Clinicoepidemiological characteristics of viral hepatitis in migrants and travellers of the +Redivi network. Issue 29 (May 2019)

• Record Type: Journal Article
• Authors: Aguilera, Paloma; Serrano, María Martínez; Rodriguez, Magdalena García; Menendez, Marta Díaz; Meije, Yolanda; Martínez-Montauti, Joaquim; Sanz, Xavier; Tenza, Isabel Pacheco; Cuello, Inmaculada Gonzalez; López, Belén Martínez; LLenas, Jara; Masiá, Mar; Padilla, Sergio; Romero, Mónica; Wilkman-Jorgensen, Philip; Torrús, Diego; Ramos Rincón, José Manuel; Malmierca, Eduardo; Perez-Ayala, Ana; Herrero, Juan María; Lizasoain, Manuel; Rojo, Pablo; Matarranz, Mariano; Zarco, Carlos; Rodriguez-Guardado, Azucena; Suárez, Jonathan Fernández; Boga Ribeiro, Jose Antonio; Aguirre, Josune Goikoetxea; Zubero Sulibarría, Miren Zuriñe; Ruiz Giardin, José Manuel; Sanmartín López, Juan Victor; Arribas, María Velasco; Muñoz, Eva Calabuig; Ribas, Ana Mena; Vera, María Peñaranda; Molina, Israel; Montalvá, Adrián Sánchez; Salvador, Fernando; Dominguez, Ángel; Norman, Francesca; Treviño-Maruri, Begoña; Delcor, Nuria Serre; Soriano-Arandes, Antonio; Ciruelo, Diana Pou; Bocanegra, Cristina; Henriquez-Camacho, Cesar; Serre, Núria; Norman, Francesca; Sánchez-Montalvá, Adrián; Torrús, Diego; Goikoetxea, Ane Josune; Herrero-Martínez, Juan María; Ruiz-Giardín, José Manuel; Treviño, Begoña; Monge-Maillo, Begoña; Molina, Israel; Rodríguez, Azucena; García, Magdalena; López-Vélez, Rogelio; Pérez-Molina, José A.;
• Is Part Of: Travel medicine and infectious disease. Issue 29(2019)
• Page Start: 51
• Page End: 57
• Publication Date: 2019-05
• Subjects: Viral hepatitis -- Immigrants -- Travellers; Travel -- Health aspects -- Periodicals; Communicable diseases -- Periodicals; Tropical medicine -- Periodicals; 610.5
• DOI: 10.1016/j.tmaid.2019.02.001
• Languages: English
• ISSNs: 1477-8939

Abstract

Abstract: Background: Continuous growth of mobile populations has influenced the global epidemiology of infectious diseases, including chronic and acute viral hepatitis. Method: A prospective observational multicentre study was performed in a Spanish network of imported infections. Viral hepatitis cases from January 2009 to September 2017 were included. Results: Of 14, 546 records, 723 (4.97%) had imported viral hepatitis, including 48 (6.64%) acute cases and 675 (93.36%) chronic cases. Of the 48 acute cases, 31 were travellers and immigrants returning from visiting friends or relatives (VFR), while 19 (61%) were acute Hepatitis A or Hepatitis B. Only 18.2% of VFR immigrants and 35% of travellers received pre-travel advice. Acute hepatitis was more frequent in VFR immigrants (AOR 2.59, CI95% 1.20–5.60) and travellers (AOR 2.83, CI95% 1.46–5.50) than immigrants. Of the 675 Chronic cases, 570 were immigrants, and 439 (77%) had chronic Hepatitis B. Chronic hepatitis was more frequent in immigrants (AOR 20.22, CI95% 11.64–35.13) and VFR immigrants (AOR 11.12, CI95% 6.20–19.94) than travellers. Conclusions: Chronic viral hepatitis was typical of immigrants, acute viral hepatitis was common among travellers, and VFR immigrants had mixed risk. Improving pre-travel consultation and screening of immigrants may contribute to preventing new cases of viral hepatitis and avoiding community transmission.