What do we know about imported infections in children presenting to UK emergency departments? a paediatric emergency research in the UK and Ireland network study

ABSTRACT

1075 Figure 1Map showing travel areas for children who were subsequently tested for malarin ED, UK[Figure omitted. See PDF] 1075 Figure 2Dicharge diagnoses for children who underwent screening for malariain the ED, n=1,472 (LRTI – Lower Respiratory Tract Infection;PUO – Pyrexia of Unknown Origin;URTI – Upper respiratory Tract Infection;UTI – Urinary Tract Infection;HIV – Human Immunodeficiency Virus)[Figure omitted. See PDF]ConclusionNearly a quarter of children presenting to a UK ED with fever and a tropical travel history have a tropical infection if gastroenteritis is included. Travel patterns are linked to historical, language and travel ties (3), but given higher numbers of tropical diagnoses in adult studies (1) and lack of a diagnosis in a quarter of cases in this study, tropical infections such as Dengue are likely not being tested for and missed.ReferencesGrobusch MP, Weld L, Goorhuis A, Hamer DH, Schunk M, Jordan S, et al. Travel-related infections presenting in Europe A 20-year analysis of EuroTravNet surveillance data. The Lancet Regional Health - Europe. 2021 Feb;1100001.Naudin J, Blondé R, Alberti C, Angoulvant F, de Lauzanne A, Armoogum P, et al. Aetiology and epidemiology of fever in children presenting to the emergency department of a French paediatric tertiary care centre after international travel. Archives of Disease in Childhood. 2012 Feb 11;97(2)107–11.Tatem AJ, Jia P, Ordanovich D, Falkner M, Huang Z, Howes R, et al. The geography of imported malaria to non-endemic countries a meta-analysis of nationally reported statistics. The Lancet Infectious Diseases. 2017 Jan 1;17(1)98–107.