Fever in Returned Travellers Presenting in the United Kingdom: Recommendations for Investigation and Initial Management
Journal of Infection (2009) 59,1e18 www.elsevierhealth.com/journals/jinf REVIEW Fever in returned travellers presenting in the United Kingdom: Recommendations for investigation and initial management Victoria Johnston a,*, Jane M. Stockley b, David Dockrell c, David Warrell d, Robin Bailey a, Geoffrey Pasvol e, John Klein f, Andrew Ustianowski g, Michael Jones h, Nicholas J Beeching i, Michael Brown a, Ann L.N. Chapman c, Frances Sanderson j, Christopher J.M. Whitty a, On behalf of the British Infection Society and the Hospital for Tropical Diseases a Hospital for Tropical Diseases, Mortimer Market Centre, Capper Street, London, UK b Department of Medical Microbiology, Worcestershire Royal Hospital, Charles Hastings Way, Worcester, UK c University of Sheffield School of Medicine and Biomedical Sciences, Glossop Road, Sheffield, UK d Centre for Clinical Vaccinology and Tropical Medicine, University of Oxford, Churchill Hospital, Oxford, UK e Department of Infection & Tropical Medicine, Imperial College London, Lister Unit, Northwick Park Hospital, Middlesex, UK f Infection and Immunology Delivery Unit, St. Thomas’ Hospital, London, UK g Monsall Infectious Diseases Unit, North Manchester General Hospital, Delaunays Road, Crumpsall, Manchester, UK h Regional Infectious Diseases Unit, Western General Hospital, Crewe Road, Edinburgh, UK i Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, UK j Imperial College Healthcare NHS Trust, Charing Cross Hospital, Fulham Palace Road, London, UK Received 15 May 2009; accepted 20 May 2009 Available online 27 May 2009 KEYWORDS Summary International travel is increasing. Most physicians and general practitioners will Travel; encounter returned travellers with fever and the majority of travel-related infection is Traveller; associated with travel to the tropics.
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