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首页> 外文期刊>Archives of disease in childhood >Fever in returned travellers: a prospective review of hospital admissions for a 2(1/2) year period.
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Fever in returned travellers: a prospective review of hospital admissions for a 2(1/2) year period.

机译：回国旅客的发烧：对2（1/2）年期间住院的前瞻性审查。

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AIM: To identify causes of fever, treatable diseases, and the most helpful investigations in febrile children, who had travelled to the tropics or subtropics in the preceding year. METHODS: Prospective observational study of all admissions to children's wards in a district general hospital in Birmingham between January 1997 and July 1999. Children with fever >37.5 degrees C and a history of travel to the tropics or subtropics in the preceding 12 months were included. Data were available on 153/162 children; median age was 5 years (range 0.1-15). A total of 133 (85%) children had visited South Asia; only 18/135 had received malarial prophylaxis. Median time to presentation after travel was four weeks. Children were investigated with full blood count, blood film, and stool culture. Other investigations were performed at the discretion of the admitting paediatrician. RESULTS: Diarrhoeal illness (n = 41) and malaria (n = 22) were the most common diagnoses. A treatable cause for the febrile illness was identified in 70 (46%) children. One or more investigations were positive in 60% of children. Stool culture (17% positive) and blood film (14% positive) were the most helpful investigations. Platelet counts greater than 190 x 10(9)/l had a negative predictive value of 97% for malaria in this population. CONCLUSIONS: Children who present with fever and have travelled to the tropics or subtropics in the preceding year, often have a treatable infection. They should have a full blood count, blood film for malarial parasites, stool culture, blood culture, and chest x ray.
机译：目的：确定发热的原因，可治疗的疾病以及对上一年前往热带或亚热带旅行的高热儿童的最有用的调查。方法：对1997年1月至1999年7月在伯明翰的地区综合医院收治所有儿童病房的前瞻性观察性研究。包括发烧> 37.5摄氏度且在过去的12个月中有热带旅行经历的儿童。有153/162名儿童的数据;中位年龄为5岁（范围为0.1-15）。共有133名儿童（85％）去过南亚;只有18/135接受了疟疾预防。旅行后到演示的中位时间为四个星期。对儿童进行了全血细胞计数，血膜和粪便培养调查。入院儿科医生酌情进行了其他调查。结果：腹泻病（n = 41）和疟疾（n = 22）是最常见的诊断。在70名（46％）儿童中确定了可治疗的高热病病因。一项或多项调查对60％的儿童呈阳性。粪便培养（阳性率17％）和血膜（阳性率14％）是最有用的研究。在该人群中，血小板计数大于190 x 10（9）/ l的疟疾的阴性预测值为97％。结论：出现发烧并在前一年去过热带或亚热带的儿童经常可以治疗。他们应具有全血细胞计数，疟疾寄生虫的血膜，粪便培养，血液培养和胸部X线检查。

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