International Health最新文献_第2页

Global burden and cross-country inequality of infectious skin diseases in children: the Global Burden of Disease Study 2021. 儿童传染性皮肤病的全球负担和跨国不平等：2021年全球疾病负担研究。

IF 2.2 4区医学

International Health Pub Date : 2026-05-08 DOI: 10.1093/inthealth/ihaf109

Lang Rao, Shu-Xia Chang, Qiao Peng, Li-Ming Xiang, Wei-Sen Zhao, Pan Ran, Long Zhao, Yong-Hong Lu, Dong-Ze Wu, Yong-Feng Chen

{"title":"Global burden and cross-country inequality of infectious skin diseases in children: the Global Burden of Disease Study 2021.","authors":"Lang Rao, Shu-Xia Chang, Qiao Peng, Li-Ming Xiang, Wei-Sen Zhao, Pan Ran, Long Zhao, Yong-Hong Lu, Dong-Ze Wu, Yong-Feng Chen","doi":"10.1093/inthealth/ihaf109","DOIUrl":"10.1093/inthealth/ihaf109","url":null,"abstract":"Background: Infectious skin diseases (ISDs) in children require greater attention; this study aims to explore their global burden from 1990 to 2021.Methods: We obtained data from the Global Burden of Disease Study 2021 and present information on the number, rates of incidence and disability-adjusted life years (DALYs) for ISDs among children, including bacterial, fungal and viral skin diseases.Results: In 2021, an estimated 685 367 728 new cases of ISDs in children were identified globally. Among these, bacterial, fungal and viral skin diseases accounted for 37.81%, 55.70% and 6.49%, respectively. From 1990 to 2021, a significant increase was observed in the incidence of ISDs, but a notable decrease was noted in the rate of DALYs. In 2021, low Socio-Demographic Index (SDI) regions had the highest incidence and DALYs rates for bacterial and fungal skin diseases; high-SDI regions exhibited the highest rates for viral skin diseases. India had the highest incidence rate of ISDs, while Ethiopia revealed the highest DALYs rate. Absolute inequality analyses showed the slope index of inequality narrowed from 1990 to 2021.Conclusions: The incidence of ISDs among children is rising globally; children in low- and middle-income countries (LMICs) bear a disproportionately higher disease burden. Intervention strategies are required to reduce the disease burden, particularly in LMICs.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"480-489"},"PeriodicalIF":2.2,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13154834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pneumonia in Ghana: prevalence, mortality and antimicrobial resistance-a systematic review and meta-analysis. 加纳肺炎：患病率、死亡率和抗菌素耐药性——系统回顾和荟萃分析

IF 2.2 4区医学

International Health Pub Date : 2026-05-08 DOI: 10.1093/inthealth/ihaf077

Frederick Kungu, Aaron Awere-Duodu, Eric S Donkor

{"title":"Pneumonia in Ghana: prevalence, mortality and antimicrobial resistance-a systematic review and meta-analysis.","authors":"Frederick Kungu, Aaron Awere-Duodu, Eric S Donkor","doi":"10.1093/inthealth/ihaf077","DOIUrl":"10.1093/inthealth/ihaf077","url":null,"abstract":"Pneumonia is a major cause of morbidity and mortality in Ghana, especially among children <5 y of age and the elderly. However, comprehensive data on its prevalence and distribution remain limited. This systematic review addresses this gap by analysing the prevalence, regional variations, risk factors, antimicrobial resistance and mortality rates of pneumonia in Ghana. We searched PubMed, ScienceDirect, Web of Science and African Journals Online databases, including 21 studies with a total of 124 582 participants. A random-effects meta-analysis estimated pooled prevalence and subgroup differences based on age, region and participant type. Heterogeneity was assessed using the I2 test and meta-regression, with sensitivity analysis also conducted. Study quality was evaluated using standardized Joana Briggs Institute checklists for prevalence studies. The pooled prevalence of pneumonia in Ghana was 22.01%, with significant regional variations. The highest prevalence was observed in a study conducted in the Greater Accra and Northern regions (32.31%), while the lowest was in the Upper West (4.83%). The prevalence in children <5 y of age was 17.79%. Hospitalized patients had a higher prevalence (22.14%) than community children (21.49%). Streptococcus pneumoniae was the most common pathogen, with high resistance (>70%) to co-trimoxazole, gentamicin and tetracycline. Key risk factors included indoor air pollution and seasonal changes. The mortality rate for pneumonia was found to be 3.07%. This systematic review highlighted significant regional disparities, pathogen resistance patterns and environmental risk factors that shape the burden of pneumonia in Ghana, providing critical evidence for targeted public health strategies. The findings highlight avenues for future research, including environmental drivers of transmission, focusing on underreported regions and surveillance of antibiotic resistance of pathogens isolated from pneumonia patients.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"369-380"},"PeriodicalIF":2.2,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13154821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145496661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Equity of opportunity in China's essential public health services: influencing factors and moderating mechanisms. 中国基本公共卫生服务机会均等：影响因素与调节机制

