IMPLEMENTATION OF PRETRAVEL ADVICE : GOOD FOR MALARIA, BAD FOR DIARRHOEA
| Autor: | W. E. Peetermans, E. Van Wijngaerden |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Adult
Diarrhea Male medicine.medical_specialty Guidelines as Topic South Africa Belgium Chloroquine Surveys and Questionnaires medicine Humans Medical prescription Antibacterial agent Travel Mefloquine business.industry Incidence (epidemiology) General Medicine medicine.disease Malaria Surgery Primary Prevention Vaccination Family medicine Chemoprophylaxis Female Immunization business medicine.drug |
| Zdroj: | Acta Clinica Belgica. 56:284-288 |
| ISSN: | 2295-3337 1784-3286 |
| Popis: | Pretravel immunizations and health advice can substantially reduce the incidence of travel-related diseases. The aim of this study was to evaluate the implementation of pretravel advice among a homogenous group of students, who received similar written information on vaccination requirements and health advice. They were referred to the travel clinic (50%) or a general practitioner (50%) for vaccination, counselling and prescriptions. Eighty-four out of 110 students (76%) returned the questionnaire. Insect repellent was used by all and only 10 used the repellent for less than 75% of the time spent in malaria endemic areas. Malaria chemoprophylaxis was taken by all but one: chloroquine plus proquanil by 12 and mefloquine by 71. Reported compliance with the dosing regimen was optimal in 64 students, 9 missed one dose and 10 stopped too early. Side effects due to antimalarials were reported by 25 (30%). Diarrhoea during travel occurred in 43 students (51%). Loperamide was used by 34 students with diarrhoea (79%), but only 2 out of 27 students with moderate to severe diarrhoea used the recommended self-treatment with a fluoroquinolone antibiotic. In conclusion, the recommendations of malaria prophylaxis were well implemented by most travellers despite a high incidence of self-reported side effects to antimalarials. The incidence of traveller's diarrhoea was high and the recommendation for early self-treatment of moderate to severe diarrhoea with a fluoroquinolone antibiotic in combination with loperamide was not put into practice. |
| Databáze: | OpenAIRE |
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