Download PDF
Flugmedizin · Tropenmedizin · Reisemedizin - FTR 2009; 16(4): 167-170
DOI: 10.1055/s-0029-1244982
Reisemedizin

© Georg Thieme Verlag Stuttgart · New York

Epidemiologie importierter Erkrankungen bei Kindern – Durchfall, Dermatose, Fieber– und Atemwegserkrankungen

Epidemiology of imported diseases in children – Diarrhea, dermatologic syndromes, systemic febrile illnesses, and respiratory disordersStefan Hagmann1
  • 1Department of Pediatrics, Albert Einstein College of Medicine (Chairman: Prof. Dr. Philip O. Ozuah) Division of Pediatric Infectious Diseases, Bronx–Lebanon Hospital Center, New York (Chairman: Dr. Ram Kairam)
Further Information

Publication History

Publication Date:
18 December 2009 (online)

Also available at
    Permissions and Reprints

Die steigende Reiseaktiviät im Kindesalter und die zunehmende internationale Migration machen das Wissen um importierte Erkrankungen bei Kindern bedeutsam. Die meisten erkrankten Kinder leiden nach ihrer Rückkehr an Durchfall, einer Dermatose, einer systemischen Fiebererkrankung oder einer Atemwegserkrankung. Das Spektrum der importierten Erkrankungen wird sowohl von der geografischen Region des Auslandaufenthalts als auch vom Zweck der internationalen Reise bestimmt.

Rising international travel activity in children and increasing international migration renders the knowledge about imported pediatric morbidity important. Diarrhea, dermatologic syndromes, systemic febrile illnesses, and respiratory disorders account for the majority of diagnoses reported in ill children after return from international travel. The spectrum of imported diseases varies by region of exposure and purpose of travel.

