Immunocompromised Travelers: Demographic Characteristics, Travel Destinations, and Pretravel Health Care from the U.S. Global TravEpiNet Consortium
| Autor: | Brian S, Schwartz, Jessica, Rosen, Pauline V, Han, Noreen A, Hynes, Stefan H, Hagmann, Sowmya R, Rao, Emily S, Jentes, Edward T, Ryan, Regina C, LaRocque, The Global TravEpiNet Consortium |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Counseling Male Pediatrics medicine.medical_specialty Adolescent 030231 tropical medicine Primary care Vaccines Administered Destinations 03 medical and health sciences Immunocompromised Host Young Adult 0302 clinical medicine Virology Health care medicine Travel medicine Humans 030212 general & internal medicine Medical prescription Child Aged Demography Aged 80 and over Travel business.industry Infant Articles Middle Aged United States 3. Good health Infectious Diseases Family medicine Child Preschool Communicable Disease Control Parasitology Disease prevention Female business human activities Delivery of Health Care Random intercept Immunosuppressive Agents |
| Zdroj: | The American Journal of Tropical Medicine and Hygiene |
| ISSN: | 1476-1645 |
| Popis: | An increasing number of immunocompromised individuals are pursuing international travel, and a better understanding of their international travel patterns and pretravel health care is needed. We evaluated the clinical features, itineraries, and pretravel health care of 486 immunocompromised international travelers seen at Global TravEpiNet sites from January 2009 to June 2012. We used bivariate analyses and logistic regressions using random intercept models to compare demographic and travel characteristics, vaccines administered, and medications prescribed for immunocompromised travelers versus 30,702 immunocompetent travelers. Immunocompromised travelers pursued itineraries that were largely similar to those of immunocompetent travelers, with nearly one-third of such travelers visiting countries with low human development indices. Biological agents, including tumor necrosis factor blockers, were commonly used immunosuppressive medications among immunocompromised travelers. A strong collaboration between travel-medicine specialists, primary care doctors, and specialist physicians is needed to prepare immunocompromised people for international travel. Incorporating routine questioning and planning regarding travel into the primary care visits of immunocompromised people may be useful. |
| Databáze: | OpenAIRE |
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