Geographical and temporal trends in imported infections from the tropics requiring inpatient care at the Hospital for Tropical Diseases, London – a 15 year study

by Michael Marks, Margaret Armstrong, Christopher J. M. Whitty et al.
Trans R Soc Trop Med Hyg (2016) 110 (8): 456-463 – First published online: September 12, 2016

8 pp. 414 kB
http://trstmh.oxfordjournals.org/content/110/8/456.full.pdf+html8-cover

Understanding geographic and temporal trends in imported infections is key to the management of unwell travellers. Many tropical infections can be managed as outpatients, with admission reserved for severe cases. Most of those arriving from sub-Saharan Africa with an illness requiring admission have a classical tropical infection, and malaria still predominates. In contrast, fewer patients who travelled to Asia have a tropical diagnosis but enteric fever and dengue remain relatively common. Those visiting friends and relatives are most likely to have a tropical infection.

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