuenlabrada, Madrid, Spain. josemanuel.ruiz@salud.madrid.org.Department of Internal Medicine, Fuenlabrada University Hospital, Fuenlabrada, C/Camino del Molino, 2, Zip Code 28942, Fuenlabrada, Madrid, Spain. jsanmartin.hflr@salud.madrid.org.Department of Microbiology, Fuenlabrada Universtiy Hospital, Fuenlabrada, Madrid, Spain. jeronimo.jaqueti@salud.madrid.org.Department of Microbiology, Fuenlabrada Universtiy Hospital, Fuenlabrada, Madrid, Spain. mgarata@salud.madrid.org.Doctors Without Borders, Madrid, Spain. carolina.jimenez@gmail.com.San Carlos Clinical Hospital, Madrid, Spain. ncabello@salud.madrid.org.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26383771

Citation

Fernández López, María, et al. "Imported Malaria Including HIV and Pregnant Woman Risk Groups: Overview of the Case of a Spanish City 2004-2014." Malaria Journal, vol. 14, 2015, p. 356.
Fernández López M, Ruiz Giardín JM, San Martín López JV, et al. Imported malaria including HIV and pregnant woman risk groups: overview of the case of a Spanish city 2004-2014. Malar J. 2015;14:356.
Fernández López, M., Ruiz Giardín, J. M., San Martín López, J. V., Jaquetti, J., García Arata, I., Jiménez Navarro, C., & Cabello Clotet, N. (2015). Imported malaria including HIV and pregnant woman risk groups: overview of the case of a Spanish city 2004-2014. Malaria Journal, 14, 356. https://doi.org/10.1186/s12936-015-0891-0
Fernández López M, et al. Imported Malaria Including HIV and Pregnant Woman Risk Groups: Overview of the Case of a Spanish City 2004-2014. Malar J. 2015 Sep 17;14:356. PubMed PMID: 26383771.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Imported malaria including HIV and pregnant woman risk groups: overview of the case of a Spanish city 2004-2014. AU - Fernández López,María, AU - Ruiz Giardín,Jose Manuel, AU - San Martín López,Juan Víctor, AU - Jaquetti,Jerónimo, AU - García Arata,Isabel, AU - Jiménez Navarro,Carolina, AU - Cabello Clotet,Noemi, Y1 - 2015/09/17/ PY - 2015/03/22/received PY - 2015/09/03/accepted PY - 2015/9/19/entrez PY - 2015/9/19/pubmed PY - 2016/6/17/medline SP - 356 EP - 356 JF - Malaria journal JO - Malar J VL - 14 N2 - BACKGROUND: Arrival of inmigrants from malaria endemic areas has led to a emergence of cases of this parasitic disease in Spain. The objective of this study was to analyse the high incidence rate of imported malaria in Fuenlabrada, a city in the south of Madrid, together with the frequent the lack of chemoprophylaxis, for the period between 2004 and 2014. Both pregnant women and HIV risk groups have been considered. METHODS: Retrospective descriptive study of laboratory-confirmed malaria at the Fuenlabrada University Hospital, in Madrid, during a 10-year period (2004-2014). These data were obtained reviewing medical histories of the cases. Relevant epidemiological, clinical and laboratory results were analysed, with focus on the following risk groups: pregnant women and individuals with HIV. RESULTS: A total of 185 cases were diagnosed (90.3 % Plasmodium falciparum). The annual incidence rate was 11.9/100,000 inhabitants/year. The average age was 30.8 years (SD: 14.3). Infections originating in sub-Saharan Africa comprised the 97.6 % of the cases. A total of 85.9 % were Visiting Friends and Relatives. Only a 4.3 % completed adequate prophylaxis. A total of 14.28 % of the fertile women were pregnant, and 8 cases (4.3 %) had HIV. None of them in these special groups completed prophylaxis. CONCLUSIONS: The incidence rate in Fuenlabrada is higher than in the rest of Spain, due to the large number of immigrants from endemic areas living in the municipality. However, the results are not representative of all the country. It seems to be reasonable to implement prevention and pre-travel assessment programs to increase chemoprophylaxis. Pregnancy tests and HIV serology should be completed for all patients to improve prophylactic methods. SN - 1475-2875 UR - https://www.unboundmedicine.com/medline/citation/26383771/Imported_malaria_including_HIV_and_pregnant_woman_risk_groups:_overview_of_the_case_of_a_Spanish_city_2004_2014_ L2 - https://malariajournal.biomedcentral.com/articles/10.1186/s12936-015-0891-0 DB - PRIME DP - Unbound Medicine ER -