Robert Steffen

Summary

Affiliation: University of Zurich
Country: Switzerland

Publications

  1. ncbi Irritable bowel syndrome among a cohort of European travelers to resource-limited destinations
    Raffaela Pitzurra
    Division of Epidemiology and Prevention of Communicable Diseases and World Health Organization Collaborating Centre for Travellers Health, Institute of Social and Preventive Medicine, University of Zurich, Hirschengraben 84, Zurich, Switzerland
    J Travel Med 18:250-6. 2011
  2. ncbi Epidemiology, etiology, and impact of traveler's diarrhea in Jamaica
    R Steffen
    Division of Epidemiology and Prevention of Communicable Diseases, University of Zurich, Institute of Social and Preventive Medicine, Switzerland
    JAMA 281:811-7. 1999
  3. ncbi Epidemiology of traveler's diarrhea
    Robert Steffen
    Division of Communicable Diseases and Travel Clinic, Institute of Social and Preventive Medicine of the University, World Health Organization Collaborating Center for Travelers Health, Zurich, Switzerland
    Clin Infect Dis 41:S536-40. 2005
  4. ncbi Changing travel-related global epidemiology of hepatitis A
    Robert Steffen
    Division of Communicable Diseases and Travel Clinic, Institute of Social and Preventive Medicine of the University of Zurich, World Health Organization Collaborating Center for Travelers Health, Zurich, Switzerland
    Am J Med 118:46S-49S. 2005
  5. ncbi Travel epidemiology--a global perspective
    Robert Steffen
    Division of Communicable Diseases, World Health Organization Collaborating Center for Travellers Health, Institute of Social and Preventive Medicine, University of Zurich, Sumatrastrasse 30, Zurich CH 8006, Switzerland
    Int J Antimicrob Agents 21:89-95. 2003
  6. ncbi Vaccination priorities
    Robert Steffen
    World Health Organization Collaborating Centre for Travellers Health, Institute of Social and Preventive Medicine, University of Zurich, Sumatrastrasse 30, CH 8006 Zurich, Switzerland
    Int J Antimicrob Agents 21:175-80. 2003
  7. ncbi Evaluation of mood profiles during malaria chemoprophylaxis: a randomized, double-blind, four-arm study
    Patricia Schlagenhauf
    Division of Epidemiology and Communicable Diseases, Center for Travel Medicine, University of Zurich, Zurich, Switzerland
    J Travel Med 16:42-5. 2009
  8. ncbi Epidemiology of travelers' diarrhea: details of a global survey
    Robert Steffen
    Division of Epidemiology and Prevention of Communicable Diseases, Institute of Social and Preventive Medicine, University of Zurich, Zurich, Switzerland
    J Travel Med 11:231-7. 2004
  9. ncbi Prevalence of hepatitis A virus risk factors in a very low endemic country, Switzerland
    Meichun Mohler Kuo
    Division of Epidemiology and Prevention of Non Communicable Diseases, Institute of Social and Preventive Medicine, University of Zurich, Hirschengraben 84, CH 8001 Zurich, Switzerland
    Vaccine 25:8718-25. 2007
  10. ncbi Economic aspects of travelers' diarrhea
    Mathyas Wang
    Faculty of Medicine, University of Zurich, Zurich, Switzerland
    J Travel Med 15:110-8. 2008

Detail Information

Publications55

  1. ncbi Irritable bowel syndrome among a cohort of European travelers to resource-limited destinations
    Raffaela Pitzurra
    Division of Epidemiology and Prevention of Communicable Diseases and World Health Organization Collaborating Centre for Travellers Health, Institute of Social and Preventive Medicine, University of Zurich, Hirschengraben 84, Zurich, Switzerland
    J Travel Med 18:250-6. 2011
    ..Travel-related IBS incidence rates are based on small studies and IBS predictors have not been sufficiently evaluated...
  2. ncbi Epidemiology, etiology, and impact of traveler's diarrhea in Jamaica
    R Steffen
    Division of Epidemiology and Prevention of Communicable Diseases, University of Zurich, Institute of Social and Preventive Medicine, Switzerland
    JAMA 281:811-7. 1999
    ..Traveler's diarrhea (TD) can incapacitate travelers. Characteristics of TD could be helpful in identifying individuals who might benefit from a vaccine against TD...
