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dc.creatorDakić, Zorica
dc.creatorPelemis, Mijomir
dc.creatorĐurković-Đaković, Olgica
dc.creatorLavadinović, Lidija
dc.creatorNikolić, Aleksandra
dc.creatorStevanović, Goran
dc.creatorPoluga, Jasmina
dc.creatorOfori-Belić, Irena
dc.creatorMilošević, Branko
dc.creatorPavlović, Milorad
dc.date.accessioned2021-04-20T12:27:13Z
dc.date.available2021-04-20T12:27:13Z
dc.date.issued2011
dc.identifier.issn0043-5325
dc.identifier.urihttp://rimi.imi.bg.ac.rs/handle/123456789/385
dc.description.abstractSince 2000, travel of Serbian citizens to tropical areas has been slowly but steadily increasing. To determine the epidemiological and clinical characteristics of imported malaria in Serbia, we analyzed clinical history data of all travelers who presented at the Clinic for Infectious and Tropical Diseases in Belgrade after their return from tropical and subtropical areas between 2001 and 2009. The study series involved a total of 2981 travelers, and included both those with (847) and without (2134) health problems. Malaria was diagnosed in 102 cases (3.4% of all travelers; 12.0% of travelers with febrile episodes). Occurring at a rate of 6 to 16 cases per year, it was predominantly imported from Africa (92.2%), particularly from Equatorial Guinea (38.2%) and Nigeria (15.7%). The most frequent reason for travel was work/business. Patients were predominantly (87.3%) male, and the majority (66.7%) was between 40 and 59 years of age. A total of 15 (14.7%) patients took some form of anti-malarial chemoprophylaxis. The dominant causative species was Plasmodium falciparum (78), alone (70) or in mixed infection with P. vivax (5) and P. malariae (3). P. vivax, P. ovale and P. malariae as single agents were each identified in 11, 1 and 1 cases, respectively. Of the 11 cases in which the parasite was not detected, six appeared to be true submicroscopic cases. The clinical course of the disease was severe in 13 patients, all with falciparum malaria, of which three (2.9%) died. Rather than for all travelers, in Serbia screening for malaria should be mandatory in all travelers to endemic regions who present with fever irrespective of chemoprophylaxis history. Inadequate sensitivity of conventional diagnostic methods, illustrated by the cases of submicro-scopic malaria, requires introduction of molecular diagnosis in routine practice.en
dc.publisherSpringer Wien, Wien
dc.relationinfo:eu-repo/grantAgreement/MESTD/Integrated and Interdisciplinary Research (IIR or III)/41019/RS//
dc.rightsrestrictedAccess
dc.sourceWiener Klinische Wochenschrift
dc.subjectImported malariaen
dc.subjectdiagnosisen
dc.subjectepidemiologyen
dc.subjectSerbiaen
dc.titleImported malaria in Belgrade, Serbia, between 2001 and 2009en
dc.typearticle
dc.rights.licenseARR
dc.citation.epage19
dc.citation.other123: 15-19
dc.citation.rankM23
dc.citation.spage15
dc.citation.volume123
dc.identifier.doi10.1007/s00508-011-0040-x
dc.identifier.pmid21826415
dc.identifier.scopus2-s2.0-83655163867
dc.identifier.wos000303683900005
dc.type.versionpublishedVersion


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