Background
Methods
Ethics approval
Results
Patients | 6957 |
---|---|
Male | 3556 (51.1%) |
Female | 3398 (48.9%) |
Median age (min;max) | 36 (0-89) |
Inpatient | 769 (11.1) |
Outpatient | 6188 (90%) |
Born in Europe | 5286 (76%) |
Born Outside Europe | 1671 (24%) |
Residence in Europe | 6358 (91.4%) |
Residence Outside Europe | 599 (8.6%) |
Travel reason
| |
Tourism | 3029 (43.5%) |
MVRA | 1569 (22.6) |
VFRs | 831 (11.9%) |
Business | 731 (10.5%) |
Immigration | 655 (9.4%) |
Student | 91 (1.3%) |
Military | 40 (0.6%) |
Medical Tourism | 10 (0.1%) |
Unknown | 1 (0.0%) |
Pre-travel advice
| |
Yes | 3160 (45.4%) |
No | 1554 (22.3%) |
Unknown | 2243 (32.2%) |
Median Duration Sum
(min-max) (days) | 29 (0-14600) |
Median Wait time (min-max) (days) | 16 (0-13625) |
Spectrum of diseases
Total N % | Caribbean | Central America | Europe | Middle East | North Africa | North East Asia | Other | South America | South Central Asia | South East Asia | Sub-Saharan Africa | No single region | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Febrile/Systemic Illness
| 1378 | 23 | 21 | 46 | 16 | 22 | 17 | 9 | 70 | 116 | 160 | 602 | 276 |
20% | 20% | 16% | 14% | 15% | 7% | 22% | 12% | 15% | 17% | 25% | 33% | 13% | |
Acute Diarrhea
| 1205 | 27 | 42 | 67 | 33 | 119 | 15 | 6 | 70 | 263 | 131 | 319 | 113 |
17% | 24% | 32% | 20% | 31% | 36% | 19% | 8% | 15% | 39% | 21% | 18% | 5% | |
Chronic Diarrhea
| 484 | 9 | 14 | 11 | 10 | 53 | 5 | 4 | 41 | 71 | 57 | 85 | 124 |
7% | 8% | 11% | 3% | 9% | 16% | 6% | 6% | 9% | 11% | 9% | 5% | 6% | |
Gastrointestinal Other
| 623 | 8 | 16 | 30 | 12 | 29 | 11 | 6 | 44 | 70 | 44 | 176 | 177 |
9% | 7% | 12% | 9% | 11% | 9% | 14% | 8% | 9% | 10% | 7% | 10% | 8% | |
Dermatologic
| 851 | 35 | 34 | 62 | 14 | 43 | 9 | 27 | 83 | 72 | 140 | 216 | 116 |
12% | 30% | 26% | 18% | 13% | 13% | 12% | 37% | 18% | 11% | 22% | 12% | 5% | |
Respiratory
| 540 | 8 | 6 | 72 | 10 | 15 | 4 | 8 | 18 | 65 | 65 | 119 | 150 |
8% | 7% | 5% | 21% | 9% | 5% | 5% | 11% | 4% | 10% | 10% | 7% | 7% | |
Tissue Parasites
| 237 | 0 | 0 | 5 | 2 | 10 | 0 | 1 | 96 | 2 | 3 | 85 | 33 |
3% | 0% | 0% | 2% | 2% | 3% | 0% | 1% | 20% | 0% | 1% | 5% | 2% | |
GU and STIs
| 200 | 6 | 2 | 16 | 2 | 7 | 1 | 0 | 11 | 17 | 23 | 44 | 71 |
3% | 5% | 2% | 5% | 2% | 2% | 1% | 0% | 2% | 3% | 4% | 2% | 3% | |
Psychologic
| 175 | 2 | 0 | 6 | 3 | 14 | 5 | 0 | 7 | 18 | 5 | 52 | 63 |
