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Spectrum of Imported Infectious Diseases: A Comparative Prevalence Study of 16,817 German Travelers and 977 Immigrants from the Tropics and Subtropics.
Am J Trop Med Hyg. 2016 Apr; 94(4):757-66.AJ

Abstract

The aim of this study was to assess the spectrum of imported infectious diseases (IDs) among patients consulting the University of Munich, Germany, between 1999 and 2014 after being in the sub-/tropics. The analysis investigated complete data sets of 16,817 diseased German travelers (2,318 business travelers, 4,029 all-inclusive travelers, and 10,470 backpackers) returning from Latin America (3,225), Africa (4,865), or Asia (8,727), and 977 diseased immigrants, originating from the same regions (112, 654 and 211 respectively). The most frequent symptoms assessed were diarrhea (38%), fever (29%), and skin disorder (22%). The most frequent IDs detected were intestinal infections with species of Blastocystis(900),Giardia(730),Campylobacter(556),Shigella(209), and Salmonella(183). Also frequently observed were cutaneous larva migrans (379), dengue (257), and malaria (160). The number of IDs with significantly elevated proportions was higher among backpackers (18) and immigrants (17), especially among those from Africa (18) and Asia (17), whereas it was lower for business travelers (5), all-inclusive travelers (1), and those from Latin America (5). This study demonstrates a large spectrum of imported IDs among returning German travelers and immigrants, which varies greatly based not only on travel destination and origin of immigrants, but also on type of travel.

Authors+Show Affiliations

Department of Infectious Diseases and Tropical Medicine (DITM), Medical Center of the University of Munich, Munich, Germany herbinger@lrz.uni-muenchen.de.Department of Infectious Diseases and Tropical Medicine (DITM), Medical Center of the University of Munich, Munich, Germany.Department of Infectious Diseases and Tropical Medicine (DITM), Medical Center of the University of Munich, Munich, Germany.Department of Infectious Diseases and Tropical Medicine (DITM), Medical Center of the University of Munich, Munich, Germany.Department of Infectious Diseases and Tropical Medicine (DITM), Medical Center of the University of Munich, Munich, Germany.Department of Infectious Diseases and Tropical Medicine (DITM), Medical Center of the University of Munich, Munich, Germany.Department of Infectious Diseases and Tropical Medicine (DITM), Medical Center of the University of Munich, Munich, Germany.Department of Infectious Diseases and Tropical Medicine (DITM), Medical Center of the University of Munich, Munich, Germany.Department of Infectious Diseases and Tropical Medicine (DITM), Medical Center of the University of Munich, Munich, Germany.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

26903611

Citation

Herbinger, Karl-Heinz, et al. "Spectrum of Imported Infectious Diseases: a Comparative Prevalence Study of 16,817 German Travelers and 977 Immigrants From the Tropics and Subtropics." The American Journal of Tropical Medicine and Hygiene, vol. 94, no. 4, 2016, pp. 757-66.
Herbinger KH, Alberer M, Berens-Riha N, et al. Spectrum of Imported Infectious Diseases: A Comparative Prevalence Study of 16,817 German Travelers and 977 Immigrants from the Tropics and Subtropics. Am J Trop Med Hyg. 2016;94(4):757-66.
Herbinger, K. H., Alberer, M., Berens-Riha, N., Schunk, M., Bretzel, G., von Sonnenburg, F., Nothdurft, H. D., Löscher, T., & Beissner, M. (2016). Spectrum of Imported Infectious Diseases: A Comparative Prevalence Study of 16,817 German Travelers and 977 Immigrants from the Tropics and Subtropics. The American Journal of Tropical Medicine and Hygiene, 94(4), 757-66. https://doi.org/10.4269/ajtmh.15-0731
Herbinger KH, et al. Spectrum of Imported Infectious Diseases: a Comparative Prevalence Study of 16,817 German Travelers and 977 Immigrants From the Tropics and Subtropics. Am J Trop Med Hyg. 2016;94(4):757-66. PubMed PMID: 26903611.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Spectrum of Imported Infectious Diseases: A Comparative Prevalence Study of 16,817 German Travelers and 977 Immigrants from the Tropics and Subtropics. AU - Herbinger,Karl-Heinz, AU - Alberer,Martin, AU - Berens-Riha,Nicole, AU - Schunk,Mirjam, AU - Bretzel,Gisela, AU - von Sonnenburg,Frank, AU - Nothdurft,Hans Dieter, AU - Löscher,Thomas, AU - Beissner,Marcus, Y1 - 2016/02/22/ PY - 2015/10/08/received PY - 2016/01/01/accepted PY - 2016/2/24/entrez PY - 2016/2/24/pubmed PY - 2016/8/19/medline SP - 757 EP - 66 JF - The American journal of tropical medicine and hygiene JO - Am J Trop Med Hyg VL - 94 IS - 4 N2 - The aim of this study was to assess the spectrum of imported infectious diseases (IDs) among patients consulting the University of Munich, Germany, between 1999 and 2014 after being in the sub-/tropics. The analysis investigated complete data sets of 16,817 diseased German travelers (2,318 business travelers, 4,029 all-inclusive travelers, and 10,470 backpackers) returning from Latin America (3,225), Africa (4,865), or Asia (8,727), and 977 diseased immigrants, originating from the same regions (112, 654 and 211 respectively). The most frequent symptoms assessed were diarrhea (38%), fever (29%), and skin disorder (22%). The most frequent IDs detected were intestinal infections with species of Blastocystis(900),Giardia(730),Campylobacter(556),Shigella(209), and Salmonella(183). Also frequently observed were cutaneous larva migrans (379), dengue (257), and malaria (160). The number of IDs with significantly elevated proportions was higher among backpackers (18) and immigrants (17), especially among those from Africa (18) and Asia (17), whereas it was lower for business travelers (5), all-inclusive travelers (1), and those from Latin America (5). This study demonstrates a large spectrum of imported IDs among returning German travelers and immigrants, which varies greatly based not only on travel destination and origin of immigrants, but also on type of travel. SN - 1476-1645 UR - https://www.unboundmedicine.com/medline/citation/26903611/Spectrum_of_Imported_Infectious_Diseases:_A_Comparative_Prevalence_Study_of_16817_German_Travelers_and_977_Immigrants_from_the_Tropics_and_Subtropics_ L2 - https://ajtmh.org/doi/10.4269/ajtmh.15-0731 DB - PRIME DP - Unbound Medicine ER -