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Original Article
Characteristics of Patients at a Rural Japanese Hospital after Traveling Abroad: A Retrospective Observational Study
Department of Clinical Infectious Diseases, Toyama University Hospital
Akitoshi UENO, Hitoshi KAWASUJI, Yuki MIYAJIMA, Koyomi KAWAGO, Yasutaka FUKUI, Ippei SAKAMAKI, Yoshihiro YAMAMOTO
(令和2年11月16日受付)
(令和3年7月13日受理)
Key words: travel medicine, travel clinic
要旨

 Background: The number of Japanese people traveling abroad and foreigners coming to Japan has substantially increased; however, resources for diagnosis and treatment of tropical and emerging diseases are limited in rural medical institutions. Although previous studies have described the characteristics of post-travel health problems in Japan, most of them were carried out in urban areas. Here, we describe the characteristics of patients at a rural hospital returning from overseas tropical destinations to consider measures against tropical and emerging diseases.

 Methods: In this single-center retrospective observational study, the characteristics of post-travel patients who visited Toyama University Hospital between January 2013 and December 2019 were collected from medical records. Continuous variables were represented as the mean and standard deviation or median and Inter-Quartile Range (IQR). Categorized variables were compared by Fisher's test. The threshold for significance was p<0.05.

 Results: Sixty-five patients visited our hospital after travelling abroad during the study period. The most popular travel destination and reason for travel were Southeast Asia (53.8%) and leisure (49.2%), respectively. Only 6 (9.2%) patients had attended a pre-travel consultation. Short-term travelers (n=45; 69.2%) were more numerous than long-term travelers (n=20; 30.8%), and most travelers went to Southeast Asia (n=30; 66.7%). Short-term travelers were less likely to attend pre-travel consultations than long-term travelers (4.76% vs 71.43%, p=0.0012). The most common diagnosis was gastrointestinal infection (30.8%) followed by dengue fever (7.7%).

 Conclusion: In today's globalized society, an increasing number of patients with travel-related illnesses are expected, and thus, measures for the prevention and treatment of tropical and emerging diseases are necessary. Especially in regional districts, travelers should be made aware of the importance of visiting a travel clinic before travel.

〔感染症誌 95: 385~390, 2021〕
責任著者:
(〒930-0194)2630 Sugitani, Toyama, Toyama 930―0194, Japan
Department of Clinical Infectious Diseases, Toyama University Hospital Yoshihiro Yamamoto, MD, PhD
E-mail: yamamoto@med.u-toyama.ac.jp

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