PISTONE, T.; OUATTARA, Eric; GABILLARD, Delphine; LELE, N.; DUVIGNAUD, Alexandre; CORDEL, H.; MALVY, Denis; BOUCHAUD, O.; ABGRALL, S.

doi:10.1016/j.tmaid.2019.03.010

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PISTONE, T.
Bordeaux population health [BPH]

OUATTARA, Eric
Bordeaux population health [BPH]

GABILLARD, Delphine

Bordeaux population health [BPH]

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Travel medicine and infectious disease. 2019-05, vol. 29, p. 40-47

Résumé en anglais

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.< Réduire

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