14th ICID - Poster Abstracts - International Society for Infectious ...

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When citing these abstracts please use the following reference: Author(s) of abstract. Title of abstract [abstract]. Int J Infect Dis 2010;14S1: Abstract number. Please note that the official publication of the International Journal of Infectious Diseases 2010, Volume 14, Supplement 1 is available electronically on http://www.sciencedirect.com Final Abstract Number: 32.028 Session: Travel Medicine and Travel Health Date: Wednesday, March 10, 2010 Time: 12:30-13:30 Room: Poster & Exhibition Area/Ground Level Type: Poster Presentation Profile of imported malaria in travelers from the north of Portugal A. Silva 1 , A. R. Silva 1 , T. Teixeira 1 , H. Coelho 1 , R. Sarmento e Castro 2 1 Hospital Joaquim Urbano, Porto, Portugal, 2 Porto, Portugal Background: Malaria was irradicated from Portugal since the 50's, but every year, hundreds of Portuguese travelers arriving from Malaria Endemic Countries are diagnosed plasmodium positive. The objective of this study is to investigate the clinical and epidemiological imported malaria between January 2004 and October 2009 in the Travel Medicine Departament of Hospital Joaquim Urbano in Porto - Portugal. Methods: Review of the records and datas of 160 malaria diagnosed positive cases, confirmed by microscopy, in the last 6 years.Variables analyzed: age, gender, country visited, pre-travel consultation, chemoprophylaxis, plasmodium species, reason of travel and symptoms. Results: The average age of the 160 patients was 42,18 years old. From this group 108 patients (67,5%) were male. The main visited countries were Angola with 92 cases (57,5%), followed by Mozambique with 23 (14,4%), São Tomé with 7 (4,8%), and the rest distributed over fifteen other countries.The most common agent of plasmodium identified by laboratorial exam was P.falciparum with 31 cases (19,38%), followed by P.vivax with 26 (16,25%). Although, in 91 cases (56,88%) was not possible to detect the plasmodium species. The malaria chemoprophylaxis was not made by 85 patients (53,12%). Those who did it, 38 (84,44%) took mefloquine. The inpatient ratio was 43 (26,88%) of the 160, with a fatal case (0,63%). Conclusion: The geographic areas of acquisition were the former Portuguese Colonies in Africa, with 78,75 % of imported malaria. The P. falciparum was the most frequent species. Another problem was the diagnosis made by microscopy with lower parasitemia, that did not identify the plasmodium species. By this reason, more sensitive and accurate methods must be used. To reduce risk of imported malaria, all travelers should have a pre-travel counselling, so major investment is advised to be made in this important emerging field of Travel Medicine in Portugal.
When citing these abstracts please use the following reference: Author(s) of abstract. Title of abstract [abstract]. Int J Infect Dis 2010;14S1: Abstract number. Please note that the official publication of the International Journal of Infectious Diseases 2010, Volume 14, Supplement 1 is available electronically on http://www.sciencedirect.com Final Abstract Number: 32.029 Session: Travel Medicine and Travel Health Date: Wednesday, March 10, 2010 Time: 12:30-13:30 Room: Poster & Exhibition Area/Ground Level Type: Poster Presentation Demographics and travel patterns of travelers to Central America, South America and the Caribbean seen in the Boston Area Travel Medicine Network (BATMN) J. B. Trivedi 1 , N. S. Hochberg 2 , W. B. Macleod 3 , M. Pfaff 3 , M. M. Sosa 4 , C. Benoit 5 , L. H. Chen 6 , M. E. Wilson 6 , L. Kogelman 7 , W. W. Ooi 8 , A. W. Karchmer 4 , E. D. Barnett 1 , D. H. Hamer 3 1 Boston Medical Center, Boston, MA, USA, 2 Boston University, Boston, MA, USA, 3 Boston University School of Public Health, Boston, MA, USA, 4 Beth Israel Deaconess Medical Center, Boston, MA, USA, 5 Boston Medical Center , Boston, MA, USA, 6 Mount Auburn Hospital, Cambridge, MA, USA, 7 Tufts Medical Center, Boston, MA, USA, 8 Lahey Clinic, Burlington, MA, USA Background: Travelers to Central America (CAm), South America (SAm) and the Caribbean may face regional travel-related health risks. Our objective is to describe demographics, trip characteristics and differences in pre-travel antimalarial prescriptions for travelers to CAm, SAm and the Caribbean. Methods: Demographics, health, and trip information was collected for travelers seen in the 5 clinics of the Boston Area Travel Medicine Network (BATMN) from March 1, 2008 to September 30, 2009. For analysis, Mexico was included in the CAm category. Results: Of 9203 travelers seen in participating clinics, 2834 (30.8%) planned to visit CAm, SAm and the Caribbean including 1411 (49.8%) to SAm. Travelers to CAm and SAm were predominantly white (>80%) and less often black (2.6%) compared with 58.3% white and 20.8% black travelers to the Caribbean. Most trips (71.6%, 53.8%, and 72.8% for CAm, SAm and the Caribbean respectively) were
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