  3. ncbi Epidemiology of traveler's diarrhea
    Robert Steffen
    Division of Communicable Diseases and Travel Clinic, Institute of Social and Preventive Medicine of the University, World Health Organization Collaborating Center for Travelers Health, Zurich, Switzerland
    Clin Infect Dis 41:S536-40. 2005
    ..Both host factors (e.g., age, behavior, nationality, and genetic factors) and environmental factors (primarily the selected destination and hotel) play an important role in risk for traveler's diarrhea...
  4. ncbi Changing travel-related global epidemiology of hepatitis A
    Robert Steffen
    Division of Communicable Diseases and Travel Clinic, Institute of Social and Preventive Medicine of the University of Zurich, World Health Organization Collaborating Center for Travelers Health, Zurich, Switzerland
    Am J Med 118:46S-49S. 2005
    ..g., Mexico) fail to consult health professionals prior to departure. Because 50% of the US population has an anticipated lifetime risk for exposure, universal immunization against hepatitis A should be considered...
  5. ncbi Travel epidemiology--a global perspective
    Robert Steffen
    Division of Communicable Diseases, World Health Organization Collaborating Center for Travellers Health, Institute of Social and Preventive Medicine, University of Zurich, Sumatrastrasse 30, Zurich CH 8006, Switzerland
    Int J Antimicrob Agents 21:89-95. 2003
    ..The prevalence for HIV-infection, syphilis, gonorrhoea, etc. often exceeds 50% in prostitutes. In some European countries, a major proportion of heterosexuals with newly acquired HIV-infection have acquired it while abroad...
  6. ncbi Vaccination priorities
    Robert Steffen
    World Health Organization Collaborating Centre for Travellers Health, Institute of Social and Preventive Medicine, University of Zurich, Sumatrastrasse 30, CH 8006 Zurich, Switzerland
    Int J Antimicrob Agents 21:175-80. 2003
    ..It is essentially an arbitrary decision made on the risk level one wishes to recommend protection--but the priorities need to be set correctly...
  7. ncbi Evaluation of mood profiles during malaria chemoprophylaxis: a randomized, double-blind, four-arm study
    Patricia Schlagenhauf
    Division of Epidemiology and Communicable Diseases, Center for Travel Medicine, University of Zurich, Zurich, Switzerland
    J Travel Med 16:42-5. 2009
    ..To objectively compare the mood profiles of users of malaria chemoprophylaxis regimens (atovaquone-proguanil, chloroquine-proguanil, doxycycline, or mefloquine) in a group of nonimmune tourists to sub-Saharan Africa...
  8. ncbi Epidemiology of travelers' diarrhea: details of a global survey
    Robert Steffen
    Division of Epidemiology and Prevention of Communicable Diseases, Institute of Social and Preventive Medicine, University of Zurich, Zurich, Switzerland
    J Travel Med 11:231-7. 2004
    ..Compliance with recommendations to reduce exposure to pathogens by avoiding dangerous food items is poor among travelers from all countries. Implementation of food safety education programs may be difficult to achieve...
  9. ncbi Prevalence of hepatitis A virus risk factors in a very low endemic country, Switzerland
    Meichun Mohler Kuo
    Division of Epidemiology and Prevention of Non Communicable Diseases, Institute of Social and Preventive Medicine, University of Zurich, Hirschengraben 84, CH 8001 Zurich, Switzerland
    Vaccine 25:8718-25. 2007
    ....
  10. ncbi Economic aspects of travelers' diarrhea
    Mathyas Wang
    Faculty of Medicine, University of Zurich, Zurich, Switzerland
    J Travel Med 15:110-8. 2008
  11. ncbi Management of travelers' diarrhea by local physicians in tropical and subtropical countries--a questionnaire survey
    Maria N Wyss
    Division of Epidemiology and Prevention of Communicable Diseases, World Health Organization Collaborating Centre for Travellers Health, Institute of Social and Preventive Medicine, University of Zurich, Zurich, Switzerland
    J Travel Med 16:186-90. 2009
    ..Thus, we have analyzed TD management conducted by local health professionals...
