@article{fdi:010037969,
  title = {{A}nimal-associated injuries and related diseases among returned travellers : {A} review of the {G}eo{S}entinel {S}urveillance {N}etwork},
  author = {{G}autret, {P}. and {S}chwartz, {E}. and {S}haw, {M}. and {S}oula, {G}. and {G}azin, {P}ierre and {D}elmont, {J}. and {P}arola, {P}. and {S}oavi, {M}. {J}. and {M}atchett, {E}. and {B}rown, {G}. and {T}orresi, {J}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {I}ncreased travel to exotic destinations around the world is escalating the risk of exposure to animal-associated injuries with a risk of acquiring rabies. {M}ethods: {W}e have examined data reported to {G}eo{S}entinel {S}urveillance {N}etwork to highlight characteristics of animal-associated injuries in travellers. {R}esults: {A} total of 320 cases were reported from 1998 to 2005. {T}ravellers were predominantly tourists from developed countries with median travel duration of 23 days. {A} pre-travel encounter was recorded in 45.0% of the cases. {A} significantly greater proportion of patients with animal-related injuries were female compared to other travel associated diagnosis (54.7% versus 47.4%) and were most likely patients aged < 15 years (6.2% versus 2.6%). {T}he proportionate morbidity for sustaining an animal bite was higher among travellers visiting {S}outheast {A}sia (3.9%) and the rest of {A}sia (2.2%) compared to {A}ustralia-{N}ew {Z}ealand (1.9%), {A}frica (1.0%), {L}atin {A}merica (0.8%), {N}orth {A}merica (0.9%) and {E}urope (1.2%). {S}eventy-five percent of cases occurred in countries endemic for rabies. {D}ogs were involved in 51.3% of cases, monkeys in 21.2%, cats in 8.2%, bats in 0.7% and humans in 0.7%. {T}he higher likelihood for animal-related injuries among female travellers was dependant on the animal species involved, with monkeys accounting for the majority of injuries. {I}n contrast, males were more likely to be injured by dogs. {O}nly 66.1 % of all patients reported with animal-related injury received rabies post-exposure prophylaxis. {C}onclusions: {T}his data shows that animal-associated injuries are not uncommon among returned travellers presenting to {G}eo{S}entinel sites. {T}he highest proportion of injuries was recorded in travellers to {A}sia, mostly in regions, which are endemic for rabies, and this had led to a requirement for {PEP}.},
  keywords = {travellers ; rabies ; animal associated injuries},
  booktitle = {},
  journal = {{V}accine},
  volume = {25},
  numero = {14},
  pages = {2656--2663},
  ISSN = {0264-410{X}},
  year = {2007},
  DOI = {10.1016/j.vaccine.2006.12.034},
  URL = {https://www.documentation.ird.fr/hor/fdi:010037969},
}