Animal-associated injuries and related diseases among returned travellers : A review of the GeoSentinel Surveillance Network
Identifieur interne : 009723 ( Main/Exploration ); précédent : 009722; suivant : 009724Animal-associated injuries and related diseases among returned travellers : A review of the GeoSentinel Surveillance Network
Auteurs : Philippe Gautret [France] ; Eli Schwartz [Israël] ; Marc Shaw [Nouvelle-Zélande] ; Georges Soula [France] ; Pierre Gazin [France] ; Jean Delmont [France] ; Philippe Parola [France] ; Marie José Soavi [France] ; Elizabeth Matchett [Australie] ; Graham Brown [Australie] ; Joseph Torresi [Australie]Source :
- Vaccine [ 0264-410X ] ; 2007.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Rage.
English descriptors
- KwdEn :
Abstract
Background: Increased travel to exotic destinations around the world is escalating the risk of exposure to animal-associated injuries with a risk of acquiring rabies. Methods: We have examined data reported to GeoSentinel Surveillance Network to highlight characteristics of animal-associated injuries in travellers. Results: A total of 320 cases were reported from 1998 to 2005. Travellers were predominantly tourists from developed countries with median travel duration of 23 days. A pre-travel encounter was recorded in 45.0% of the cases. A significantly greater proportion of patients with animal-related injuries were female compared to other travel associated diagnosis (54.7% versus 47.4%) and were most likely patients aged <15 years (6.2% versus 2.6%). The proportionate morbidity for sustaining an animal bite was higher among travellers visiting Southeast Asia (3.9%) and the rest of Asia (2.2%) compared to Australia-New Zealand (1.9%), Africa (1.0%), Latin America (0.8%), North America (0.9%) and Europe (1.2%). Seventy-five percent of cases occurred in countries endemic for rabies. Dogs were involved in 51.3% of cases, monkeys in 21.2%, cats in 8.2%, bats in 0.7% and humans in 0.7%. The higher likelihood for animal-related injuries among female travellers was dependant on the animal species involved, with monkeys accounting for the majority of injuries. In contrast, males were more likely to be injured by dogs. Only 66.1% of all patients reported with animal-related injury received rabies post-exposure prophylaxis. Conclusions: This data shows that animal-associated injuries are not uncommon among returned travellers presenting to GeoSentinel sites. The highest proportion of injuries was recorded in travellers to Asia, mostly in regions, which are endemic for rabies, and this had led to a requirement for PEP.
Affiliations:
- Australie, France, Israël, Nouvelle-Zélande
- Provence-Alpes-Côte d'Azur, Victoria (État)
- Marseille, Melbourne
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Nord</s1><s2>13015 Marseille</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>13015 Marseille</wicri:noRegion><placeName><settlement type="city">Marseille</settlement><region type="région" nuts="2">Provence-Alpes-Côte d'Azur</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Centre de Formation et Recherche en Médecine et Santé Tropicale (CFRMST), Faculté de Médecine</s1><s2>Marseille</s2><s3>FRA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Parola, Philippe" sort="Parola, Philippe" uniqKey="Parola P" first="Philippe" last="Parola">Philippe Parola</name><affiliation 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type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Brown, Graham" sort="Brown, Graham" uniqKey="Brown G" first="Graham" last="Brown">Graham Brown</name><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>Victorian Infectious Diseases Service, Royal Melbourne Hospital</s1><s2>Melbourne</s2><s3>AUS</s3><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Torresi, Joseph" sort="Torresi, Joseph" uniqKey="Torresi J" first="Joseph" last="Torresi">Joseph Torresi</name><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>Victorian Infectious Diseases Service, Royal Melbourne Hospital</s1><s2>Melbourne</s2><s3>AUS</s3><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 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level="a">Animal-associated injuries and related diseases among returned travellers : A review of the GeoSentinel Surveillance Network</title><author><name sortKey="Gautret, Philippe" sort="Gautret, Philippe" uniqKey="Gautret P" first="Philippe" last="Gautret">Philippe Gautret</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Service des Maladies Infectieuses et Tropicales, AP-HM, Hôpital Nord</s1><s2>13015 Marseille</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region" nuts="2">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Schwartz, Eli" sort="Schwartz, Eli" uniqKey="Schwartz E" first="Eli" last="Schwartz">Eli Schwartz</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Center for Geographical Medicine, Chaim Sheba Medical Center</s1><s2>Tel Hashomer</s2><s3>ISR</s3><sZ>2 aut.