  12. ncbi Diarrhoea in a large prospective cohort of European travellers to resource-limited destinations
    Raffaela Pitzurra
    University of Zurich, Institute for Social and Preventive Medicine, Division of Epidemiology and Prevention of Communicable Diseases and World Health Organization Collaborating Centre for Travellers Health, Zurich, Switzerland
    BMC Infect Dis 10:231. 2010
    ..Incidence rates of travellers' diarrhoea (TD) need to be updated and risk factors are insufficiently known...
  13. ncbi Hepatitis A virus infections in travelers, 1988-2004
    Margot Mutsch
    Division of Epidemiology and Prevention of Communicable Diseases, World Health Organization Collaborating Centre for Travelers Health, Institute of Social and Preventive Medicine, University of Zurich, Zurich, Switzerland
    Clin Infect Dis 42:490-7. 2006
    ..We analyzed recent epidemiological data on imported hepatitis A to determine region-specific attack rates and incidences...
  14. ncbi Sex and gender differences in travel-associated disease
    Patricia Schlagenhauf
    University of Zurich Centre for Travel Medicine, World Health Organisation Collaborating Centre for Travellers Health, University of Zurich, Zurich, Switzerland
    Clin Infect Dis 50:826-32. 2010
    ..No systematic studies exist on sex and gender differences across a broad range of travel-associated diseases...
  15. ncbi Vaccines in travel health: from risk assessment to priorities
    Robert Steffen
    Division of Communicable Diseases and Travel Clinic, Institute of Social and Preventive Medicine of the University, World Health Organization Collaborating Center for Travelers' Health, Zurich, Switzerland
    J Travel Med 12:26-35. 2005
  16. ncbi Imported infectious disease and purpose of travel, Switzerland
    Lukas Fenner
    University of Zurich, Zurich, Switzerland
    Emerg Infect Dis 13:217-22. 2007
    ..364 per 1,000 ill returnees). Travel to sub-Saharan Africa contributed most to malaria in VFR travelers. In countries with large migrant populations, improved public health strategies are needed to reach VFR travelers...
  17. ncbi Imported typhoid fever in Switzerland, 1993 to 2004
    Andreas Keller
    Division of Epidemiology and Prevention of Communicable Diseases, WHO Collaborating Centre for Travellers Health, Institute of Social and Preventive Medicine, University of Zurich Travel Clinic, CH 8001 Zurich, Switzerland
    J Travel Med 15:248-51. 2008
    ..In industrialized countries, typhoid fever occurs mainly in returned travelers. To determine the need for preventive strategies, eg, for vaccination, continuous monitoring is needed to assess where the risk for travelers is highest...
  18. ncbi Deaths caused by malaria in Switzerland 1988-2002
    Daniel Christen
    University of Zurich Travel Clinic, Institute for Social and Preventive Medicine, Zurich, Switzerland
    Am J Trop Med Hyg 75:1188-94. 2006
    ..Rapid malaria tests may be a useful diagnostic adjunct in centers where microscopic expertise is lacking. Falciparum malaria in a non-immune patient is an emergency requiring immediate treatment...
  19. ncbi Influenza virus infection in travelers to tropical and subtropical countries
    Margot Mutsch
    Division of Epidemiology and Prevention of Communicable Diseases, World Health Organization Collaborating Centre for Travelers Health, University of Zurich, Zurich, Switzerland
    Clin Infect Dis 40:1282-7. 2005
    ..Influenza outbreaks have been reported among travelers, but attack rates and incidence are unknown...
  20. ncbi Influenza vaccine: a travelers' vaccine?
    Franziska Marti
    University of Zurich, Institute of Social and Preventive Medicine, Division of Epidemiology and Prevention of Communicable Diseases, WHO Collaborating Centre for Traveller s Health, Zurich, Switzerland
    Expert Rev Vaccines 7:679-87. 2008
    ..Those visiting the tropics are at moderate risk of infection and illness during the entire year. A summary on existing traveler recommendations relating to avian influenza is included...
