title: Morbidity and outcomes of foreign travelers in Zakynthos island, Greece: a retrospective study.
abstract: BACKGROUND
  Although there is satisfactory recording of diseases affecting travelers visiting developing countries, little is known regarding morbidity of travelers when visiting developed countries. We sought to evaluate the morbidity of foreign travelers in Zakynthos, a popular Greek island attracting large number of foreign tourists every summer.
  
  
  METHODS
  Data from foreign travelers that accommodated in Zakynthos and sought medical services from the private offices of Zante Medical Care from May 1 to October 30 2012 were retrospectively analyzed.
  
  
  RESULTS
  Two thousand six hundred and eighty-eight patients were included in the study. The mean age (± SD) of the patients whom the age was recorded was 29.6 (± 18.3) and 51.5% of them were from 18 to 40 years old. Disorders of the respiratory tract (32.7%), dermatologic conditions (21.1%), musculoskeletal injuries (16.4%), and gastrointestinal disorders (16.3%) were the four most prevalent clinical categories among patients. Ear disorder was the most common syndromic description (14.5%) among which 81.2% were ear infections; otitis externa and otitis media were diagnosed in 8.5% and 3.3% patients in total. The most common specific diagnosis was gastroenteritis (14.3%). Insect bite and sunburn were the most common diagnosis (6.5% and 3.8%, respectively) among patients with a dermatologic condition. Ear infection was the most common diagnosis in pediatric patients.
  
  
  CONCLUSIONS
  Disorders mainly of the upper respiratory tract were the predominant causes of illness among foreign travelers in Zakynthos. Traveler's diarrhea was the most common specific diagnosis but the prevalence within the total population was not very high.
authors.affiliation: Zante Medical Care (ZanteMed), Zakynthos, Greece; Alfa Institute of Biomedical Sciences (AIBS), Athens, Greece.
authors.forename: Eleni
authors.initials: E
authors.lastname: Plessa
authors.affiliation: Alfa Institute of Biomedical Sciences (AIBS), Athens, Greece.
authors.forename: Giannoula S
authors.initials: GS
authors.lastname: Tansarli
authors.affiliation: Zante Medical Care (ZanteMed), Zakynthos, Greece.
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Xanthopoulos
authors.affiliation: Alfa Institute of Biomedical Sciences (AIBS), Athens, Greece; Department of Internal Medicine - Infectious Diseases, Iaso Hospital, Iaso Group, Athens, Greece; Department of Medicine, Tufts University School of Medicine, Boston, Massachusetts, United States of America.
authors.forename: Matthew E
authors.initials: ME
authors.lastname: Falagas
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003710:Demography; D005260:Female; D006115:Greece / Q000453:epidemiology; D006760:Hospitalization; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D062312:Islands / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D015999:Multivariate Analysis; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D014195:Travel / Q000706:statistics & numerical data*; D016896:Treatment Outcome; D055815:Young Adult
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