Travel-Related Risk Behaviors and Antibiotic Use Among Older Travelers
| Autor: | D Hamilton Tilley, Jamie Fraser, Anuradha Ganesan, David R. Tribble, Kalyani Telu, Varea H Costello, Tahaniyat Lalani, Christa Eickhoff, Gregory Utz |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
travelers’ diarrhea
Pediatrics medicine.medical_specialty Traveler's diarrhea business.industry medicine.drug_class Antibiotics diarrhea antibacterial agents medicine.disease Major Articles Diarrhea AcademicSubjects/MED00290 Infectious Diseases Oncology Cohort Medicine Antimicrobial stewardship Observational study Antibiotic use medicine.symptom business human activities travel Loose Stool |
| Zdroj: | Open Forum Infectious Diseases |
| ISSN: | 2328-8957 |
| DOI: | 10.1093/ofid/ofab395 |
| Popis: | Background Antibiotic stewardship in the pretravel care of older adults is important to effectively treat infections while minimizing harm from side effects and unnecessary antibiotic use. The objective of this study was to compare the characteristics, risk behaviors, infectious diseases, and antibiotic use between older (≥60 years) and younger (18–59 years) travelers. Methods TravMil is a prospective, observational cohort of United States (US) Department of Defense beneficiaries traveling outside the continental US for ≤6.5 months. For this analysis, we included adults enrolled pretravel between January 2010 and August 2018 and excluded active duty personnel on deployment. Pre and post-travel surveys captured trip characteristics, exposures, illnesses, and antibiotic use. Results A total of 1742 travelers were analyzed: 747 (42.9%) were aged ≥60 years and 995 (57.1%) were aged 18–59 years. Older travelers were less likely to engage in high-risk dietary behaviors and experience travelers’ diarrhea than younger travelers (18.2% vs 22.9%; P Older travelers (≥60 years) are less likely to engage in high-risk dietary behaviors and experience travelers’ diarrhea than younger travelers (18–59 years). Antibiotics are often used inappropriately for mild or self-limited diarrhea and influenza-like illnesses during travel. |
| Databáze: | OpenAIRE |
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