Infection burden among medical events onboard cargo ships: a four-year study

Marimoutou, Cyril; Tufo, Davide; Chaudet, Hervé; Samad, Marc Abdul; Gentile, Gaëtan; Drancourt, Michel

doi:10.1093/jtm/tax010

Cited by 9 publications

(18 citation statements)

References 11 publications

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“…Studies show that a non-negligible proportion of infections that occur on board are dental. 6,26 The proportion of tooth decay (33% of dental cases in the present study) is relatively low compared with the study by Sobotta et al, which found a diagnostic of tooth decay in 85% of dental emergencies. 27 This difference may be caused by bias in the diagnostic categories.…”

Section: Management Of Oral Emergencycontrasting

confidence: 77%

“…Another study shows that 7% of infections on board are dental infections. 6 A dental emergency is the first reason why sailors are referred to a specialist onshore. [5][6][7] Sailors may remain at sea for several days or weeks with short periods onshore.…”

Section: Introductionmentioning

confidence: 99%

“…6 A dental emergency is the first reason why sailors are referred to a specialist onshore. [5][6][7] Sailors may remain at sea for several days or weeks with short periods onshore. Thus, access to dental care may be limited for crew members, including a lack of both regular checks ups and dental treatment.…”

Section: Introductionmentioning

confidence: 99%

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Dental emergencies at sea: A study in the French maritime TeleMedical Assistance Service

Binaisse

Dehours²,

Bodéré

et al. 2019

J Telemed Telecare

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Introduction The aim of the study was to assess the frequency, features and management of dental emergencies at sea in France. Methods A descriptive study was carried out by retrospectively examining medical records of patients who were assisted by the French maritime TeleMedical Assistance Service (TMAS) from 2012 to 2016. Data were ranked in different categories: socio-demographic data, diagnosis, prescription, and monitoring or treatment prescribed. Results The TMAS recorded 9122 medical files for all medical emergencies. Among these medical records 135 concerned oral diseases. The main causes for dental emergencies are dental abscess (51.8%), tooth decay (33.3%), and dental fracture (8.9%). Even where teledentistry is validated for remote screening and oral lesion diagnosis, management of dental emergencies mostly requires a dental procedure. On board, without special equipment and/or specifically trained healthcare workers, this management often results in the prescription of medication. Discussion The International Medical Guide for Ships published by the World Health Organization could be updated to suit the latest recommendations of dental emergency management. This could facilitate the addition of a medical act to dental management, resulting in more effective treatment. Furthermore, simple and specific equipment could be added to the medical supplies.

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Section: Management Of Oral Emergencycontrasting

confidence: 77%

Section: Introductionmentioning

confidence: 99%

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Dental emergencies at sea: A study in the French maritime TeleMedical Assistance Service

Binaisse

Dehours²,

Bodéré

et al. 2019

J Telemed Telecare

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show abstract

“…Aircraft and vessels at maximum capacity, in confinement condition, facilitates the dissemination from person to person by droplets and aerosols, besides introducing new viruses in new areas after landing 3,4 . But unlike cruise ships 4 , there is no recent record of the involvement of cargo ships in the spread of the disease 3,5 .…”

Section: Discussionmentioning

confidence: 99%

Outbreak investigation in cargo ship in times of COVID-19 crisis, Port of Santos, Brazil

2020

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In February 2020, a Chinese cargo ship docked at the Port of Santos with reports of crew members with a feverish and respiratory condition. A team was gathered to verify the existence of suspected cases of COVID-19 inside the vessel and define its clearance. All 25 crew members were interviewed, and no suspected cases were found. The vessel was then cleared for port activities. The investigation resulted from the implementation of the contingency plan to face a public health emergency of international importance and several surveillance entities cooperated.

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“…Seafarers are an unusual group of workers with specific health concerns and medical care needs. On one hand, to be allowed to work on board a ship, they need to pass regular, typically annual or biannual, medical examinations 12–14 . Furthermore, all ships have a standardized set of medical equipment 14 .…”

Section: Introductionmentioning

confidence: 99%

Does seafarers’ limited access to health care increase risk for community‐acquired pneumonia requiring hospital care? A longitudinal register‐based analysis

Herttua

Vork²,

Paljärvi

2021

American J Industrial Med

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Background Limited access to medical care can be considered as an occupational risk of seafaring and it may predispose to developing community‐acquired pneumonia (CAP) requiring hospital care. We sought to investigate the risk for CAP and other lower respiratory tract infections (LRTI) requiring hospital care among seafarers. We examined the length of hospital stay (LOS) as a proxy for severity of illness. Methods The study population in this panel data analysis were all seafarers and a 20% random sample of economically active individuals aged 18–65 years who were residing in Denmark in 1997–2016, constituting more than 11 million person‐years of follow‐up. Annually‐registered socio‐demographic and work characteristics were linked to data on cause of hospital admissions. We used fixed‐effects and zero‐truncated Poisson regression to estimate the rate ratios of hospitalization for CAP and other LRTI, and compared LOS across the two populations. Results The adjusted incident rate ratio (IRR) for CAP in seafarers compared to the economically active population was 1.42 (95% confidence interval [CI]: 1.15–1.77), whereas the IRR was 0.73 (95% CI: 0.38–1.42) for other LRTI. For LOS, the IRRs for CAP and other LRTI in seafarers were 1.08 (95% CI: 1.04–1.12) and 0.92 (95% CI: 0.83–1.01), respectively. Conclusions Our findings indicate that seafaring was associated with an increased risk for CAP requiring hospital care. Limited access to health care may be an important contributing factor.

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Infection burden among medical events onboard cargo ships: a four-year study

Cited by 9 publications

References 11 publications

Dental emergencies at sea: A study in the French maritime TeleMedical Assistance Service

Dental emergencies at sea: A study in the French maritime TeleMedical Assistance Service

Outbreak investigation in cargo ship in times of COVID-19 crisis, Port of Santos, Brazil

Does seafarers’ limited access to health care increase risk for community‐acquired pneumonia requiring hospital care? A longitudinal register‐based analysis

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