Clinicoepidemiological characteristics of viral hepatitis in migrants and travellers of the +Redivi network

Resumen

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.

Descripción

Citación

Cesar Henriquez-Camacho, Núria Serre, Francesca Norman, Adrián Sánchez-Montalvá, Diego Torrús, Ane Josune Goikoetxea, Juan María Herrero-Martínez, José Manuel Ruiz-Giardín, Begoña Treviño, Begoña Monge-Maillo, Israel Molina, Azucena Rodríguez, Magdalena García, Rogelio López-Vélez, José A. Pérez-Molina, Paloma Aguilera, María Martínez Serrano, Magdalena García Rodriguez, Marta Díaz Menendez, Yolanda Meije, Joaquim Martínez-Montauti, Xavier Sanz, Isabel Pacheco Tenza, Inmaculada Gonzalez Cuello, Belén Martínez López, Jara LLenas, Mar Masiá, Sergio Padilla, Mónica Romero, Philip Wilkman-Jorgensen, Diego Torrús, José Manuel Ramos Rincón, Eduardo Malmierca, Ana Perez-Ayala, Juan María Herrero, Manuel Lizasoain, Pablo Rojo, Mariano Matarranz, Carlos Zarco, Azucena Rodriguez-Guardado, Jonathan Fernández Suárez, Jose Antonio Boga Ribeiro, Josune Goikoetxea Aguirre, Miren Zuriñe Zubero Sulibarría, José Manuel Ruiz Giardin, Juan Victor Sanmartín López, María Velasco Arribas, Eva Calabuig Muñoz, Ana Mena Ribas, María Peñaranda Vera, Israel Molina, Adrián Sánchez Montalvá, Fernando Salvador, Ángel Dominguez, Francesca Norman, Begoña Treviño-Maruri, Nuria Serre Delcor, Antonio Soriano-Arandes, Diana Pou Ciruelo, Cristina Bocanegra, Clinicoepidemiological characteristics of viral hepatitis in migrants and travellers of the +Redivi network, Travel Medicine and Infectious Disease, Volume 29, 2019, Pages 51-57, ISSN 1477-8939, https://doi.org/10.1016/j.tmaid.2019.02.001.