{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T10:30:29Z","timestamp":1762079429871},"reference-count":13,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,5,7]]},"abstract":"<jats:p>The incidence of asymptomatic travel-related parasitic infection is uncertain. Previous studies did not distinguish new incident infections, from past infections. Regardless of symptoms, we performed multiplex real-time polymerase chain reaction on pre- and post-travel stool samples of Dutch long-term travelers to the (sub)tropics. Serological screening for <jats:italic>Schistosoma<\/jats:italic> spp. was only performed in travelers to sub-Saharan Africa. In total, 679 travelers were included in the study. The follow-up rate was 82% (556 of 679). Participants' median travel duration was 12 weeks. There was one incident infection with <jats:italic>Strongyloides stercoralis<\/jats:italic>; there were none with <jats:italic>Entamoeba histolytica<\/jats:italic>, 4 with <jats:italic>Cryptosporidium<\/jats:italic> spp. (1%), and 22 with <jats:italic>Giardia lamblia<\/jats:italic> (4%). Nine of 146 travelers (6%) seroconverted for <jats:italic>Schistosoma<\/jats:italic> spp. Routine screening of stool samples for parasitic infection is not indicated for asymptomatic people, who travel to the (sub)tropics for up to 3 months. Screening for <jats:italic>Schistosoma<\/jats:italic> spp. should be offered to travelers with fresh-water contact in endemic regions.<\/jats:p>","DOI":"10.4269\/ajtmh.13-0594","type":"journal-article","created":{"date-parts":[[2014,3,11]],"date-time":"2014-03-11T03:17:37Z","timestamp":1394507857000},"page":"835-839","source":"Crossref","is-referenced-by-count":29,"title":["Post-Travel Screening of Asymptomatic Long-Term Travelers to the Tropics for Intestinal Parasites Using Molecular Diagnostics"],"prefix":"10.4269","volume":"90","author":[{"given":"Darius","family":"Soonawala","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisette","family":"van Lieshout","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marion A. M.","family":"den Boer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric C. J.","family":"Claas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaco J.","family":"Verweij","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9","family":"Godkewitsch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marchel","family":"Ratering","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leo G.","family":"Visser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"R1","series-title":"Trop Med Int Health","first-page":"818","article-title":"Utility of history, examination and laboratory tests in screening those returning to Europe from the tropics for parasitic infection","volume":"5","author":"Whitty","year":"2000"},{"key":"R2","series-title":"Trop Med Int Health","first-page":"728","article-title":"Clinical presentation and diagnostic sensitivity of laboratory tests for Strongyloides stercoralis in travelers compared with immigrants in a non-endemic country","volume":"8","author":"Sudarshi","year":"2003"},{"key":"R3","series-title":"Eur J Clin Microbiol Infect Dis","first-page":"1045","article-title":"Molecular diagnostics of intestinal parasites in returning travelers","volume":"28","author":"ten Hove","year":"2009"},{"key":"R4","series-title":"Am J Trop Med Hyg","first-page":"585","article-title":"Occurrence and self-treatment of diarrhea in a large cohort of Americans traveling to developing countries","volume":"62","author":"Hill","year":"2000"},{"key":"R5","series-title":"J Clin Microbiol","first-page":"1220","article-title":"Simultaneous detection of Entamoeba histolytica, Giardia lamblia, and Cryptosporidium parvum in fecal samples by using multiplex real-time PCR","volume":"42","author":"Verweij","year":"2004"},{"key":"R6","series-title":"Trans R Soc Trop Med Hyg","first-page":"342","article-title":"Molecular diagnosis of Strongyloides stercoralis in fecal samples using real-time PCR","volume":"103","author":"Verweij","year":"2009"},{"key":"R7","series-title":"Am J Trop Med Hyg","first-page":"944","article-title":"Antibody response to a polysaccharide antigen present in the schistosome gut. II. Modulation of antibody response","volume":"27","author":"Nash","year":"1978"},{"key":"R8","series-title":"Trop Geogr Med","first-page":"36","article-title":"Immunodiagnosis of recently acquired Schistosoma mansoni infection. A comparison of various immunological techniques","volume":"33","author":"Deelder","year":"1981"},{"key":"R9","series-title":"Ann Trop Med Parasitol","first-page":"625","article-title":"Application of a circulating-cathodic-antigen (CCA) strip test and real-time PCR, in comparison with microscopy, for the detection of Schistosoma haematobium in urine samples from Ghana","volume":"102","author":"Obeng","year":"2008"},{"year":"2009","series-title":"International Migrant Stock: The 2008 Revision. Definition of Major Areas and Regions","author":"United Nations","key":"R10"},{"key":"R11","series-title":"Emerg Infect Dis","first-page":"82","article-title":"Gastroenteritis in sentinel general practices, The Netherlands","volume":"7","author":"de Wit","year":"2001"},{"key":"R12","series-title":"Clin Microbiol Infect","first-page":"1001","article-title":"Detection of diarrhoea-causing protozoa in general practice patients in The Netherlands by multiplex real-time PCR","volume":"13","author":"ten Hove","year":"2007"},{"key":"R13","series-title":"Clin Microbiol Infect","first-page":"869","article-title":"Parasitological diagnosis combining an internally controlled real-time PCR assay for the detection of four protozoa in stool samples with a testing algorithm for microscopy","volume":"15","author":"Bruijnesteijn van Coppenraet","year":"2009"}],"container-title":["The American Society of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/90\/5\/article-p835.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/90\/5\/article-p835.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/90\/5\/article-p835.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T21:26:58Z","timestamp":1723066018000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/90\/5\/article-p835.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,5,7]]},"references-count":13,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.13-0594","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"type":"print","value":"0002-9637"},{"type":"electronic","value":"1476-1645"}],"subject":[],"published":{"date-parts":[[2014,5,7]]}}}