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Infections associated with adventure travel: A systematic review

机译：与冒险旅行相关的感染：系统评价

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Abstract Aim To review infections associated with adventure travel. Methods The PubMed, Embase and Scopus databases were searched combining the words infection with the following keywords: rafting, whitewater, surfing, (surfer* or windsurf*), (caves or caving or spelunking), (triathlon or trekking) or (hiking or adventure race), bicycling, backpacking, (mountain climb* or bouldering), horseback riding, orienteering, trekking, and skiing. Results Adventure travel is becoming much more common among travelers and it is associated with a subset of infectious diseases including: leptospirosis, schistosomiasis, viral hemorrhagic fevers, rickettsial diseases and endemic mycosis. Caving and whitewater rafting places individuals at particular risk of leptospirosis, schistosomiasis and endemic mycosis, while adventure races also place individuals at high risk of a variety of infections including campylobacter, norovirus and leptospirosis. Conclusion Travel practitioners need to be aware of the risks associated with adventure travel and should educate individuals about the risks associated with various activities. Doxycycline prophylaxis should be considered for travelers who are susceptible to leptospirosis due to participation in high-risk sports such as whitewater rafting, caving or adventure races. ]]>
机译：摘要旨在审查与冒险旅行相关的感染。方法搜索PubMed，Embase和Scopus数据库，将单词感染与以下关键词相结合：漂流，白水，冲浪，（冲浪者*或WINDSURF *），（洞穴或洞穴或剥离），（三项全能或徒步旅行）或（徒步旅行或徒步旅行）冒险比赛），骑自行车，背包，（山爬*或抱石），骑马，定向，徒步旅行和滑雪。结果冒险旅行在旅行者之间变得更加普遍，它与传染病的子集相关，包括：钩端螺旋体，血吸虫病，病毒出血性射击，鳞状病疾病和细菌霉菌。洞穴和白水漂流的地方患有钩端螺旋体病的特殊风险，血吸虫病和食子霉菌症，而冒险赛也将个体放置在包括弯曲杆菌，诺罗维病毒和钩端子病的各种感染的高风险。结论旅行从业者需要意识到与冒险旅行相关的风险，并应教育个人关于与各种活动相关的风险。由于参与高风险运动，如白水漂流，冒险或冒险比赛，应考虑易受腹腔镜患者的旅行者的旅行者。 ]]>

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