</sZ></inist:fA14><country>Israël</country><wicri:noRegion>Tel Hashomer</wicri:noRegion></affiliation></author><author><name sortKey="Shaw, Marc" sort="Shaw, Marc" uniqKey="Shaw M" first="Marc" last="Shaw">Marc Shaw</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Worldwise Travellers Health and Vaccination Center</s1><s2>Auckland</s2><s3>NZL</s3><sZ>3 aut.</sZ></inist:fA14><country>Nouvelle-Zélande</country><wicri:noRegion>Worldwise Travellers Health and Vaccination Center</wicri:noRegion></affiliation></author><author><name sortKey="Soula, Georges" sort="Soula, Georges" uniqKey="Soula G" first="Georges" last="Soula">Georges Soula</name><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Centre de Formation et Recherche en Médecine et Santé Tropicale (CFRMST), Faculté de Médecine</s1><s2>Marseille</s2><s3>FRA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Gazin, Pierre" sort="Gazin, Pierre" uniqKey="Gazin P" first="Pierre" last="Gazin">Pierre Gazin</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Service des Maladies Infectieuses et Tropicales, AP-HM, Hôpital Nord</s1><s2>13015 Marseille</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>13015 Marseille</wicri:noRegion><placeName><settlement type="city">Marseille</settlement><region type="région" nuts="2">Provence-Alpes-Côte d'Azur</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Centre de Formation et Recherche en Médecine et Santé Tropicale (CFRMST), Faculté de Médecine</s1><s2>Marseille</s2><s3>FRA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="05"><s1>Institut de Recherche pour le Developpement (IRD)</s1><s2>Marseille</s2><s3>FRA</s3><sZ>5 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Delmont, Jean" sort="Delmont, Jean" uniqKey="Delmont J" first="Jean" last="Delmont">Jean Delmont</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Service des Maladies Infectieuses et Tropicales, AP-HM, Hôpital Nord</s1><s2>13015 Marseille</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>13015 Marseille</wicri:noRegion><placeName><settlement type="city">Marseille</settlement><region type="région" nuts="2">Provence-Alpes-Côte d'Azur</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Centre de Formation et Recherche en Médecine et Santé Tropicale (CFRMST), Faculté de Médecine</s1><s2>Marseille</s2><s3>FRA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Parola, Philippe" sort="Parola, Philippe" uniqKey="Parola P" first="Philippe" last="Parola">Philippe Parola</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Service des Maladies Infectieuses et Tropicales, AP-HM, Hôpital Nord</s1><s2>13015 Marseille</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>13015 Marseille</wicri:noRegion><placeName><settlement type="city">Marseille</settlement><region type="région" nuts="2">Provence-Alpes-Côte d'Azur</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Centre de Formation et Recherche en Médecine et Santé Tropicale (CFRMST), Faculté de Médecine</s1><s2>Marseille</s2><s3>FRA</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Soavi, Marie Jose" sort="Soavi, Marie Jose" uniqKey="Soavi M" first="Marie José" last="Soavi">Marie José Soavi</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Service des Maladies Infectieuses et Tropicales, AP-HM, Hôpital Nord</s1><s2>13015 Marseille</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>13015 Marseille</wicri:noRegion><placeName><settlement type="city">Marseille</settlement><region type="région" nuts="2">Provence-Alpes-Côte d'Azur</region></placeName></affiliation></author><author><name sortKey="Matchett, Elizabeth" sort="Matchett, Elizabeth" uniqKey="Matchett E" first="Elizabeth" last="Matchett">Elizabeth Matchett</name><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>Victorian Infectious Diseases Service, Royal Melbourne Hospital</s1><s2>Melbourne</s2><s3>AUS</s3><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Brown, Graham" sort="Brown, Graham" uniqKey="Brown G" first="Graham" last="Brown">Graham Brown</name><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>Victorian Infectious Diseases Service, Royal Melbourne Hospital</s1><s2>Melbourne</s2><s3>AUS</s3><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Torresi, Joseph" sort="Torresi, Joseph" uniqKey="Torresi J" first="Joseph" last="Torresi">Joseph Torresi</name><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>Victorian Infectious Diseases Service, Royal Melbourne Hospital</s1><s2>Melbourne</s2><s3>AUS</s3><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Vaccine</title><title level="j" type="abbreviated">Vaccine</title><idno type="ISSN">0264-410X</idno><imprint><date