Examinando por Autor "Norman , Francesca"

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Clinicoepidemiological characteristics of viral hepatitis in migrants and travellers of the +Redivi network
(Elsevier, 2019) 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; Lopéz Véléz, Rogelio; Pérez Molina , José A.
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 in- fections. 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 tra- vellers, 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.