3% | 2% | 0% | 2% | 3% | 4% | 6% | 0% | 2% | 3% | 1% | 3% | 3% | |
Injury/
Musculoskeletal
| 144 | 2 | 1 | 16 | 3 | 9 | 9 | 5 | 10 | 13 | 13 | 24 | 39 |
2% | 2% | 1% | 5% | 3% | 3% | 12% | 7% | 2% | 2% | 2% | 1% | 2% | |
Neurologic
| 98 | 1 | 0 | 13 | 3 | 7 | 1 | 3 | 3 | 8 | 8 | 22 | 29 |
1% | 1% | 0% | 4% | 3% | 2% | 1% | 4% | 1% | 1% | 1% | 1% | 1% | |
Death
| 3 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 |
0% | 0% | 0% | 0% | 0% | 0% | 0% | 0% | 0% | 0% | 0% | 0% | 0% | |
Chronic Disease
| 319 | 1 | 1 | 17 | 1 | 4 | 4 | 2 | 61 | 9 | 13 | 107 | 99 |
5% | 1% | 1% | 5% | 1% | 1% | 5% | 3% | 13% | 1% | 2% | 6% | 5% | |
Nonspecific Symptoms
| 283 | 4 | 6 | 8 | 2 | 13 | 3 | 3 | 38 | 14 | 19 | 91 | 82 |
4% | 4% | 5% | 2% | 2% | 4% | 4% | 4% | 8% | 2% | 3% | 5% | 4% | |
Other
| 347 | 6 | 11 | 18 | 6 | 17 | 5 | 7 | 27 | 24 | 42 | 107 | 77 |
5% | 5% | 8% | 5% | 6% | 5% | 6% | 9% | 6% | 4% | 7% | 6% | 4% | |
Healthy
| 1056 | 1 | 3 | 3 | 5 | 5 | 1 | 0 | 8 | 9 | 4 | 36 | 981 |
15% | 1% | 2% | 1% | 5% | 2% | 1% | 0% | 2% | 1% | 1% | 2% | 45% | |
Total
| 6957 | 115 | 133 | 341 | 107 | 330 | 78 | 73 | 470 | 676 | 631 | 1804 | 2199 |
100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
Etiologic diagnosis
Total N % | Caribbean | Central America | Europe | Middle East | North Africa | North East Asia | Other | South America | South Central Asia | South East Asia | Sub-Saharan Africa | No single region | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Acute Diarrhea
| 1205 | 27 | 42 | 67 | 33 | 119 | 15 | 6 | 70 | 263 | 131 | 319 | 113 |
17% | 24% | 32% | 20% | 31% | 36% | 19% | 8% | 15% | 39% | 21% | 18% | 5% | |
Campylobacter
| 87 | 0 | 0 | 4 | 6 | 6 | 2 | 0 | 4 | 25 | 17 | 16 | 7 |
1% | 0% | 0% | 1% | 6% | 2% | 3% | 0% | 1% | 4% | 3% | 1% | 0% | |
Shigella
| 333 | 5 | 8 | 13 | 11 | 27 | 4 | 1 | 12 | 76 | 31 | 108 | 37 |
5% | 4% | 6% | 4% | 10% | 8% | 5% | 1% | 3% | 11% | 5% | 6% | 2% | |
Salmonella NT
| 59 | 1 | 1 | 5 | 1 | 7 | 1 | 0 | 3 | 5 | 7 | 19 | 9 |
1% | 1% | 1% | 2% | 1% | 2% | 1% | 0% | 1% | 1% | 1% | 1% | 0% | |
Giardia
| 193 | 2 | 5 | 7 | 4 | 7 | 0 | 0 | 13 | 74 | 15 | 47 | 19 |
3% | 2% | 4% | 2% | 4% | 2% | 0% | 0% | 3% | 11% | 2% | 3% | 1% | |
Amebas
| 25 | 1 | 1 | 0 | 0 | 1 | 0 | 0 | 2 | 10 | 1 | 7 | 2 |
0% | 1% | 1% | 0% | 0% | 0% | 0% | 0% | 0% | 2% | 0% | 0% | 0% | |
Febrile
| 1378 | 23 | 21 | 46 | 16 | 22 | 17 | 9 | 70 | 116 | 160 | 602 | 276 |
