Travelers' Diarrhea in Children at Risk An Observational Study From a Spanish Database
Por:
Soriano-Arandes, A, Garcia-Carrasco, E, Serre-Delcor, N, Trevino-Maruri, B, Sulleiro, E, Manuel Ruiz-Giardin, J, Victor Sanmartin, J, Torrus D, Rojo-Marcos, G, Cuadros, J, Martin-Echevarria, E, Lopez-Velez, R, Molina, I and Antonio Perez-Molina, J
Publicada:
1 abr 2016
Resumen:
Background: Gastrointestinal symptoms are a common cause of consultation
about children traveling to or coming from developing countries. The aim
of this study was to identify the risk factors associated with
gastrointestinal syndrome in children who travel.
Methods: A prospective observational analytical and multicenter study
was performed within +Redivi, a Spanish Tropical Medicine network on
imported infections, from January 2009 to December 2013. All
participants aged 16 years and younger were included in the analysis.
Ethical approval was obtained from all the participating centers.
Results: A total of 606 children 16 years of age were registered in the
+Redivi database during the study period. Median age was 8.7 years
(interquartile range, 4.4-12.4 years), 65.8% (399/606) were immigrants,
90% were >2 years old and 54% were male. Median travel duration,
excluding immigrants, was 50 days (interquartile range, 30-150 days).
Children with gastrointestinal symptoms represented 13.5% (82/606) of
total consultations. A significant association was found in bivariate
analysis between gastrointestinal disorder and age <2 years (P < 0.01)
and travel duration (P = 0.046). Immigrants had less gastrointestinal
disorders than tourists (P < 0.05). The most prevalent infection was
protozoan in 23.4% (142/606), and Giardia intestinalis was the most
common pathogen in 10.1% (61/606) of total children. Independent risk
factors for gastrointestinal symptoms were tourist and traveler child
visiting friends and relatives (P = 0.03), travel duration <90 days (P =
0.008) and bacterial cause (P < 0.001).
Conclusions: Traveling children who developed a gastrointestinal
syndrome represented 13.5% of the total pediatric consultations in
+Redivi. Independent risk factors were tourist or traveler visiting
friends and relatives, travel duration <90 days and bacterial infection.
G. intestinalis was the most common infectious agent causing a
gastrointestinal disorder in the traveler children.
Filiaciones:
Soriano-Arandes, A:
Hosp Univ Vall dHebron, PROSICS Barcelona, Barcelona, Spain
Garcia-Carrasco, E:
Hosp Univ Ramon y Cajal, IRYCIS, Madrid, Spain
Serre-Delcor, N:
Hosp Univ Vall dHebron, PROSICS Barcelona, Barcelona, Spain
Trevino-Maruri, B:
Hosp Univ Vall dHebron, PROSICS Barcelona, Barcelona, Spain
Sulleiro, E:
Hosp Univ Vall dHebron, PROSICS Barcelona, Barcelona, Spain
Manuel Ruiz-Giardin, J:
Hosp Fuenlabrada, Madrid, Spain
Victor Sanmartin, J:
Hosp Fuenlabrada, Madrid, Spain
Torrus D:
Hosp Gen Univ Alicante, Alicante, Spain
Rojo-Marcos, G:
Hosp Univ Principe Asturias, Madrid, Spain
Cuadros, J:
Hosp Univ Principe Asturias, Madrid, Spain
Martin-Echevarria, E:
Hosp Univ Guadalajara, Guadalajara, Spain
Lopez-Velez, R:
Hosp Univ Ramon y Cajal, IRYCIS, Madrid, Spain
Molina, I:
Hosp Univ Vall dHebron, PROSICS Barcelona, Barcelona, Spain
Antonio Perez-Molina, J:
Hosp Univ Ramon y Cajal, IRYCIS, Madrid, Spain
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