  21. ncbi Tolerability of malaria chemoprophylaxis in non-immune travellers to sub-Saharan Africa: multicentre, randomised, double blind, four arm study
    Patricia Schlagenhauf
    Division of Epidemiology and Communicable Diseases, Institute for Social and Preventive Medicine, University of Zurich, Zurich, Switzerland
    BMJ 327:1078. 2003
    ..To compare the tolerability of malaria chemoprophylaxis regimens in non-immune travellers...
  22. ncbi Knowledge, attitudes and practices of business travelers regarding malaria risk and prevention
    Roger Weber
    Institute for Social and Preventive Medicine, University of Zurich, Zurich, Switzerland
    J Travel Med 10:219-24. 2003
    ..The knowledge, attitudes and practices of business travelers with regard to malaria prevention need to be improved...
  23. ncbi Travel and public health
    Manuel Fricker
    Division of Epidemiology and Prevention of Communicable Diseases, WHO Centre for Travellers Health, cc Institute of Social and Preventive Medicine, University of Zurich, Hirschengraben 84, CH 8001 Zurich, Switzerland
    J Infect Public Health 1:72-7. 2008
    ..In contrast, in-flight transmission of infections plays only a limited role...
  24. ncbi Imported malaria in children in industrialized countries, 1992-2002
    Katrin Stäger
    University of Zurich, Zurich, Switzerland
    Emerg Infect Dis 15:185-91. 2009
    ..Returning to country of origin to visit friends and relatives was a risk factor. Malaria prevention for children should be a responsibility of healthcare providers and should be subsidized for low-income travelers to high-risk areas...
  25. ncbi The Swiss National Vaccination Coverage Survey, 2005-2007
    Phung Lang
    University of Zurich, Institute of Social and Preventive Medicine, Division of Epidemiology and Prevention of Infectious Diseases, Zurich, Switzerland
    Public Health Rep 126:97-108. 2011
    ....
  26. ncbi Malaria prophylaxis: setting the scene
    Robert Steffen
    Division of Communicable Diseases, World Health Organization Collaborating Centre for Travellers' Health, University of Zurich/ISPM, Zurich, Switzerland
    J Travel Med 10:S3-7; discussion S21. 2003
  27. ncbi Non-communicable health risks during mass gatherings
    Robert Steffen
    Division of Epidemiology and Prevention of Communicable Diseases, Institute of Social and Preventive Medicine, University of Zurich, WHO Collaborating Centre for Travellers Health, Hirschengraben 84 E29, Zurich, Switzerland
    Lancet Infect Dis 12:142-9. 2012
    ..We identified the risks for mortality and morbidity during MGs, most efficient public health interventions, and need for robust research into health risks for non-communicable diseases during MGs...
  28. ncbi Vaccination against enterotoxigenic Escherichia coli, a cause of travelers' diarrhea
    Robert Steffen
    Institute for Social and Preventive Medicine (ISPM, World Health Organization (WHO) Collaborating Center for Travelers' Health, University of Zurich, Switzerland
    J Travel Med 12:102-7. 2005
  29. ncbi Therapy of travelers' diarrhea with rifaximin on various continents
    Robert Steffen
    Division of Communicable Diseases, Institute of Social and Preventive Medicine of the University, Zurich, Switzerland
    Am J Gastroenterol 98:1073-8. 2003
    ..No relevant side effects were reported. CONCLUSION: Rifaximin is efficacious and safe for treatment of travelers' diarrhea at daily doses of 600 mg or higher...
  30. ncbi Tuberculosis infection notification in Swiss medical students during their clinical electives
    Alexander Turk
    Institute for Social and Preventive Medicine, University of Zurich, Switzerland
    Int J Infect Dis 7:268-73. 2003
    ..Possible explanations for the high incidence and possible bias are discussed...
  31. ncbi Travelers' diarrhea in the new millennium: consensus among experts from German-speaking countries
    Robert Steffen
    Division of Communicable Diseases, World Health Organization Collaborating Centre for Travellers' Health, Institute of Social and Preventive Medicine of the University, Zurich, Switzerland
    J Travel Med 10:38-45. 2003
  32. ncbi Use of the inactivated intranasal influenza vaccine and the risk of Bell's palsy in Switzerland
    Margot Mutsch
    Division of Communicable Diseases, World Health Organization Collaborating Centre for Travellers Health, Institute of Social and Preventive Medicine, University of Zurich, Zurich, Switzerland
    N Engl J Med 350:896-903. 2004
    ..After the introduction of an inactivated intranasal influenza vaccine that was used only in Switzerland, 46 cases of Bell's palsy were reported...