IF 2.2 4区医学

International Health Pub Date : 2026-05-08 DOI: 10.1093/inthealth/ihaf164

Yihan Zhang, Jingyi Cheng, Lunhao Liu, Haifeng Wang, Xiang Zhan

{"title":"Equity of opportunity in China's essential public health services: influencing factors and moderating mechanisms.","authors":"Yihan Zhang, Jingyi Cheng, Lunhao Liu, Haifeng Wang, Xiang Zhan","doi":"10.1093/inthealth/ihaf164","DOIUrl":"10.1093/inthealth/ihaf164","url":null,"abstract":"Background: China's progress toward universal health coverage (UHC) faces persistent equity gaps in basic public health services. This study quantifies the equity of opportunity in mainland China's national essential public health services (NEPHS) from 2015 to 2020 and analyses its influencing factors through the lens of UHC dimensions to inform policy design aimed at advancing health equity and sustainable development.Methods: Using panel data from 31 provinces, an evaluation index system was constructed. The entropy-weight method was applied to quantify the equity of opportunity in NEPHS across mainland China. A two-way fixedeffects model was employed to examine the impact mechanisms of factors across different UHC dimensions.Results: The equity of opportunity in NEPHS showed an overall upward trend, with eastern and central regions demonstrating higher equity levels than western regions. Financial investment and central transfer payments significantly positively related to equity, whereas higher fiscal self-sufficiency attenuated the positive effect of transfers. An increase in the number of participants in basic medical insurance also positively related to equity. In contrast, a higher registration rate for antenatal care was negatively related to equity of opportunity.Conclusions: Local governments should adjust the structure of public fiscal expenditures, appropriately increase investment in NEPHS and continue expanding basic medical insurance coverage to advance equalization of NEPHS.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"499-509"},"PeriodicalIF":2.2,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13154827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Delivering malaria services during the COVID-19 pandemic: challenges and lessons from an international non-governmental organisation. 2019冠状病毒病大流行期间提供疟疾服务：来自国际非政府组织的挑战和经验教训。

IF 2.2 4区医学

International Health Pub Date : 2026-05-08 DOI: 10.1093/inthealth/ihag004

Elisabeth G Chestnutt, Madeleine Marasciulo, Godfrey Magumba, Kolawole Maxwell, Christian Rassi, Andrew Parkes, Charles Nelson, James K Tibenderana

引用次数: 0

Neglected tropical diseases in conflict-related humanitarian emergency settings: a systematic review of the literature. 与冲突有关的人道主义紧急情况下被忽视的热带病：对文献的系统回顾。

IF 2.2 4区医学

International Health Pub Date : 2026-05-08 DOI: 10.1093/inthealth/ihaf148

Charlotte Bestwick, Xavier Badia-Rius, Sergio Lopes, Louise A Kelly-Hope, Emma M Harding-Esch

