Adherence to recommendations at a Canadian tertiary care Family Travel Clinic - A single centre analysis
| Autor: | Emily K.K. Fong, Lisa G. Pell, Ahmed Faress, Jenny Hoang Nguyen, Xiao Wei Ma, Ray E. Lam, Debra Louch, Michelle E. Science, Shaun K. Morris |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Canada Visiting friends and relatives Adolescent Tertiary care Chemoprevention Medication Adherence Tertiary Care Centers Young Adult Surveys and Questionnaires medicine Travel medicine Humans Family Prospective Studies Prospective cohort study Child Ontario Travel business.industry Malaria prophylaxis Public Health Environmental and Occupational Health Infant Insect Bites and Stings Middle Aged Patient Acceptance of Health Care medicine.disease Hospitals Pediatric Malaria Single centre Infectious Diseases Family medicine Child Preschool Chemoprophylaxis Female business |
| Zdroj: | Travel medicine and infectious disease. 34 |
| ISSN: | 1873-0442 |
| Popis: | Background Infectious and non-infectious risks associated with international travel can be reduced with adherence to pre-travel advice from practitioners trained in travel medicine. Methods A prospective cohort study was conducted in a tertiary care children's hospital to assess adherence to malaria chemoprophylaxis, safe water and food consumption, mosquito bite protection, motor vehicle safety and travel vaccines using structured questionnaires. High risk groups assessed included child travelers and those visiting friends and relatives (VFRs). Results In total, 290 participants (133 children and 157 adults) were enrolled and completed at least one study questionnaire. In general, with the exception of vaccines, adherence to recommendations was sub-optimal. Among children and adults, adherence to malaria prophylaxis recommendations was lower in VFRs than in non-VFRs. The proportion of children VFRs (cVFRs) and adult VFRs (aVFRs) who adhered to the following recommendations were malaria chemoprophylaxis (47%, 33%), safe water (71%, 74%) and food recommendations (18%, 6%), insect bite avoidance (21%, 12%), and motor vehicle safety (13%, 11%) respectively. Adherence to recommended vaccines uptake was greater than 90% in all groups. Conclusion With the exception of vaccine uptake, sub-optimal adherence levels to travel recommendations was identified in all groups, and in particular VFRs, highlighting the need for proactive discussions around barriers to adherence. |
| Databáze: | OpenAIRE |
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