Key words

child - travel - morbidity - epidemiology - imported diseases

Literatur

  • 1 Newman–Klee C, D'Acremont V, Newman CJ, Gehri M, Genton B.. Incidence and types of illness when traveling to the tropics: a prospective controlled study of children and their parents.  Am J Trop Med Hyg. 2007;  77 764-769
    Google Scholar
  • 2 Cossar JH, Reid D, Fallon RJ. et al. . A cumulative review of studies on travellers, their experience of illness and the implications of these findings.  J Infect. 1990;  21 27-42
    CrossrefGoogle Scholar
  • 3 Riordan FAI, Tarlow MJ.. Imported infections in East Birmingham children.  Postgrad Med J. 1998;  74 36-37
    CrossrefGoogle Scholar
  • 4 Klein Jl, Milman GC.. Prospective, hospital based study of fever in children in the United Kingdom who recently spent time in the tropics.  BMJ. 1998;  316 1425-1426
    Google Scholar
  • 5 West NS, Riordan FAI.. Fever in returned travelers: a propective review of hospital admisions or a 2 S year period.  Arch Dis Child. 2003;  88 432-434
    CrossrefGoogle Scholar
  • 6 Pitzinger B, Steffen R, Tschopp A.. Incidence and clinical features of traveler's diarrhea in infants and children.  Pediatr Infect Dis J. 1991;  10 719-723
    Google Scholar
  • 7 Ladhani S, Aibara RJ, Riordan FAI, Shingadia D.. Imported malaria in children: a review of clinical studies.  Lancet Infect Dis. 2007;  7 349-357
    CrossrefGoogle Scholar
  • 8 Leder K, Wilson ME, Freedman DO, Torresi J.. A comparative analysis of methodological approaches used for estimating risk in travel medicine.  J Travel Med. 2008;  15 263-272
    CrossrefGoogle Scholar
  • 9 The Global Surveillance Network of the ISTM and CDC.  Im Internet: www.geosentinel.org; Stand. 05;  08 2009
    Google Scholar
  • 10 Freedman DO, Weld L, Kozarsky P. et al. . Spectrum of disease and relation to place of exposure among ill returned travelers.  N Engl J Med. 2006;  354 119-130
    CrossrefPubMedGoogle Scholar
  • 11 United Nations World Tourism Organization.  Im Internet: www.world-tourism.org; Stand. 05;  08 2009
    Google Scholar
  • 12 Maloney SA, Weinberg M.. Prevention of infectious diseases among international pediatric travelers: considerations for clinicians.  Semin Pediatr Infect Dis. 2004;  15 137-149
    Google Scholar
  • 13 Gushulak BD, MacPherson DW.. Globalization of infectious diseases: the impact of migration.  Clin Infect Dis. 2004;  38 1742-1748
    CrossrefGoogle Scholar
  • 14 Bundesamt für Migration und Flüchtlinge. Ausländerzahlen 2008.  Im Internet: www.bamf.de; Stand. 05;  08 2009
    Google Scholar
  • 15 Statistisches Bundesamt (Destatis). .Bevölkerung nach Migrationsstatus regional – Ergebnisse des Mikrozensus – 2007. Wiesbaden: Statistisches Bundesamt 2009
    Google Scholar
  • 16 Leder K, Tong S, Weld L. et al. . Illness in travelers visiting friends and relatives: a review of the Geosentinel surveillance network.  Clin Infect Dis. 2006;  43 1185-1193
    CrossrefGoogle Scholar
  • 17 Bundesamt für Migration und Flüchtlinge. Migrationsbericht 2007 des Bundesamtes für Migration und Flüchtlinge im Auftrag der Bundesregierung.  Im Internet: www.bmi.bund.de; Stand. 05;  08 2009
    Google Scholar
  • 18 Statistisches Bundesamt (Destatis). .Statistiken der Kinder– und Jugendhilfe. Adoptionen 2008. Wiesbaden: Statistisches Bundesamt 2009
    Google Scholar
  • 19 Steffen R.. Epidemiology of traveler's diarrhea.  Clin Infect Dis. 2009;  59
    Google Scholar
  • 20 Greenwood Z, Black J, Weld L. et al. . Gastrointestinal infection among international travelers globally.  J Travel Med. 2008;  15
    Google Scholar
  • 21 Mackell S.. Traveler's diarrhea in the pediatric population: etiology and impact.  Clin Infect Dis. 2005;  41
    Google Scholar
  • 22 Swaminathan A, Torresi J, Schlagenhauf P. et al. . A global study of pathogens and host risk factors associated with infectious gastrointestinal disease in returned travelers.  J Infect. 2009;  59 19-27
    CrossrefGoogle Scholar
  • 23 Miller LC.. International adoption: infectious diseases issues.  Clin Infect Dis. 2005;  40 286-293
    CrossrefGoogle Scholar
