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Fever in returned travellers presenting in the United Kingdom: Recommendations for investigation and initial management

Johnston, V., Stockley, J. M., Dockrell, D., Warrell, D., Bailey, R., Pasvol, G., Klein, J., Ustianowski, A., Jones, M., Beeching, Nicholas, Brown, M., Chapman, A. L. N., Sanderson, F., Whitty, C. J. M. and British Infection Soc; Hosp Tropical, Dis (2009) 'Fever in returned travellers presenting in the United Kingdom: Recommendations for investigation and initial management'. Journal of Infection, Vol 59, Issue 1, pp. 1-18.

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Abstract

International travel is increasing. Most physicians and general practitioners will encounter returned travellers with fever and the majority of travel-related infection is associated with travel to the tropics. In those returning from the tropics malaria must always be excluded, and HIV considered, from all settings. Common causes of non-malarial fever include from Africa rickettsial, diseases, amoebic liver abscess and Katayama syndrome; from South and South East Asia, enteric fever and arboviral infection; from the Middle East, brucellosis and from the Horn of Africa visceral leishmaniasis. Other rare but important diseases from particular geographical areas include leptospirosis, trypanosomiasis and viral haemorrhagic fever. North and South America, Europe and Australia also have infections which are geographically concentrated. Empirical treatment may have to be started based on epidemiological probability of infection whilst waiting for results to return. The evidence base for much of the management of tropical infections is limited. These recommendations provide a pragmatic approach to the initial diagnosis and management of fever in returned travellers, based on evidence where it is available and on consensus of expert opinion where it is not. With early diagnosis and treatment the majority of patients with a potentially fatal infection related to travel will make a rapid and full recovery. (c) 2009 The British Infection Society. Published by Elsevier Ltd. All rights reserved.

Item Type: Article
Additional Information: Johnston, Victoria Stockley, Jane M. Dockrell, David Warrell, David Bailey, Robin Pasvol, Geoffrey Klein, John Ustianowski, Andrew Jones, Michael Beeching, Nicholas J. Brown, Michael Chapman, Ann L. N. Sanderson, Frances Whitty, Christopher J. M.
Uncontrolled Keywords: Travel Traveller Fever/diagnosis *etiology Tropical Medicine Morbidity Developing Countries Guidelines
Subjects: WC Communicable Diseases > Tropical and Parasitic Diseases > WC 755.1 General coverage
WA Public Health > WA 20.5 Research (General)
WC Communicable Diseases > Tropical and Parasitic Diseases > WC 680 Tropical diseases (General)
WC Communicable Diseases > Tropical and Parasitic Diseases > WC 755 Epidemiology
WC Communicable Diseases > Tropical and Parasitic Diseases > WC 705 Trypanosomiasis
WC Communicable Diseases > Tropical and Parasitic Diseases > WC 750 Malaria
WC Communicable Diseases > Infection. Bacterial Infections > Other Bacterial Infections. Zoonotic Bacterial Infections > WC 310 Brucellosis
WC Communicable Diseases > Tropical and Parasitic Diseases > WC 715 Visceral leishmaniasis
WC Communicable Diseases > Infection. Bacterial Infections > Other Bacterial Infections. Zoonotic Bacterial Infections > WC 420 Leptospirosis. Weil disease
WB Practice of Medicine > Medical Climatology > WB 710 Diseases of geographic areas
WA Public Health > Preventive Medicine > WA 110 Prevention and control of communicable diseases. Transmission of infectious diseases
WC Communicable Diseases > Tropical and Parasitic Diseases > WC 765 Prevention and control
QX Parasitology > Insects. Other Parasites > QX 510 Mosquitoes
WC Communicable Diseases > Tropical and Parasitic Diseases > WC 695 Parasitic diseases (General)
WA Public Health > WA 105 Epidemiology
Faculty: Department: Groups (2002 - 2012) > Clinical Group
Digital Object Identifer (DOI): https://doi.org/10.1016/j.jinf.2009.05.005
Depositing User: Users 43 not found.
Date Deposited: 01 Jun 2010 12:38
Last Modified: 06 Feb 2018 12:59
URI: http://archive.lstmed.ac.uk/id/eprint/292

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