Characteristics of HIV infected individuals traveling abroad. Results from the plus REDIVI Collaborative Network
Por:
Perez-Molina JA, Martinez-Perez A, Serre N, Trevino B, Ruiz-Giardin JM, Torrus D, Goikoetxea J, Echevarria EM, Malmierca E, Rojo G, Calabuig E, Gutierrez B, Norman F and Lopez-Velez R
Publicada:
1 feb 2016
Categoría:
Microbiology (medical)
Resumen:
Introduction: The improvement in the prognosis of HIV infection, coupled
with the increase in international travel and migration, has led to a
rising number of HIV infected travelers. The objective of this study was
to describe the epidemiological and clinical features of returning
travelers, according to their HIV status.
Methods: An observational prospective study was conducted including
travelers and immigrants who traveled to visit friends and relatives
(VFRs) registered in the +REDIVI collaborative network (January-2009;
October-2014). +REDIVI is a national network that registers information
regarding infections imported by travelers and immigrants at 21
different centers using a standardized protocol.
Results: A total of 3464 travellers were identified: 72 were HIV+ (2.1%)
and 3.392 HIV-(98%). HIV+ vs. HIV travelers were often older (40.5y vs.
34.2y P = .001), VFRs (79.1% vs. 44.4%; P < .001), and consulted less
for pre-travel advice (27% vs. 37%; P = .078). The main destinations for
both groups were sub-Saharan Africa and Latin America. The most frequent
reasons for consultation after travel were fever, request for a health
examination, gastrointestinal complaints, and abnormal laboratory tests
(mainly eosinophilia and anemia), which differed between groups. The
most frequent diagnoses in HIV+ travelers were malaria (38.8%), newly
diagnosed HIV infection (25%), and intestinal parasites (19.4%), while
for HIV-travelers the main diagnoses were "healthy" (17.9%), malaria
(14%), and intestinal parasites (17.3%).
Conclusions: The typical profile of an HIV+ traveler in +REDIVI was that
of a VFR traveler who did not seek pre-travel advice and made high-risk
trips. This may increase the chance of acquiring travel-related
infections which may pose a special risk for HIV-infected travelers. The
post-travel visit was a good opportunity for HIV infection screening.
(C) 2015 Elsevier Espana, S.L.U. and Sociedad Espanola de Enfermedades
Infecciosas y Microbiologia Clinica. All rights reserved.
Filiaciones:
Perez-Molina JA:
Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain
Martinez-Perez A:
Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain
Serre N:
Unitat de Salut Internacional Drassanes, PROSICS, Barcelona, Spain
Trevino B:
Unitat de Salut Internacional Drassanes, PROSICS, Barcelona, Spain
Ruiz-Giardin JM:
Hospital Universitario de Fuenlabrada, Madrid, Spain
Torrus D:
Hospital General Universitario de Alicante, Alicante, Spain
Goikoetxea J:
Hospital Universitario Cruces de Barakaldo, Bilbao, Spain
Echevarria EM:
Hospital Universitario de Guadalajara, Guadalajara, Spain
Malmierca E:
Hospital Universitario Infanta Sofia, San Sebastian de los Reyes, Madrid, Spain
Rojo G:
Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, Spain
Calabuig E:
Hospital Universitario La Fe de Valencia, Valencia, Spain
Gutierrez B:
Hospital Universitario Virgen de la Macarena de Sevilla, Sevilla, Spain
Norman F:
Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain
Lopez-Velez R:
Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain
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