  • 24 Askling HH, Rombo L, Andersson Y. et al. . Hepatitis A risk in travelers.  J Travel Med. 2009;  16 233-238
    CrossrefGoogle Scholar
  • 25 Faber MS, Stark K, Behnke SC. et al. . Epidemiology of Hepatitis A Virus Infections, Germany, 2007–2008.  Emerg Infect Dis. 2009;  15 1760-1768
    CrossrefGoogle Scholar
  • 26 Schwarzwald H.. Illnesses among recently immigrated children.  Semin Pediatr Infect Dis. 2005;  16 78-83
    Google Scholar
  • 27 Porsch–Ozcürümez M, Doppl W, Hardt PD. et al. . Impact of migration on Helicobacter pylori seroprevalence in the offspring of Turkish immigrants.  Turk J Pediatr. 2003;  45 203-208
    Google Scholar
  • 28 Gautret P, Schwartz E, Shaw M. et al. . Animal–associated injuries and related diseases among returned travellers: a review of the GeoSentinel Surveillance Network.  Vaccine. 2007;  25 2656-2663
    CrossrefGoogle Scholar
  • 29 Lederman ER, Weld L, Elyazar IRF. et al. . Dermatologic conditions of the ill returned traveler: an analysis from the GeoSentinel Surveillance Network.  Int J Infect Dis. 2008;  12 593-602
    CrossrefGoogle Scholar
  • 30 Caumes E, Carriere J, Guermonprez G. et al. . Dermatoses associated with travel to tropical countries: a prospective study of the diagnosis and management of 269 patients presenting to a tropical disease unit.  Clin Infect Dis. 1995;  20 542-548
    Google Scholar
  • 31 Robert Koch–Institut. . Zur Situation bei wichtigen Infektionskrankheiten in Deutschland: Reiseassoziierte Infektionskrankheiten 2007.  Epid Bull. 2008;  38 323-330
    Google Scholar
  • 32 Harms–Zwingenberger G, Bienzle U.. Nach Deutschland importierte Leishmaniosen.  Dtsch Arztebl. 2007;  104
    Google Scholar
  • 33 Schwartz E.. Dengue Fever. In: Schwartz E, ed. Tropical Diseases in Travelers. 1st ed. Oxford: Wiley–Blackwell 2009: 53-64
    Google Scholar
  • 34 Misra S, Diaz PS, Rowley AH.. Characteristics of typhoid fever in children and adolescents in a major metropolitan area in the United States.  Clin Infect Dis. 1997;  24 998-1000
    Google Scholar
  • 35 Steinberg EB, Bishop R, Haber P. et al. . Typhoid fever in travelers: who should be targeted for prevention?.  Clin Infect Dis. 2004;  39 186-191
    CrossrefGoogle Scholar
  • 36 Schwartz E.. Typhoid and Paratyphoid Fever. In: Schwartz E, ed. Tropical Diseases in Travelers. 1st ed. Oxford: Wiley–Blackwell 2009: 144-153
    Google Scholar
  • 37 Groth C, Bottiger B, Plesner A. et al. .Nosocomial measles cluster in Denmark following an imported case, December 2008–January 2009. Euro Surveill 2009: 14
    Google Scholar
  • 38 Centers for Disease Control and Prevention (CDC). . Update: measles––United States, January–July 2008.  MMWR. 2008;  57 893-896
    Google Scholar
  • 39 Leder K, Sundararajan V, Weld L. et al. . Respiratory tract infections in travelers: A review of the GeoSentinel Surveillance Network.  Clin Infect Dis. 2003;  36 399-406
    CrossrefGoogle Scholar
  • 40 Peiris JSM, Yuen KY, Osterhaus ADME, Stohr K.. The severe acute respiratory syndrome.  N Engl J Med. 2003;  349 2431-2441
    CrossrefGoogle Scholar
  • 41 Swine–origin influenza (H1N1) virus infections in a school – New York City, April 2009.  MMWR. 2009;  58 470-472
    Google Scholar
  • 42 Chen LH, Wilson ME.. The role of the traveler in emerging infections and magnitude of travel.  Med Clin North Am. 2008;  92 1409-1432
    CrossrefGoogle Scholar
  • 43 Jung P, Banks RH.. Tuberculosis risk in US Peace Corps Volunteers, 1996 to 2005.  J Travel Med. 2008;  15 87-94
    CrossrefGoogle Scholar
  • 44 Cobelens FG, van Deutekom H, Draayer–Jansen IW. et al. . Risk of infection with Mycobacterium tuberculosis in travellers to areas of high tuberculosis endemicity.  Lancet. 2000;  356 461-465
    CrossrefGoogle Scholar
  • 45 Robert Koch–Institut. . Bericht zur Epidemiologie der Tuberkulose in Deutschland für 2007 (16.03.2009).  Im Internet: www.rki.de; Stand. 05;  11 2009
    Google Scholar

Korrespondenz

Dr. Stefan Hagmann

Department of Pediatrics, Albert–Einstein College of Medicine Division of Pediatric Infectious Diseases, Bronx–Lebanon Hospital Center,

1650 Selwyn Ave.

Bronx, New York, USA

Email: shagmann@bronxleb.org