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

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
• 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
• 3 Riordan FAI, Tarlow MJ.. Imported infections in East Birmingham children.  Postgrad Med J. 1998;  74 36-37
• 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
• 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
• 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
• 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
• 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
• 9 The Global Surveillance Network of the ISTM and CDC.  Im Internet: www.geosentinel.org; Stand. 05;  08 2009
• 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
• 11 United Nations World Tourism Organization.  Im Internet: www.world-tourism.org; Stand. 05;  08 2009
• 12 Maloney SA, Weinberg M.. Prevention of infectious diseases among international pediatric travelers: considerations for clinicians.  Semin Pediatr Infect Dis. 2004;  15 137-149
• 13 Gushulak BD, MacPherson DW.. Globalization of infectious diseases: the impact of migration.  Clin Infect Dis. 2004;  38 1742-1748
• 14 Bundesamt für Migration und Flüchtlinge. Ausländerzahlen 2008.  Im Internet: www.bamf.de; Stand. 05;  08 2009
• 15 Statistisches Bundesamt (Destatis). .Bevölkerung nach Migrationsstatus regional – Ergebnisse des Mikrozensus – 2007. Wiesbaden: Statistisches Bundesamt 2009
• 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
• 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
• 18 Statistisches Bundesamt (Destatis). .Statistiken der Kinder– und Jugendhilfe. Adoptionen 2008. Wiesbaden: Statistisches Bundesamt 2009
• 19 Steffen R.. Epidemiology of traveler's diarrhea.  Clin Infect Dis. 2009;  59
• 20 Greenwood Z, Black J, Weld L. et al. . Gastrointestinal infection among international travelers globally.  J Travel Med. 2008;  15
• 21 Mackell S.. Traveler's diarrhea in the pediatric population: etiology and impact.  Clin Infect Dis. 2005;  41
• 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
• 23 Miller LC.. International adoption: infectious diseases issues.  Clin Infect Dis. 2005;  40 286-293
• 24 Askling HH, Rombo L, Andersson Y. et al. . Hepatitis A risk in travelers.  J Travel Med. 2009;  16 233-238
• 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
• 26 Schwarzwald H.. Illnesses among recently immigrated children.  Semin Pediatr Infect Dis. 2005;  16 78-83
• 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
• 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
• 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
• 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
• 31 Robert Koch–Institut. . Zur Situation bei wichtigen Infektionskrankheiten in Deutschland: Reiseassoziierte Infektionskrankheiten 2007.  Epid Bull. 2008;  38 323-330
• 32 Harms–Zwingenberger G, Bienzle U.. Nach Deutschland importierte Leishmaniosen.  Dtsch Arztebl. 2007;  104
• 33 Schwartz E.. Dengue Fever. In: Schwartz E, ed. Tropical Diseases in Travelers. 1st ed. Oxford: Wiley–Blackwell 2009: 53-64
• 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
• 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
• 36 Schwartz E.. Typhoid and Paratyphoid Fever. In: Schwartz E, ed. Tropical Diseases in Travelers. 1st ed. Oxford: Wiley–Blackwell 2009: 144-153
• 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
• 38 Centers for Disease Control and Prevention (CDC). . Update: measles––United States, January–July 2008.  MMWR. 2008;  57 893-896
• 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
• 40 Peiris JSM, Yuen KY, Osterhaus ADME, Stohr K.. The severe acute respiratory syndrome.  N Engl J Med. 2003;  349 2431-2441
• 41 Swine–origin influenza (H1N1) virus infections in a school – New York City, April 2009.  MMWR. 2009;  58 470-472
• 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
• 43 Jung P, Banks RH.. Tuberculosis risk in US Peace Corps Volunteers, 1996 to 2005.  J Travel Med. 2008;  15 87-94
• 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
• 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

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