Management of infections in critically ill returning travellers in the intensive care unit-I : considerations on infection control and transmission of resistance
Leblebicioglu, Hakan (Department of Infectious Diseases and Clinical Microbiology, Ondokuz Mayis University Medical School)
Rodriguez-Morales, Alfonso J. (Public Health and Infection Research Group, Faculty of Health Sciences, Universidad Tecnológica de Pereira, Pereira)
Rossolini, Gian Maria (Careggi University Hospital (Florència, Itàlia))
López-Vélez, Rogelio (Hospital Universitario Ramón y Cajal (Madrid))
Zahar, Jean-Ralph (Infection Control Unit, Université d'Angers, Centre Hospitalier Universitaire d'Angers)
Rello, Jordi (Hospital Universitari Vall d'Hebron)
Universitat Autònoma de Barcelona

Data:	2016
Resum:	Depending on their destinations and activities, international travellers are at a significant risk of contracting both communicable and non-communicable diseases. On return to their home countries, such travellers may require intensive care. The emergence of severe acute respiratory syndrome coronavirus (SARS-CoV) and Middle East respiratory syndrome coronavirus (MERS-CoV), and more recently Ebola haemorrhagic fever, has highlighted the risks. Other well-known communicable pathogens such as methicillin-resistant Staphylococcus aureus and carbapenemase-producing Enterobacteriaceae have been described previously. However, malaria remains by far the most important cause of death. The issues related to imported antibiotic resistance and protection from highly contagious diseases are reviewed here. Surveillance strategies based on epidemiological data (country visited, duration of travel, and time elapsed since return) and clinical syndromes, together with systematic search policies, are usually mandatory to limit the risk of an outbreak. Single-bed hospital rooms and isolation according to symptoms should be the rule while awaiting laboratory test results. Because person-to-person contact is the main route of transmission, healthcare workers should implement specific prevention strategies.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Resistance ; Infection control ; Traveller ; ICU ; Migrant
Publicat a:	International journal of infectious diseases, Vol. 48 (april 2016) , p. 113-117, ISSN 1878-3511

DOI: 10.1016/j.ijid.2016.04.019
PMID: 27134158

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