  33. ncbi Effectiveness of a repellent containing DEET and EBAAP for preventing tick bites
    Daniel Staub
    Institute of Social and Preventive Medicine (ISPM, University of Zurich, Switzerland
    Wilderness Environ Med 13:12-20. 2002
    ..3-114.7) was observed. No significant difference in the average number of unattached ticks could be found. CONCLUSIONS: This study found that an easily applied repellent is moderately effective in reducing the risk of tick bites...
  34. ncbi Migrants as a major risk group for imported malaria in European countries
    Patricia Schlagenhauf
    , Institute for Social and Preventive Medicine, , Sumatrastrasse 30, , Switzerland
    J Travel Med 10:106-7. 2003
  35. ncbi Prevention of travel-related infectious diseases: knowledge, practices and attitudes of Swedish travellers
    Atti-La Dahlgren
    Institute for Social and Preventive Medicine, Division of Epidemiology and Communicable Diseases, , Geneva, Switzerland
    Scand J Infect Dis 38:1074-80. 2006
    ..Efforts should focus on reaching more travellers, providing clear information and improving compliance with recommended travel health advice...
  36. ncbi Knowledge, attitudes and practices in travel-related infectious diseases: the European airport survey
    Koen Van Herck
    WHO Collaborating Centre for Prevention and Control of Viral Hepatitis, Unit of Epidemiology and Social Medicine, University of Antwerp, Antwerp, Belgium
    J Travel Med 11:3-8. 2004
    ..Our common objective is to help travelers stay healthy while abroad, and consequently to also reduce the potential importation of infectious diseases and the consequent public health and other implications...
  37. ncbi Despite good tools, we do not effectively reduce travelers' hepatitis A
    Robert Steffen
    J Travel Med 9:1-2. 2002
  38. ncbi Gastrointestinal infection among international travelers globally
    Zoe Greenwood
    Victorian Infectious Diseases Service, Royal Melbourne Hospital, Victoria, Australia
    J Travel Med 15:221-8. 2008
    ..The objective of this study was to analyze infections associated with oral ingestion of pathogens in international travelers in relation to place of exposure...
  39. ncbi Global changes related to travelers' health
    Brian Gushulak
    J Travel Med 14:205-8. 2007
  40. ncbi Health risks among travelers--need for regular updates
    Robert Steffen
    J Travel Med 15:145-6. 2008
  41. ncbi Travelers' knowledge, attitudes, and practices on prevention of infectious diseases: results from a pilot study
    Koen Van Herck
    Centre for the Evaluation of Vaccination, WHO Collaborating Centre for Prevention and Control of Viral Hepatitis Epidemiology and Social Medicine, University of Antwerp, Universiteitsplein 1, B-2610 Antwerp, Belgium
    J Travel Med 10:75-8. 2003
    ..Strategies are needed for raising awareness of preventable travel health issues and for raising compliance with existing recommendations...
  42. ncbi Drug-free holidays: pre-travel versus during travel malaria chemoprophylaxis
    G Dennis Shanks
    Am J Trop Med Hyg 77:1-2. 2007
    ..Treatment regimens of antimalarial drugs taken prior to travel could protect persons for up to one month of exposure. We urge additional testing of pre-travel malaria chemoprophylaxis regimens...
  43. ncbi A randomized, double-blind, multicenter study of rifaximin compared with placebo and with ciprofloxacin in the treatment of travelers' diarrhea
    David N Taylor
    Salix Pharmaceuticals, Inc, Morrisville, North Carolina, USA
    Am J Trop Med Hyg 74:1060-6. 2006
    ..35 versus rifaximin). Rifaximin was less effective than ciprofloxacin for invasive intestinal bacterial pathogens. Oral rifaximin is a safe and effective treatment of travelers' diarrhea caused by noninvasive pathogens...
