دورية أكاديمية
Infections diagnosed in children and young people screened for malaria in UK emergency departments: a retrospective multi-centre study.
| العنوان: | Infections diagnosed in children and young people screened for malaria in UK emergency departments: a retrospective multi-centre study. |
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| المؤلفون: | Bird C; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.; Infection, Respiratory and Acute Care, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, UK., Hayward GN; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK., Turner PJ; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK., Wasala D; Emergency Department, Bristol Royal Hospital for Children, UK., Merrick V; Emergency Department, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK., Lyttle MD; Emergency Department, Bristol Royal Hospital for Children, UK.; Research in Emergency Care Avon Collaborative Hub (REACH), University of the West of England, Bristol, UK., Mullen N; Emergency Department, South Tyneside and Sunderland NHS Foundation Trust, UK., Fanshawe TR; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK. |
| مؤلفون مشاركون: | for Paediatric Emergency Research in the UK and Ireland (PERUKI) |
| المصدر: | Paediatrics and international child health [Paediatr Int Child Health] 2024 May; Vol. 44 (1), pp. 1-7. Date of Electronic Publication: 2024 Jan 11. |
| نوع المنشور: | Observational Study; Multicenter Study; Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Taylor & Francis Country of Publication: England NLM ID: 101582666 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2046-9055 (Electronic) Linking ISSN: 20469047 NLM ISO Abbreviation: Paediatr Int Child Health Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2016- : Abingdon : Taylor & Francis Original Publication: London : Maney Publishing, 2012- |
| مواضيع طبية MeSH: | Communicable Diseases, Imported*/diagnosis , Communicable Diseases, Imported*/epidemiology , Malaria*/diagnosis , Malaria*/epidemiology, Child ; Humans ; Adolescent ; Retrospective Studies ; Fever ; Emergency Service, Hospital ; United Kingdom/epidemiology |
| مستخلص: | Background: Data on imported infections in children and young people (CYP) are sparse. Aims: To describe imported infections in CYP arriving from malaria-endemic areas and presenting to UK emergency departments (ED) who were screened for malaria. Methods: This is a retrospective, multi-centre, observational study nested in a diagnostic accuracy study for malaria rapid diagnostic tests. Any CYP < 16 years presenting to a participating ED with a history of fever and travel to a malaria-endemic area between 1 January 2016 and 31 December 2017 and who had a malaria screen as a part of standard care were included. Geographical risk was calculated for the most common tropical infections. Results: Of the 1414 CYP screened for malaria, 44.0% ( n = 622) arrived from South Asia and 33.3% ( n = 471) from sub-Saharan Africa. Half (50.0%) had infections common in both tropical and non-tropical settings such as viral upper respiratory tract infection (URTI); 21.0% of infections were coded as tropical if gastro-enteritis is included, with a total of 4.2% (60) cases of malaria. CYP diagnosed with malaria were 7.44 times more likely to have arrived from sub-Saharan Africa than from South Asia (OR 7.44, 3.78-16.41). Conclusion: A fifth of CYP presenting to participating UK EDs with fever and a history of travel to a malaria-endemic area and who were screened for malaria had a tropical infection if diarrhoea is included. A third of CYP had no diagnosis. CYP arriving from sub-Saharan Africa had the greatest risk of malaria. Abbreviations: CYP: children and young people; ED: emergency department; PERUKI: Paediatric Emergency Research in the UK and Ireland; RDT: rapid diagnostic test; VFR: visiting friends and relatives. |
| فهرسة مساهمة: | Keywords: Children; emergency medicine; imported infection; malaria; tropical medicine |
| تواريخ الأحداث: | Date Created: 20240112 Date Completed: 20240412 Latest Revision: 20240529 |
| رمز التحديث: | 20240530 |
| DOI: | 10.1080/20469047.2023.2299576 |
| PMID: | 38212934 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 2046-9055 |
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| DOI: | 10.1080/20469047.2023.2299576 |