Risk factors for imported fatal Plasmodium falciparum malaria, France, 1996-2003
Plasmodium falciparum malaria is a serious health hazard for travelers to malaria-endemic areas and is often diagnosed on return to the country of residence. We conducted a retrospective study of imported falciparum malaria among travelers returning to France from malaria-endemic areas from 1996 thr...
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Veröffentlicht in: | Emerging infectious diseases 2007-06, Vol.13 (6), p.883-888 |
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creator | Legros, Fabrice Bouchaud, Olivier Ancelle, Thierry Arnaud, Amandine Cojean, Sandrine Le Bras, Jacques Danis, Martin Fontanet, Arnaud Durand, Rémy |
description | Plasmodium falciparum malaria is a serious health hazard for travelers to malaria-endemic areas and is often diagnosed on return to the country of residence. We conducted a retrospective study of imported falciparum malaria among travelers returning to France from malaria-endemic areas from 1996 through 2003. Epidemiologic, clinical, and parasitologic data were collected by a network of 120 laboratories. Factors associated with fatal malaria were identified by logistic regression analysis. During the study period, 21,888 falciparum malaria cases were reported. There were 96 deaths, for a case-fatality rate of 4.4 per 1,000 cases of falciparum malaria. In multivariate analysis, risk factors independently associated with death from imported malaria were older age, European origin, travel to East Africa, and absence of chemoprophylaxis. Fatal imported malaria remains rare and preventable. Pretravel advice and malaria management should take into account these risk factors, particularly for senior travelers. |
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We conducted a retrospective study of imported falciparum malaria among travelers returning to France from malaria-endemic areas from 1996 through 2003. Epidemiologic, clinical, and parasitologic data were collected by a network of 120 laboratories. Factors associated with fatal malaria were identified by logistic regression analysis. During the study period, 21,888 falciparum malaria cases were reported. There were 96 deaths, for a case-fatality rate of 4.4 per 1,000 cases of falciparum malaria. In multivariate analysis, risk factors independently associated with death from imported malaria were older age, European origin, travel to East Africa, and absence of chemoprophylaxis. Fatal imported malaria remains rare and preventable. Pretravel advice and malaria management should take into account these risk factors, particularly for senior travelers.</description><identifier>ISSN: 1080-6040</identifier><identifier>EISSN: 1080-6059</identifier><identifier>DOI: 10.3201/eid1305.060955</identifier><identifier>PMID: 17553228</identifier><language>eng</language><publisher>United States: U.S. National Center for Infectious Diseases</publisher><subject>Adolescent ; Adult ; Africa - ethnology ; Age Factors ; Aged ; Aged, 80 and over ; Antibiotic Prophylaxis ; Child ; Child, Preschool ; Emigration and Immigration ; Endemic Diseases ; Female ; France - epidemiology ; Humans ; Malaria ; Malaria, Falciparum - mortality ; Male ; Middle Aged ; Mortality ; Odds Ratio ; Plasmodium falciparum ; Retrospective Studies ; Risk Assessment ; Risk factors ; Travel</subject><ispartof>Emerging infectious diseases, 2007-06, Vol.13 (6), p.883-888</ispartof><rights>COPYRIGHT 2007 U.S. National Center for Infectious Diseases</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3458-5722ba7e2f01a4b8f5ce1c3899377f40b616bea81fa78750c53249be67291a33</citedby><cites>FETCH-LOGICAL-c3458-5722ba7e2f01a4b8f5ce1c3899377f40b616bea81fa78750c53249be67291a33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17553228$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Legros, Fabrice</creatorcontrib><creatorcontrib>Bouchaud, Olivier</creatorcontrib><creatorcontrib>Ancelle, Thierry</creatorcontrib><creatorcontrib>Arnaud, Amandine</creatorcontrib><creatorcontrib>Cojean, Sandrine</creatorcontrib><creatorcontrib>Le