{"title":"Neglected tropical diseases in conflict-related humanitarian emergency settings: a systematic review of the literature.","authors":"Charlotte Bestwick, Xavier Badia-Rius, Sergio Lopes, Louise A Kelly-Hope, Emma M Harding-Esch","doi":"10.1093/inthealth/ihaf148","DOIUrl":"10.1093/inthealth/ihaf148","url":null,"abstract":"Neglected tropical diseases (NTDs) are a group of 21 conditions affecting an estimated 1 billion people worldwide, causing significant mortality and morbidity. WHO has targeted their control, elimination or eradication by 2030, while highlighting that conflict and humanitarian emergencies are risks to achieving this. A systematic review of peer-reviewed literature was undertaken, using terms related to conflict-related humanitarian emergencies (CRHE), based on the Armed Conflict Location & Event Data Project codebook terms for defining emergencies and terms including all WHO-defined NTDs. After a two-stage screening process, 26 papers were included. Common challenges for NTD programmes in CRHE were healthcare access, infrastructure, population movement and data quality. Multisectoral collaboration between actors in conflict-settings was offered as a learning for NTD programmes, along with community participation and decentralisation. Evidence gaps were identified in the knowledge base for certain NTDs and in high-quality evidence for interventions in CRHE. Collaboration is a key area for focused improvement for NTD programmes in CRHE. This should be across sectors and extend to research and analysis approaches, to ensure the most effective interventions are identified and implemented and that NTD road map targets can be achieved.","PeriodicalId":49060,"journal":{"name":"International Health","volume":"18 3","pages":"328-336"},"PeriodicalIF":2.2,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13154838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Atopic dermatitis in Ethiopia: a systematic review and meta-analysis. 埃塞俄比亚特应性皮炎：一项系统综述和荟萃分析。

IF 2.2 4区医学

International Health Pub Date : 2026-05-08 DOI: 10.1093/inthealth/ihaf125

Kidane Zereabruk, Woldu Aberhe, Assefa Iyasu, Abrha Hailay, Teklehaimanot Gereziher Haile, Gebreamlak Gebremedhn Gebremeskel, Kibrom Abera Alemayehu, Guesh Gebreayezgi, Teklay Guesh, Negasi Asres Mesfin, Guesh Mebrahtom

{"title":"Atopic dermatitis in Ethiopia: a systematic review and meta-analysis.","authors":"Kidane Zereabruk, Woldu Aberhe, Assefa Iyasu, Abrha Hailay, Teklehaimanot Gereziher Haile, Gebreamlak Gebremedhn Gebremeskel, Kibrom Abera Alemayehu, Guesh Gebreayezgi, Teklay Guesh, Negasi Asres Mesfin, Guesh Mebrahtom","doi":"10.1093/inthealth/ihaf125","DOIUrl":"10.1093/inthealth/ihaf125","url":null,"abstract":"Despite being a leading contributor to the global burden of skin disease there is no information on the national prevalence of atopic dermatitis in Ethiopia. Therefore, the purpose of this systematic review and meta-analysis was to estimate the pooled national prevalence of atopic dermatitis in Ethiopia. A computerized systematic search using multiple databases was performed in search of relevant English articles from the inception of the databases to 30 July 2023. It was done in accordance with the Preferred Reporting Items for Systematic review and Meta-Analysis (i.e. PRISMA) standard. R and R Studio software were used for statistical analysis. A random-effects model was used for calculating the pooled estimate of the prevalence of atopic dermatitis. Forest plots and tables were used to represent the data. We found 10 full-text observational studies with 25 920 participants suitable for the review after checking for inclusion and exclusion criteria. The overall pooled prevalence of atopic dermatitis in Ethiopia was 12.75% (95% CI 8.32 to 17.17%). The subgroup analysis found that the atopic dermatitis pooled prevalence was 7% (95% CI 3 to 10%), 17% (95% CI 4 to 30%) and 20% (95% CI 15 to 24%) in the Oromia region, Amhara region and Addis Ababa city administration, respectively. This study demonstrates that atopic dermatitis is highly prevalent in Ethiopia, affecting approximately one in eight individuals, with significant geographical variations. To effectively address this condition, it is crucial to implement awareness campaigns, prioritize specialized training for healthcare professionals, allocate resources to high-prevalence areas, establish a national registry for monitoring, develop community support programs and encourage further research, as there are currently few studies on the condition.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"361-368"},"PeriodicalIF":2.2,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13154830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145432731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Epidemiological characteristics and spatiotemporal analysis of hand-foot-mouth disease in Shandong Province, China. 山东省手足口病流行病学特征及时空分析

