Evidence map›Paper›PMID 30202952›Full record

ArticleJournal of travel medicine2018

Illness among US resident student travellers after return to the USA: a GeoSentinel analysis, 2007-17.

Kristina M Angelo, N Jean Haulman, Anne C Terry, Daniel T Leung, Lin H Chen, Elizabeth D Barnett, Stefan H F Hagmann, Noreen A Hynes, Bradley A Connor, Susan Anderson and 4 more

Abstract read
In one paragraph

Article in Journal of travel medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. 3Journal of preventive medicine and hygiene · 2022
    Article
  10. What Is the Impact of Lockdowns on Dengue?Current infectious disease reports · 2021
    Review
  11. Article
  12. GeoSentinel: past, present and future†.Journal of travel medicine · 2020
    Review
  13. Article
  14. Review
  15. Yellow Fever in Travelers.Current infectious disease reports · 2019
    Review
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Kristina M AngeloDivision of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, GA, USA.
N Jean HaulmanHall Health Center, University of Washington, Seattle, WA, USA.
Anne C TerryHall Health Center, University of Washington, Seattle, WA, USA.
Daniel T LeungDivision of Infectious Diseases, University of Utah School of Medicine, Salt Lake City, UT, USA.
Lin H ChenDivision of Infectious Diseases, Mt. Auburn Hospital, Cambridge, MA, USA.
Elizabeth D BarnettDepartment of Pediatrics, Section of Infectious Diseases, Boston Medical Center, Boston, MA, USA.
Stefan H F HagmannDivision of Pediatric Infectious Disease, Steven and Alexandra Cohen Children's Medical Center of New York, New Hyde Park, NY, USA.
Noreen A HynesDivision of Infectious Diseases, Johns Hopkins University, Baltimore, MD, USA.
Bradley A ConnorNew York Center for Travel and Tropical Medicine, New York, NY, USA.
Susan AndersonDepartment of Medicine/Infectious Diseases, Stanford University, Palo Alto, CA, USA.
Anne McCarthyDepartment of Medicine, University of Ottawa, Ottawa, Canada.
Marc ShawJames Cook University, Queensland, Australia.
Perry J J Van GenderenInstitute for Tropical Diseases, Harbour Hospital, Rotterdam, The Netherlands.
Davidson H HamerDepartment of Global Health, Boston University School of Public Health, Boston, MA, USA.

Funding

Intramural CDC HHS CC999999NCEZID CDC HHS U50 CK000189
6 · The paper itself

Abstract

Background: The number of US students studying abroad more than tripled during the past 20 years. As study abroad programmes' destinations diversify, students increasingly travel to resource-limited countries, placing them at risk for infectious diseases. Data describing infections acquired by US students while travelling internationally are limited. We describe illnesses among students who returned from international travel and suggest how to prevent illness among these travellers. Methods: GeoSentinel is a global surveillance network of travel and tropical medicine providers that monitors travel-related morbidity. This study included the records of US resident student international travellers, 17-24 years old, who returned to the USA, had a confirmed travel-related illness at one of 15 US GeoSentinel sites during 2007-17 and had a documented exposure region. Records were analysed to describe demographic and travel characteristics and diagnoses. Results: The study included 432 students. The median age was 21 years; 69% were female. More than 70% had a pre-travel consultation with a healthcare provider. The most common exposure region was sub-Saharan Africa (112; 26%). Students were most commonly exposed in India (44; 11%), Ecuador (28; 7%), Ghana (25; 6%) and China (24; 6%). The median duration of travel abroad was 40 days (range: 1-469) and presented to a GeoSentinel site a median of 8 days (range: 0-181) after travel; 98% were outpatients. Of 581 confirmed diagnoses, the most common diagnosis category was gastrointestinal (45%). Acute diarrhoea was the most common gastrointestinal diagnosis (113 of 261; 43%). Thirty-one (7%) students had vector-borne diseases [14 (41%) malaria and 11 (32%) dengue]. Three had vaccine-preventable diseases (two typhoid; one hepatitis A); two had acute human immunodeficiency virus infection. Conclusions: Students experienced travel-related infections, despite the majority having a pre-travel consultation. US students should receive pre-travel advice, vaccinations and chemoprophylaxis to prevent gastrointestinal, vector-borne, sexually transmitted and vaccine-preventable infections.

Indexed as

Travel-Related IllnessAdolescentCommunicable DiseasesFemaleGastrointestinal DiseasesHumansInfectionsMaleRespiratory Tract InfectionsRisk FactorsSentinel SurveillanceStudentsTravelTravel MedicineYoung Adult

Identifiers

PMID30202952
PMCPMC6503850

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.