Bras, Jacques</creatorcontrib><creatorcontrib>Danis, Martin</creatorcontrib><creatorcontrib>Fontanet, Arnaud</creatorcontrib><creatorcontrib>Durand, Rémy</creatorcontrib><creatorcontrib>French National Reference Centers for Imported and Autochthonous Malaria Epidemiology and Chemosensitivity Network</creatorcontrib><creatorcontrib>for the French National Reference Centers for Imported</creatorcontrib><creatorcontrib>Chemosensitivity Working Group</creatorcontrib><title>Risk factors for imported fatal Plasmodium falciparum malaria, France, 1996-2003</title><title>Emerging infectious diseases</title><addtitle>Emerg Infect Dis</addtitle><description>Plasmodium falciparum malaria is a serious health hazard for travelers to malaria-endemic areas and is often diagnosed on return to the country of residence. We conducted a retrospective study of imported falciparum malaria among travelers returning to France from malaria-endemic areas from 1996 through 2003. Epidemiologic, clinical, and parasitologic data were collected by a network of 120 laboratories. Factors associated with fatal malaria were identified by logistic regression analysis. During the study period, 21,888 falciparum malaria cases were reported. There were 96 deaths, for a case-fatality rate of 4.4 per 1,000 cases of falciparum malaria. In multivariate analysis, risk factors independently associated with death from imported malaria were older age, European origin, travel to East Africa, and absence of chemoprophylaxis. Fatal imported malaria remains rare and preventable. Pretravel advice and malaria management should take into account these risk factors, particularly for senior travelers.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Africa - ethnology</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antibiotic Prophylaxis</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Emigration and Immigration</subject><subject>Endemic Diseases</subject><subject>Female</subject><subject>France - epidemiology</subject><subject>Humans</subject><subject>Malaria</subject><subject>Malaria, Falciparum - mortality</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Odds Ratio</subject><subject>Plasmodium falciparum</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Risk factors</subject><subject>Travel</subject><issn>1080-6040</issn><issn>1080-6059</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkkFr3DAQhU1paNK01x6LT4FAvB1JlmUdQ2jaQCAhDb2asTzeqJWtrSRD8--rskvbwELKHGZ4fG8YhlcU7xisBAf2gezABMgVNKClfFEcMWihakDql3_mGg6L1zF-A2DZol8Vh0xJKThvj4rbOxu_lyOa5EMsRx9KO218SDRkMaErbx3GyQ92mbLgjN1gyOOEDoPFs_Iy4GzorGRaNxUHEG-Kg8xFervrx8X95cf7i8_V9c2nq4vz68qIWraVVJz3qIiPwLDu21EaYka0Wgulxhr6hjU9YctGVK2SYPK9te6pUVwzFOK4ONmu3QT_Y6GYuslGQ87hTH6JncofAAD1LMhBcSF4k8FqC67RUWfn0aeAZk0zBXR-ptFm-Zw1ta6VrFnmV3v4XANN1uw1nD4xZCbRz7TGJcbu6svd_7M3X5-yJ_-wD4QuPUTvlmT9HPdebIKPMdDYbYKdMDx2DLrfaep2aeq2acqG97vfLf1Ew198Fx_xC-jLvrE</recordid><startdate>200706</startdate><enddate>200706</enddate><creator>Legros, Fabrice</creator><creator>Bouchaud, Olivier</creator><creator>Ancelle, Thierry</creator><creator>Arnaud, Amandine</creator><creator>Cojean, Sandrine</creator><creator>Le Bras, Jacques</creator><creator>Danis, Martin</creator><creator>Fontanet, Arnaud</creator><creator>Durand, Rémy</creator><general>U.S. National Center for Infectious Diseases</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>M7N</scope><scope>7X8</scope></search><sort><creationdate>200706</creationdate><title>Risk factors for imported fatal Plasmodium falciparum malaria, France, 1996-2003</title><author>Legros, Fabrice ; Bouchaud, Olivier ; Ancelle, Thierry ; Arnaud, Amandine ; Cojean, Sandrine ; Le Bras, Jacques ; Danis, Martin ; Fontanet, Arnaud ; Durand, Rémy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3458-5722ba7e2f01a4b8f5ce1c3899377f40b616bea81fa78750c53249be67291a33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Africa - ethnology</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Antibiotic Prophylaxis</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Emigration and Immigration</topic><topic>Endemic Diseases</topic><topic>Female</topic><topic>France - epidemiology</topic><topic>Humans</topic><topic>Malaria</topic><topic>Malaria, Falciparum - mortality</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Odds Ratio</topic><topic>Plasmodium falciparum</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Risk factors</topic><topic>Travel</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Legros, Fabrice</creatorcontrib><creatorcontrib>Bouchaud, Olivier</creatorcontrib><creatorcontrib>Ancelle, Thierry</creatorcontrib><creatorcontrib>Arnaud, Amandine</creatorcontrib><creatorcontrib>Cojean, Sandrine</creatorcontrib><creatorcontrib>Le Bras, Jacques</creatorcontrib><creatorcontrib>Danis, Martin</creatorcontrib><creatorcontrib>Fontanet, Arnaud</creatorcontrib><creatorcontrib>Durand, Rémy</creatorcontrib><creatorcontrib>French National Reference Centers for Imported and Autochthonous Malaria Epidemiology and Chemosensitivity Network</creatorcontrib><creatorcontrib>for the French National Reference Centers for Imported</creatorcontrib><creatorcontrib>Chemosensitivity Working Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><jtitle>Emerging infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Legros, Fabrice</au><au>Bouchaud, Olivier</au><au>Ancelle, Thierry</au><au>Arnaud, Amandine</au><au>Cojean, Sandrine</au><au>Le Bras, Jacques</au><au>Danis, Martin</au><au>Fontanet, Arnaud</au><au>Durand, Rémy</au><aucorp>French National Reference Centers for Imported and Autochthonous Malaria Epidemiology and Chemosensitivity Network</aucorp><aucorp>for the French National Reference Centers for Imported</aucorp><aucorp>Chemosensitivity Working Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors for imported fatal Plasmodium falciparum malaria, France, 1996-2003</atitle><jtitle>Emerging infectious diseases</jtitle><addtitle>Emerg Infect Dis</addtitle><date>2007-06</date><risdate>2007</risdate><volume>13</volume><issue>6</issue><spage>883</spage><epage>888</epage><pages>883-888</pages><issn>1080-6040</issn><eissn>1080-6059</eissn><abstract>Plasmodium falciparum malaria is a serious health hazard for travelers to malaria-endemic areas and is often diagnosed on return to the country of residence. We conducted a retrospective study of imported falciparum malaria among travelers returning to France from malaria-endemic areas from 1996 through 2003. Epidemiologic, clinical, and parasitologic data were collected by a network of 120 laboratories. Factors associated with fatal malaria were identified by logistic regression analysis. During the study period, 21,888 falciparum malaria cases were reported. There were 96 deaths, for a case-fatality rate of 4.4 per 1,000 cases of falciparum malaria. In multivariate analysis, risk factors independently associated with death from imported malaria were older age, European origin, travel to East Africa, and absence of chemoprophylaxis. Fatal imported malaria remains rare and preventable. Pretravel advice and malaria management should take into account these risk factors, particularly for senior travelers.</abstract><cop>United States</cop><pub>U.S. National Center for Infectious Diseases</pub><pmid>17553228</pmid><doi>10.3201/eid1305.060955</doi><tpages>6</tpages></addata></record> |
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subjects | Adolescent Adult Africa - ethnology Age Factors Aged Aged, 80 and over Antibiotic Prophylaxis Child Child, Preschool Emigration and Immigration Endemic Diseases Female France - epidemiology Humans Malaria Malaria, Falciparum - mortality Male Middle Aged Mortality Odds Ratio Plasmodium falciparum Retrospective Studies Risk Assessment Risk factors Travel |
title | Risk factors for imported fatal Plasmodium falciparum malaria, France, 1996-2003 |
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