Eosinophilia prevalence and related factors in travel and immigrants of the network plus REDIVI
Por:
Serre-Delcor N, Treviño B, Monge B, Salvador F, Torrus D, Gutiérrez-Gutiérrez B, López-Vélez R, Soriano-Arandes A, Sulleiro E, Goikoetxea J, Pérez-Molina JA and Grupo de trabajo de +REDIVI
Publicada:
1 dic 2017
Ahead of Print:
28 mar 2016
Categoría:
Microbiology (medical)
Resumen:
The population movements during the last decades have resulted in a
progressively increasing interest in certain infectious diseases.
Eosinophilia is a common finding in immigrants and travellers. One of
the most common causes of eosinophilia is helminth infection, and some
intestinal protozoa.
The aim of this paper is to describe the epidemiological characteristics
of cases with eosinophilia and its association with the presence of
parasites in the REDIVI data network.
This is a multicentre prospective observational study that includes
patients diagnosed with eosinophilia registered in the cooperative
network for the study of infectious diseases in travellers and
immigrants (+REDIVI) from January 2009 to December 2012.
A total of 5,255 episodes were recorded in the network during the study
period, and eosinophilia was observed in 8.1-31.3% of cases (depending
on the immigration group). There were 60.2% men, with a median age of 31
years. There were 72.4% immigrants, and 81.2% were asymptomatic. The
most commonly identified parasites were S. stercoralis (34.4%),
Schistosoma sp. (11.0%), and hookworm (8.6%). The relationship between
eosinophilia and parasite infection was significant for all helminths
(except for cutaneous larva migrans). The symptoms and duration of the
journey did not significantly determine the presence of eosinophilia.
In the case of eosinophilia in a person who has lived in helminth
endemic areas, it is advisable to carry out targeted studies to diagnose
the infection, regardless of immigration type, length of stay, or the
presence of symptoms. (C) 2016 Elsevier Espana, S.L.U. and Sociedad
Espanola de Enfermedades Infecciosas y Microbiologia Clinica. All rights
reserved.
Filiaciones:
Serre-Delcor N:
Unitat de Salut Internacional i Medicina Tropical Vall d'Hebron-Drassanes, PROSICS, Barcelona, España.
Treviño B:
Unitat de Salut Internacional i Medicina Tropical Vall d'Hebron-Drassanes, PROSICS, Barcelona, España
Monge B:
Servicio de Enfermedades Infecciosas, Hospital Ramón y Cajal, Madrid, España
Salvador F:
Servicio de Enfermedades Infecciosas, Hospital Universitario Vall d'Hebron, PROSICS, Barcelona, España
Torrus D:
Hospital General Universitario de Alicante, Alicante, España
Gutiérrez-Gutiérrez B:
Hospital Universitario Virgen de la Macarena, Sevilla, España
López-Vélez R:
Servicio de Enfermedades Infecciosas, Hospital Ramón y Cajal, Madrid, España
Soriano-Arandes A:
Unitat de Salut Internacional i Medicina Tropical Vall d'Hebron-Drassanes, PROSICS, Barcelona, España
Sulleiro E:
Servicio de Enfermedades Infecciosas, Hospital Universitario Vall d'Hebron, PROSICS, Barcelona, España
Goikoetxea J:
Hospital Universitario Cruces, Barakaldo, Bizkaia, España
Pérez-Molina JA:
Servicio de Enfermedades Infecciosas, Hospital Ramón y Cajal, Madrid, España
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