Systemic*
| 20% | 20% | 16% | 14% | 15% | 7% | 22% | 12% | 15% | 17% | 25% | 33% | 13% |
P. falciparum Malaria | 255 | 2 | 0 | 0 | 0 | 2 | 0 | 0 | 1 | 3 | 0 | 241 | 6 |
4% | 2% | 0% | 0% | 0% | 1% | 0% | 0% | 0% | 0% | 0% | 13% | 0% | |
Malaria other | 116 | 0 | 0 | 0 | 0 | 2 | 0 | 3 | 11 | 12 | 1 | 82 | 5 |
2% | 0% | 0% | 0% | 0% | 1% | 0% | 4% | 2% | 2% | 0% | 5% | 0% | |
Dengue | 131 | 6 | 7 | 0 | 0 | 1 | 1 | 0 | 13 | 21 | 60 | 9 | 13 |
2% | 5% | 5% | 0% | 0% | 0% | 1% | 0% | 3% | 3% | 10% | 1% | 1% | |
Chikungunya | 12 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 | 0 | 8 | 0 |
0% | 0% | 0% | 0% | 0% | 0% | 0% | 0% | 0% | 1% | 0% | 0% | 0% | |
Rickettsiosis | 50 | 0 | 0 | 6 | 1 | 0 | 2 | 0 | 1 | 1 | 0 | 36 | 3 |
1% | 0% | 0% | 2% | 1% | 0% | 3% | 0% | 0% | 0% | 0% | 2% | 0% | |
Salmonellosis | 20 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 8 | 2 | 6 | 2 |
0% | 0% | 0% | 0% | 0% | 0% | 0% | 0% | 0% | 1% | 0% | 0% | 0% | |
Dermatologic
| 851 | 35 | 34 | 62 | 14 | 43 | 9 | 27 | 83 | 72 | 140 | 216 | 116 |
12% | 30% | 26% | 18% | 13% | 13% | 12% | 37% | 18% | 11% | 22% | 12% | 5% | |
Rabies PEP | 65 | 0 | 2 | 6 | 4 | 19 | 1 | 2 | 5 | 2 | 17 | 7 | 0 |
1% | 0% | 2% | 2% | 4% | 6% | 1% | 3% | 1% | 0% | 3% | 0% | 0% | |
Arthropods' bite | 177 | 9 | 5 | 24 | 3 | 5 | 2 | 7 | 18 | 14 | 43 | 37 | 10 |
3% | 8% | 4% | 7% | 3% | 2% | 3% | 10% | 4% | 2% | 7% | 2% | 1% | |
Larva migrans | 97 | 3 | 6 | 1 | 0 | 1 | 0 | 2 | 17 | 10 | 24 | 28 | 5 |
1% | 3% | 5% | 0% | 0% | 0% | 0% | 3% | 4% | 2% | 4% | 2% | 0% | |
Bacterial infection | 229 | 14 | 11 | 15 | 5 | 6 | 2 | 9 | 13 | 23 | 33 | 63 | 35 |
3% | 12% | 8% | 4% | 5% | 2% | 3% | 12% | 3% | 3% | 5% | 4% | 2% | |
Leishmaniasis | 15 | 0 | 2 | 1 | 0 | 3 | 0 | 0 | 3 | 1 | 0 | 0 | 5 |
0% | 0% | 2% | 0% | 0% | 1% | 0% | 0% | 1% | 0% | 0% | 0% | 0% | |
Myiasis | 22 | 0 | 3 | 0 | 0 | 0 | 0 | 0 | 6 | 0 | 0 | 12 | 1 |
0% | 0% | 2% | 0% | 0% | 0% | 0% | 0% | 1% | 0% | 0% | 1% | 0% | |
Respiratory
| 540 | 8 | 6 | 72 | 10 | 15 | 4 | 8 | 18 | 65 | 65 | 119 | 150 |
8% | 7% | 5% | 21% | 9% | 5% | 5% | 11% | 4% | 10% | 10% | 7% | 7% | |
STIs
| 42 | 0 | 0 | 4 | 0 | 1 | 0 | 0 | 3 | 1 | 6 | 10 | 17 |
1% | 0% | 0% | 1% | 0% | 0% | 0% | 0% | 1% | 0% | 1% | 1% | 1% | |
Schistosomiasis
| 129 | 0 | 0 | 2 | 1 | 11 | 0 | 0 | 2 | 2 | 2 | 79 | 30 |
2% | 0% | 0% | 1% | 1% | 3% | 0% | 0% | 0% | 0% | 0% | 4% | 1% |