IF 2.2 4区医学

International Health Pub Date : 2026-05-08 DOI: 10.1093/inthealth/ihaf162

Lin Zhang, Yixin Zhang, Chaonan Yin, Yan Xi

{"title":"Epidemiological characteristics and spatiotemporal analysis of hand-foot-mouth disease in Shandong Province, China.","authors":"Lin Zhang, Yixin Zhang, Chaonan Yin, Yan Xi","doi":"10.1093/inthealth/ihaf162","DOIUrl":"10.1093/inthealth/ihaf162","url":null,"abstract":"Background: In recent years, hand‒foot‒mouth disease (HFMD) has become a major public health concern. More evidence is needed to elucidate the epidemiological characteristics and spatiotemporal patterns of HFMD. This study aimed to analyse the epidemiological characteristics and spatiotemporal aggregation of HFMD in Shandong Province from 2016 to 2021.Methods: In addition to epidemiological characteristics, spatial autocorrelation and spatiotemporal analysis were employed to examine the distribution and aggregation of HFMD in Shandong Province. GeoDetector was used to analyse the impact of socioeconomic factors on the spatial heterogeneity of HFMD incidence.Results: A total of 419 622 HFMD cases were reported, with a male-to-female gender ratio of 1.54:1. The average annual incidence was 69.61 per 100 000, and the majority (85.40%) of cases were in the 0-4-y age group. The incidence of HFMD increased in April and peaked from May to August. The central region, with Jinan as the core, was the main spatiotemporal cluster annually. Socioeconomic factors demonstrated a strong explanatory effect on the spatial distribution of HFMD incidence.Conclusions: The incidence of HFMD in Shandong Province exhibited evident spatiotemporal aggregation. Relevant departments should enhance surveillance and seasonal warnings to mitigate the occurrence of aggregated outbreaks.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"406-418"},"PeriodicalIF":2.2,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13154840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147488165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Accelerating Nigeria towards malaria elimination requires moving away from business as usual: insights from a political economy analysis. 加快尼日利亚消除疟疾的进程需要摆脱一切照旧的做法：这是来自政治经济分析的见解。

IF 2.2 4区医学

International Health Pub Date : 2026-05-08 DOI: 10.1093/inthealth/ihaf113

Elisabeth G Chestnutt, Stefanie Meredith, Babatunde Ipaye, Dawit Getachew, James K Tibenderana, Ebere Anyachukwu, Timothy Obot, Kolawole Maxwell

{"title":"Accelerating Nigeria towards malaria elimination requires moving away from business as usual: insights from a political economy analysis.","authors":"Elisabeth G Chestnutt, Stefanie Meredith, Babatunde Ipaye, Dawit Getachew, James K Tibenderana, Ebere Anyachukwu, Timothy Obot, Kolawole Maxwell","doi":"10.1093/inthealth/ihaf113","DOIUrl":"10.1093/inthealth/ihaf113","url":null,"abstract":"Background: Despite global efforts to eliminate malaria, progress in Nigeria has been slow. Political economy analysis (PEA) is increasingly being used to identify how political economy influences effective program implementation. Here we apply PEA to the malaria program in Nigeria to understand the contextual factors that have hindered progress.Methods: A desk review and stakeholder mapping were carried out to identify the relevant actors in the malaria sector. Semi-structured, open-ended interviews were conducted with key influencers and high-level managers. Data were analysed and grouped thematically into factors affecting resource allocation and factors affecting the use of allocated resources.Results: Factors affecting resource allocation included malaria receiving limited attention and resources due to low prioritisation by federal, state and local governments; weak advocacy from citizens, which means malaria elimination is not an electable issue for politicians; and no direct communication channels between the malaria program and key decision-makers. Factors affecting the use of allocated resources included poor coordination between multiple partners working on malaria.Conclusions: Achieving meaningful progress in malaria elimination in Nigeria requires predictable financing from sustained political will. Demand from citizens is essential to encourage political prioritisation. Programs and partners must also be better coordinated to maximise impact with limited resources. Establishing high-level malaria advocacy groups and integrating malaria priorities into the national development plan would support these efforts.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"419-430"},"PeriodicalIF":2.2,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13154835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Systematic narrative review on Menstrual health and hygiene (MHH) in Nigeria, Ghana, Liberia and The Gambia. 关于尼日利亚、加纳、利比里亚和冈比亚月经健康和卫生（MHH）的系统叙述审查。

