ABSTRACT
Objetivo: Valorar las enfermedades infecciosas importadas por inmigrantes que realizaron visitas a familiares y amigos (VFA). Métodos: Estudio transversal descriptivo de todas las enfermedades infecciosas importadas en pacientes adultos 01/2001-12/2008. Los grupos de estudio definidos fueron: a) inmigrantes VFA; b) turistas, y c) inmigrantes no viajeros. Las enfermedades se clasificaron según su tipo en cosmopolitas y endémicas tropicales; según su gravedad en a) leves, b) graves, y c) potencialmente letales. Resultados: Se analizaron 761 individuos; edad: 31,7 (DE: 12,4) años; inmigrantes VFA=90, turistas=269, inmigrantes no-viajeros=402. Los inmigrantes VFA acudieron menos a las Consultas de Consejo a Viajeros que los turistas (32,2% frente a 57,2%; p <0,001) y viajaron con mayor frecuencia a África subsahariana (33,3% frente a 20,4%; p=0,01). Las enfermedades potencialmente letales fueron más frecuentes en inmigrantes VFA con OR = 5,16 (IC95%: 2,0812,8) en relación a turistas y OR=7,17 (IC95%: 2,8218,2) a inmigrantes no viajeros. Conclusiones: Los inmigrantes VFA viajaron con más frecuencia al África subsahariana e importaron más enfermedades de curso agudo potencialmente letal (AU)
Objective: To describe the infectious diseases imported by immigrants visiting friends and relatives in their countries of origin. Methods: We performed a cross-sectional descriptive study of all imported infectious diseases among adult patients between 01/2001-12/2008. The study population was classified in 3 groups: a)immigrants visiting friends and relatives; b) tourists, and c) non-travelling immigrants. Diseases were classified as (a) cosmopolitan or (b) tropical endemic, and, according to their severity as (a) mild, (b) serious, and (c) potentially lethal. Results: A total of 761 patients were analyzed. The mean age was 31.7 (SD: 12.4) years. Of these, there were 90 immigrants visiting friends and relatives, 269 tourists and 402 non-travelling immigrants. Immigrants visiting friends and relatives attended International Health Centres prior to travel significantly less than tourists (32.2% vs. 57.2%; p <0.001) and more frequently travelled to sub-Saharan Africa (33.3% vs. 20.4%; p=0.01). Imported diseases considered as potentially lethal were more likely among immigrants visiting friends and relatives than tourists [OR=5.16 (95%CI: 2.0812.8)] and non-travelling immigrants [OR=7.17 (95%CI: 2.8218.2)]. Conclusions: Immigrants visiting friends and relatives travelled more to sub-Saharan Africa and more frequently imported potentially lethal acute diseases (AU)
Subject(s)
Adult , Female , Humans , Male , Middle Aged , Young Adult , Communicable Diseases/epidemiology , Disease Transmission, Infectious/prevention & control , Disease Transmission, Infectious/statistics & numerical data , Emigrants and Immigrants/statistics & numerical data , Malaria, Falciparum/epidemiology , Malaria, Falciparum/transmission , Travel , Africa South of the Sahara/ethnology , Cross-Sectional Studies , Endemic Diseases , Latin America/ethnology , Spain/epidemiology , Tropical MedicineABSTRACT
Las miasis son infestaciones del tejido sub-dérmico por larvas de artrópodos. Son especialmente frecuentes en los climas tropicales o templados de entornos rurales con abundante ganadería. Se presentan dos casos de miasis importados procedentes del ecosistema neotropical. Debe sospecharseel diagnóstico ante la presencia de nódulos dérmicos dolorosos en zonas expuestas con mala respuesta al tratamiento antibiótico (AU)
Myiasis are arthropode-borne diseases owing to the sub-dermic tissues infestation by flies larvae. Main of cases are reported from tropical countries, specially in rural areas with cattle economy. Two cases imported from Neotropical ecosystem are presented. Diagnosis of myiasis should be suspected if inflammatory nodes in exposed skin areas have poor response to an antibiotic regime (AU)
