Travel-related health events and their risk factors in HIV-infected sub-Saharan migrants living in France and visiting their native country: The ANRS VIHVO cohort study - Université Sorbonne Paris Nord Accéder directement au contenu
Article Dans Une Revue Travel Medicine and Infectious Disease Année : 2019

Travel-related health events and their risk factors in HIV-infected sub-Saharan migrants living in France and visiting their native country: The ANRS VIHVO cohort study

Eric Ouattara
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Hugues Cordel
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Michele Bentata
  • Fonction : Collaborateur
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Bruno Fantin
  • Fonction : Collaborateur
Cecile Goujard
  • Fonction : Collaborateur
Sophie Matheron
  • Fonction : Collaborateur
Odile Launay
Olivier Lortholary
  • Fonction : Collaborateur
Matthieu Saada
  • Fonction : Collaborateur
Christine Katlama
  • Fonction : Collaborateur
Anne Simon
  • Fonction : Collaborateur
Cedric Arvieux
  • Fonction : Collaborateur
Pauline Campa
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Marie-Pierre Girard
  • Fonction : Collaborateur
Marie-Aude Khuong
  • Fonction : Collaborateur
Jean Michel Molina
  • Fonction : Collaborateur
Caroline Lascoux-Combes
  • Fonction : Collaborateur
David Rey
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Murielle Rondeau
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Gilles Pialoux
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Carine Couzigou
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Daniel Vittecoq
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Olivier Patey
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Philippe Morlat
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Michel Duong
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Pascal Chavanet
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Résumé

BACKGROUND: Literature on health events in HIV-infected travellers is scarce, particularly in sub-Saharan African (SSA) migrants. METHODS: We investigated health events in HIV-infected SSA migrants living in France during and after travel to their native country. All had a pre-travel plasma viral load (pVL) below 200 copies/mL and were on stable combined antiretroviral therapy (cART). Logistic regression models were used to assess the risk factors for at least one adverse health event or febrile event. RESULTS: Among 264 HIV migrants, pre-travel median CD4 count was 439/mm3 and 27 migrants (6%) experienced a low-level viremia between 50 and 200 copies/mL. One hundred (38%) experienced at least one event (13 experienced two events). The most common events were gastrointestinal, including diarrhoea (n = 29, 26%), respiratory events (n = 20, 18%), and malaria (n = 17, 15%; 1 death). In multivariable analysis, a pre-travel low-level viremia and a lack of pre-travel medical advice significantly increased the risk for any event (OR 4.31, 95% CI, 1.41-13.1; and OR 3.62, 95% CI, 1.38-9.47; respectively). A lack of pre-travel advice significantly increased the risk for febrile event. CONCLUSIONS: Early and tailored counselling on pre-travel medical advice regarding diarrhoea and vector-borne diseases prophylactic measures in HIV-infected SSA migrants should be emphasised before travel to Africa.
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hal-02483411 , version 1 (18-02-2020)

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Paternité - Pas d'utilisation commerciale - Pas de modification

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Thierry Pistone, Eric Ouattara, Delphine Gabillard, Nathalie Lele, Alexandre Duvignaud, et al.. Travel-related health events and their risk factors in HIV-infected sub-Saharan migrants living in France and visiting their native country: The ANRS VIHVO cohort study. Travel Medicine and Infectious Disease, 2019, 29, pp.40-47. ⟨10.1016/j.tmaid.2019.03.010⟩. ⟨hal-02483411⟩
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