IF 2.2 4区医学

International Health Pub Date : 2026-05-08 DOI: 10.1093/inthealth/ihag029

Sarah Funmilayo Kuponiyi, Adetoun Adedotun Amubode

{"title":"Systematic narrative review on Menstrual health and hygiene (MHH) in Nigeria, Ghana, Liberia and The Gambia.","authors":"Sarah Funmilayo Kuponiyi, Adetoun Adedotun Amubode","doi":"10.1093/inthealth/ihag029","DOIUrl":"10.1093/inthealth/ihag029","url":null,"abstract":"Menstrual health and hygiene (MHH) are critical components of women's well-being, yet they continue to be overlooked in many low-resource settings. Addressing MHH issues in West Africa is crucial due to their widespread impact on education, health and gender equality, particularly among adolescent girls and women of reproductive age. This systematic narrative review consolidates the existing literature on MHH practices, knowledge, barriers and interventions in Nigeria, Ghana, Liberia and The Gambia. A comprehensive search was conducted across four databases (PubMed, Scopus, CINAHL Plus and Africa Journals Online) for studies published from 2000 to 2024. The search terms were related to menstruation, hygiene and the four West African countries. Both peer-reviewed articles and grey literature (Google Scholar, policy documents) were included to capture a broad spectrum of findings. Studies were selected based on their relevance to MHH in the target countries and data were extracted and analysed thematically. Of 345 articles identified, 26 studies met the inclusion criteria. Key findings highlighted the widespread lack of adequate MHM resources, such as sanitary products and functional sanitation facilities. Socio-economic disparities, cultural stigma and insufficient educational resources were major barriers to effective MHM. The review also found a strong link between inadequate MHM and adverse outcomes, including school absenteeism, psychological distress and increased vulnerability to infections. This review underscores the pressing need for comprehensive interventions to address MHH as a public health and human rights issue in Nigeria, Ghana, Liberia and The Gambia. Ensuring access to sanitary products, improved sanitation facilities and robust educational programs can help empower girls and women to manage menstruation with dignity, thereby improving their health, education and social participation.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"381-394"},"PeriodicalIF":2.2,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13154826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Global trends in travel-related antimicrobial resistance: a systematic review, 2020-2024. 旅行相关抗菌素耐药性的全球趋势：系统回顾，2020-2024年。

IF 2.2 4区医学

International Health Pub Date : 2026-05-08 DOI: 10.1093/inthealth/ihaf071

Georgina Tetteh-Ocloo, Alex Odoom, Nicholas T K D Dayie, Eric S Donkor

{"title":"Global trends in travel-related antimicrobial resistance: a systematic review, 2020-2024.","authors":"Georgina Tetteh-Ocloo, Alex Odoom, Nicholas T K D Dayie, Eric S Donkor","doi":"10.1093/inthealth/ihaf071","DOIUrl":"10.1093/inthealth/ihaf071","url":null,"abstract":"Antimicrobial resistance (AMR) is a growing global health threat, with international travel playing a key role in the spread of resistant bacteria. This systematic review examines trends in travel-associated AMR from 2020 to 2024. A search of PubMed, Scopus and Web of Science identified 10 studies involving 359 AMR isolates. Using the Newcastle-Ottawa scale, the study quality was assessed and findings were synthesised to identify patterns in prevalence, diversity and geographic spread. Results revealed a consistent rise in travel-associated AMR, particularly from regions such as Southeast Asia and Africa, which acted as major sources of diverse resistant pathogens. These include extended spectrum beta-lactamase-producing Escherichia coli, multidrug-resistant (MDR) Corynebacterium diphtheriae and colistin-resistant Enterobacterales. The number of MDR strains increased over time, making up 15.3% of cases by 2024. Healthcare exposure during travel emerged as a significant risk factor. Overall, the prevalence and diversity of AMR bacteria linked to travel have risen steadily, highlighting the urgent need for global cooperation. Enhanced surveillance, antimicrobial stewardship, infection control measures and international collaboration are essential to curb the spread of these dangerous pathogens.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"395-405"},"PeriodicalIF":2.2,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13154825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145394682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0