when="2007">2007</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Vaccine</title><title level="j" type="abbreviated">Vaccine</title><idno type="ISSN">0264-410X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Rabies</term><term>Rabies virus</term><term>Review</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Virus rage</term><term>Article synthèse</term><term>Rage</term><term>Association genetique</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Rage</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: Increased travel to exotic destinations around the world is escalating the risk of exposure to animal-associated injuries with a risk of acquiring rabies. Methods: We have examined data reported to GeoSentinel Surveillance Network to highlight characteristics of animal-associated injuries in travellers. Results: A total of 320 cases were reported from 1998 to 2005. Travellers were predominantly tourists from developed countries with median travel duration of 23 days. A pre-travel encounter was recorded in 45.0% of the cases. A significantly greater proportion of patients with animal-related injuries were female compared to other travel associated diagnosis (54.7% versus 47.4%) and were most likely patients aged <15 years (6.2% versus 2.6%). The proportionate morbidity for sustaining an animal bite was higher among travellers visiting Southeast Asia (3.9%) and the rest of Asia (2.2%) compared to Australia-New Zealand (1.9%), Africa (1.0%), Latin America (0.8%), North America (0.9%) and Europe (1.2%). Seventy-five percent of cases occurred in countries endemic for rabies. Dogs were involved in 51.3% of cases, monkeys in 21.2%, cats in 8.2%, bats in 0.7% and humans in 0.7%. The higher likelihood for animal-related injuries among female travellers was dependant on the animal species involved, with monkeys accounting for the majority of injuries. In contrast, males were more likely to be injured by dogs. Only 66.1% of all patients reported with animal-related injury received rabies post-exposure prophylaxis. Conclusions: This data shows that animal-associated injuries are not uncommon among returned travellers presenting to GeoSentinel sites. The highest proportion of injuries was recorded in travellers to Asia, mostly in regions, which are endemic for rabies, and this had led to a requirement for PEP.</div></front></TEI><affiliations><list><country><li>Australie</li><li>France</li><li>Israël</li><li>Nouvelle-Zélande</li></country><region><li>Provence-Alpes-Côte d'Azur</li><li>Victoria (État)</li></region><settlement><li>Marseille</li><li>Melbourne</li></settlement></list><tree><country name="France"><region name="Provence-Alpes-Côte d'Azur"><name sortKey="Gautret, Philippe" sort="Gautret, Philippe" uniqKey="Gautret P" first="Philippe" last="Gautret">Philippe Gautret</name></region><name sortKey="Delmont, Jean" sort="Delmont, Jean" uniqKey="Delmont J" first="Jean" last="Delmont">Jean Delmont</name><name sortKey="Delmont, Jean" sort="Delmont, Jean" uniqKey="Delmont J" first="Jean" last="Delmont">Jean Delmont</name><name sortKey="Gazin, Pierre" sort="Gazin, Pierre" uniqKey="Gazin P" first="Pierre" last="Gazin">Pierre Gazin</name><name sortKey="Gazin, Pierre" sort="Gazin, Pierre" uniqKey="Gazin P" first="Pierre" last="Gazin">Pierre Gazin</name><name sortKey="Gazin, Pierre" sort="Gazin, Pierre" uniqKey="Gazin P" first="Pierre" last="Gazin">Pierre Gazin</name><name sortKey="Parola, Philippe" sort="Parola, Philippe" uniqKey="Parola P" first="Philippe" last="Parola">Philippe Parola</name><name sortKey="Parola, Philippe" sort="Parola, Philippe" uniqKey="Parola P" first="Philippe" last="Parola">Philippe Parola</name><name sortKey="Soavi, Marie Jose" sort="Soavi, Marie Jose" uniqKey="Soavi M" first="Marie José" last="Soavi">Marie José Soavi</name><name sortKey="Soula, Georges" sort="Soula, Georges" uniqKey="Soula G" first="Georges" last="Soula">Georges Soula</name></country><country name="Israël"><noRegion><name sortKey="Schwartz, Eli" sort="Schwartz, Eli" uniqKey="Schwartz E" first="Eli" last="Schwartz">Eli Schwartz</name></noRegion></country><country name="Nouvelle-Zélande"><noRegion><name sortKey="Shaw, Marc" sort="Shaw, Marc" uniqKey="Shaw M" first="Marc" last="Shaw">Marc Shaw</name></noRegion></country><country name="Australie"><region name="Victoria (État)"><name sortKey="Matchett, Elizabeth" sort="Matchett, Elizabeth" uniqKey="Matchett E" first="Elizabeth" last="Matchett">Elizabeth Matchett</name></region><name sortKey="Brown, Graham" sort="Brown, Graham" uniqKey="Brown G" first="Graham" last="Brown">Graham Brown</name><name sortKey="Torresi, Joseph" sort="Torresi, Joseph" uniqKey="Torresi J" first="Joseph" last="Torresi">Joseph Torresi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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