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DOI: 10.1055/s-0044-101002
Schistosomiasis bei Flüchtlingen und Migranten
Schistosomiasis in refugees and migrantsPublication History
Publication Date:
19 February 2018 (online)
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Zusammenfassung
Bilharziose / Schistosomiasis ist eine bei Flüchtlingen (insbesondere aus Afrika) häufig auftretende, meist asymptomatische Infektionskrankheit mit möglicherweise schwerwiegenden Komplikationen. Ein serologisches Screening bei allen Menschen aus Endemieregionen und ein Versuch des Einachweises in Stuhl oder Urin bei positiver Screeningserologie sollte durchgeführt werden. Eine positive Serologie rechtfertigt auch bei negativem direkten Parasitennachweis eine einmalige probatorische Therapie [1].
Abstract
Schistosomiasis is a frequently occurring infectious disease in refugees and migrants (especially from Africa). Severe complications can occur, if left untreated. Serologic screening in all patients from endemic areas and – if positive – the attempt to isolate eggs from stool or urine should be performed. A positive serology should lead to treatment initiation [1].
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Literatur
- 1 Deutsche Gesellschaft für Tropenmedizin und Internationale Gesundheit. S1-Leitlinie Diagnostik und Therapie der Schistosomiasis (Bilharziose). Im Internet. www.awmf.org/leitlinien/detail/ll/042-005.html
- 2 World Health Organization. Global Health Observatory (GHO) data Malaria. Im Internet. www.who.int/gho/malaria/en/
- 3 Hürlimann E, Schur N, Boutsika K. et al. Toward an open-access global database for mapping, control, and surveillance of neglected tropical diseases. PLoS Negl Trop Dis 2011; 5: e1404
- 4 Lopes AA, Bandeira AP, Flores PC. et al. Pulmonary hypertension in Latin America: pulmonary vascular disease: the global perspective. Chest 2010; 137 (Suppl. 06) Suppl 78S-84S
- 5 Wichmann D, Poppert S, Von Thien H. et al. Prospective European-wide multicentre study on a blood based real-time PCR for the diagnosis of acute schistosomiasis. BMC Infect Dis 2013; 13: 55
- 6 Beltrame A, Buonfrate D, Gobbi F. et al. The hidden epidemic of schistosomiasis in recent African immigrants and asylum seekers to Italy. Eur J Epidemiol 2017; 32: 733-735
- 7 Chernet A, Neumayr A, Hatz C. et al. Spectrum of infectious diseases among newly arrived Eritrean refugees in Switzerland: a cross-sectional study. Int J Public Health. 2017. Sep 19 [Epub ahead of print]
- 8 Martelli G, Di Girolamo C, Zammarchi L. et al. Seroprevalence of five neglected parasitic diseases among immigrants accessing five infectious and tropical diseases units in Italy: a cross-sectional study. Clin Microbiol Infect 2017; 23: 335 e1-335.e5
- 9 Serre Delcor N, Maruri BT, Arandes AS. et al. Infectious Diseases in Sub-Saharan Immigrants to Spain. Am J Trop Med Hyg 2016; 94: 750-756
- 10 Monpierre O, Baudino P, Rio-René P. et al. [Global health of unaccompanied refugee minors in Gironde (France) between 2011 and 2013]. Bull Soc Pathol Exot 2016; 109: 99-106
- 11 Cobo F, Salas-Coronas J, Cabezas-Fernández MT. et al. Infectious Diseases in Immigrant Population Related to the Time of Residence in Spain. J Immigr Minor Health 2016; 18: 8-15
- 12 Chernet A, Utzinger J, Sydow V. et al. Prevalence rates of six selected infectious diseases among African migrants and refugees: a systematic review and meta-analysis. Eur J Clin Microbiol Infect Dis. 2017. Oct 28 [Epub ahead of print]
- 13 Bundesamt für Migration und Flüchtlinge. Asylzahlen. Im Internet. www.bamf.de/DE/Infothek/Statistiken/Asylzahlen/asylzahlen-node.html;jsession
- 14 Stanford University. A Century of Schistosomiasis Control. Im Internet. http://schisto.stanford.edu
- 15 Centers for Disease Control and Prevention. Presumptive Treatment and Screening for Strongyloidiasis, Schistosomiasis and Infections Caused by Soil-Transmitted Helminths for Refugees. Im Internet. www.cdc.gov/immigrantrefugeehealth/guidelines/domestic/intestinal-parasites-domestic.html
- 16 Australasian Society for Infectious Diseases and Refugee Health Network of Australia. Recommendations for comprehensive post-arrival health assessment for people from refugee-like backgrounds. Im Internet. www.asid.net.au/documents/item/1225
- 17 Robert Koch-Institut. Vorscreening und Erstaufnahmeuntersuchung für Asylsuchende. Im Internet. www.rki.de/DE/Content/Gesundheitsmonitoring/Gesundheitsberichterstattung/GesundAZ/Content/A/Asylsuchende/Inhalt/Erstaufnahmeuntersuchung.pdf