  44. ncbi The risk of acquiring hepatitis A and B among travelers in selected Eastern and Southern Europe and non-European Mediterranean countries: review and consensus statement on hepatitis A and B vaccination
    Hans Dieter Nothdurft
    Department of Infectious Diseases and Tropical Medicine, University of Munich, Munich, Germany
    J Travel Med 14:181-7. 2007
  45. ncbi Rifaximin treatment of pathogen-negative travelers' diarrhea
    Herbert L DuPont
    Center for Infectious Diseases, Houston School of Public Health, The University of Texas, Houston, TX, USA
    J Travel Med 14:16-9. 2007
    ..Antibacterial drugs appear to be effective in shortening the illness of a majority of cases of travelers' diarrhea...
  46. ncbi Enteroaggregative Escherichia coli diarrhea in travelers: response to rifaximin therapy
    Rosa M Infante
    Center for Infectious Diseases, The University of Texas-Houston School of Public Health and Medical School, Houston, Texas, USA
    Clin Gastroenterol Hepatol 2:135-8. 2004
    ..The study provides information on the value of the poorly absorbed drug rifaximin in therapy of travelers' diarrhea...
  47. ncbi Prevalence of enteric pathogens among international travelers with diarrhea acquired in Kenya (Mombasa), India (Goa), or Jamaica (Montego Bay)
    Zhi Dong Jiang
    Center for Infectious Diseases, University of Texas Houston School of Public Health, Houston, TX 77030, USA
    J Infect Dis 185:497-502. 2002
    ..Quinolones were active against the bacterial enteropathogens in the 3 sites...
  48. ncbi Diet in the treatment of diarrhea: from tradition to evidence
    Robert Steffen
    Clin Infect Dis 39:472-3. 2004
  49. ncbi Markers of inflammation in bacterial diarrhea among travelers, with a focus on enteroaggregative Escherichia coli pathogenicity
    David E Greenberg
    Baylor College of Medicine, Houston, Texas, USA
    J Infect Dis 185:944-9. 2002
    ..Bacterial pathogens causing traveler's diarrhea commonly produce intestinal inflammation, although a subset of patients with EAEC-associated diarrhea fail to develop an inflammatory response...
  50. ncbi Immunogenicity of booster vaccination with a virosomal hepatitis A vaccine after primary immunization with an aluminum-adsorbed hepatitis A vaccine
    Bernard R Beck
    Department of Medical and Diagnostic Services, Swiss Tropical Institute, Basel, Switzerland
    J Travel Med 11:201-6. 2004
    ..CONCLUSION: Epaxal can be successfully used to boost immunization following primary vaccination with an aluminum-adsorbed vaccine, and is well tolerated...
  51. ncbi Tsunami and the role of the international travel health community
    Annelies Wilder-Smith
    J Travel Med 12:117-9. 2005
  52. ncbi Traveler's diarrhea: epidemiology and impact on visitors to Fortaleza, Brazil
    Anamaria Cavalcanti
    Instituto de Pós Graduação Médica Carlos Chagas, Rio de Janeiro, RJ, Brazil
    Rev Panam Salud Publica 11:245-52. 2002
    ..To assess the epidemiology and impact of traveler's diarrhea (TD) among visitors to the city of Fortaleza, Ceará, Brazil, as part of a global study on TD carried out in four countries...
  53. ncbi Phenotypic diversity of enterotoxigenic Escherichia coli (ETEC) isolated from cases of travelers' diarrhea in Kenya
    Hind I Shaheen
    Naval Medical Research Unit No. 3, Cairo, Egypt
    Int J Infect Dis 7:35-8. 2003
    ....
  54. ncbi Rate of occurrence and pathogenic effect of enteroaggregative Escherichia coli virulence factors in international travelers
    Zhi Dong Jiang
    The University of Texas Health Science Center School of Public Health, Houston, Texas 77030, USA
    J Clin Microbiol 40:4185-90. 2002
    ..The different patterns of virulence factors of EAEC revealed several clusters demonstrating diversity among the isolates from the various regions...
  55. ncbi Health risks in travelers to China: the GeoSentinel experience and implications for the 2008 Beijing Olympics
    Xiaohong M Davis
    Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA
    Am J Trop Med Hyg 79:4-8. 2008
    ..Tropical and parasitic diseases were rare. Pre-travel consultation for China travelers should be individualized according to these findings...