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How “resistant” is artemisinin resistant malaria? - The risks of ambiguity using the term "resistant" malaria
In scientific discourse, few would consider the widely used term resistance as ambiguous. The definition and usage of the term antimicrobial resistance revolves around the concept that microorganisms change in ways that render antimicrobial medications clinically ineffective. Because artemisinins have become the cornerstone for antimalarial therapy, the widely used term artemisinin resistance in scientific literature is highly alarming. Naturally, many people will assume that artemisinin resistance must essentially be the same as antimicrobial resistance, which means it is clinically ineffective. (Source: Travel Medicine a...
Source: Travel Medicine and Infectious Disease - April 28, 2018 Category: Infectious Diseases Authors: Thomas Hanscheid, David W. Hardisty Tags: Controversial Commentary Source Type: research

Mitigating the risks of global spread of Lassa fever at the 2018 Hajj pilgrimage
Okokhere and colleagues' analyses of 284 hospitalized Nigerian Lassa fever cases showing a 24% mortality rate is a timely reminder of the persistent threat to global health security of lethal viral hemorrhagic fevers [1]. Nigeria is currently experiencing a Lassa Fever outbreak, with at least one case across 21 states, 81% of cases being predominantly from 3 states (Edo, Ondo, Ebonyi). Mortality was 25.4% in 413 positive cases (1 849suspected) between January 1st and 15th of April 2018 [2]. Twenty-seven health care workers have been infected. (Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - April 27, 2018 Category: Infectious Diseases Authors: Philippe Gautret, Stanley Okolo, Habida Elachola, Alimuddin Zumla, Ziad A. Memish Source Type: research

Despite antibiotic treatment of travellers' diarrhoea, pathogens are found in stools from half of travellers at return
Among visitors to the (sub)tropics, 20 –50% contract travellers' diarrhoea (TD) and 5–30% take antibiotics. While shortening the duration of illness, antimicrobials predispose to acquisition of multi-drug resistant bacteria. Therefore, liberal use is no longer advocated. Although antibiotics kill pathogens, no data support the view t hat they could prevent post-infectious sequelae. We investigated how antibiotic use for TD abroad impacts the pathogen findings at return. (Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - April 24, 2018 Category: Infectious Diseases Authors: Tinja L ääveri, Katri Vilkman, Sari Pakkanen, Juha Kirveskari, Anu Kantele Source Type: research

Despite antibiotic treatment of travellers' diarrhoea pathogens are found in stools from half of travellers at return
Among visitors to the (sub)tropics, 20 –50% contract travellers' diarrhoea (TD) and 5–30% take antibiotics. While shortening the duration of illness, antimicrobials predispose to acquisition of multi-drug resistant bacteria. Therefore, liberal use is no longer advocated. Although antibiotics kill pathogens, no data support the view t hat they could prevent post-infectious sequelae. We investigated how antibiotic use for TD abroad impacts the pathogen findings at return. (Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - April 24, 2018 Category: Infectious Diseases Authors: Tinja L ääveri, Katri Vilkman, Sari Pakkanen, Juha Kirveskari, Anu Kantele Source Type: research

Infectious disease profiles of Syrian and Eritrean migrants presenting in Europe: A systematic review
In the past decade, a large influx of migrants presented in Europe. Their country of origin was mainly either Syria or Eritrea. Public health institutions in host countries in Europe are challenged to screen and care for migrant populations with regard to infectious diseases. (Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - April 24, 2018 Category: Infectious Diseases Authors: Egon Isenring, Jan Fehr, Nejla G ültekin, Patricia Schlagenhauf Source Type: research

WHO bites back rabies pre-travel vaccination schedules – Implications for travel medicine
On World Rabies Day, 28 September 2017, WHO, and three other organizations announced the next strategic plan: ‘Zero by 30’, to achieve zero human deaths from dog-transmitted rabies by 2030 [1,2]. In this One Health approach, a wealth of interventions is proposed. Education, vaccination and where indicated post-exposure treatment of humans and large-scale vaccination of dogs are key elements of this ambi tious elimination plan. (Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - April 23, 2018 Category: Infectious Diseases Authors: Cornelis Adrianus De Pijper, Cornelis Stijnis, Martin Peter Grobusch Tags: Editorial Source Type: research

Pre-travel health seeking practices of Umrah pilgrims departing from Assiut International Airport, Egypt
to assess the health seeking practices and their determinants among Umrah pilgrims departing from Assiut international Airport. (Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - April 21, 2018 Category: Infectious Diseases Authors: Mirette M. Aziz, Hosnia S. Abd El-Megeed, Mennat Allah M. Abd Ellatif Source Type: research

Traveling through hemispheres: The flu shot
Influenza vaccination is of importance in travel medicine [1]. (Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - April 20, 2018 Category: Infectious Diseases Authors: Erika Valeska Rossetto, Expedito J.A. Luna Tags: Correspondence Source Type: research

Chronic oral ulceration and lip swelling after a long term stay in Guatemala: A diagnostic challenge
A 55-year-old German traveler presented to our clinic with an oral ulceration and swelling of the upper lip. The patient described gradual onset of a gingival swelling, slowly progressing into a painful ulceration and swelling of the lip over a period of 4 months (Fig. 1). He had no further complaints. He returned to Germany recently after a 3-year stay in Guatemala. (Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - April 20, 2018 Category: Infectious Diseases Authors: Andreas K. Lindner, Volker Rickerts, Florian Kurth, Dunja Wilmes, Joachim Richter Source Type: research