Pre-travel advice at a crossroad: Medical preparedness of travellers to South and Southeast-Asia - The Hamburg Airport Survey

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Pre-travel advice at a crossroad: Medical preparedness of travellers to South and Southeast-Asia - The Hamburg Airport Survey. / Rolling, Thierry; Mühlenpfordt, Melina; Addo, Marylyn M; Cramer, Jakob P; Vinnemeier, Christof D.

in: TRAVEL MED INFECT DI, Jahrgang 18, 07.2017, S. 41-45.

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@article{08052d3891494bf0a4772623d2914a26,
title = "Pre-travel advice at a crossroad: Medical preparedness of travellers to South and Southeast-Asia - The Hamburg Airport Survey",
abstract = "BACKGROUND: Specific travel-related recommendations exist for the prevention or self-treatment of infectious diseases contracted by travellers to the tropics. In the current study, we assessed the medical preparedness per these recommendations, focusing on utilization of antidiarrheal and antimalarial medication and stratified by type of pre-travel advice.METHODS: We surveyed travellers departing from Hamburg International Airport to South or Southeast Asia, using a questionnaire on demographic, medical and travel characteristics.RESULTS: 975 travellers were analysed - the majority (817, 83%) being tourists. A large proportion packed any antidiarrheal medication (612, 63%) - most frequently loperamide (440, 72%). Only 176 of 928 (19%) travellers to destinations with low-to medium risk for malaria packed a recommended antimalarial medication. The majority (162, 17%) of them carried antimalarials as stand-by emergency treatment (SBET). 468 (48%) travellers had a pre-travel medical consultation. This lead to higher odds of carrying SBET- with the highest odds associated with a consultation at a travel medicine specialist (OR 7.83 compared to no consultation).CONCLUSIONS: Attending a travel medicine specialist was associated with better adherence to current recommendations concerning the carriage of stand-by emergency treatment of malaria. However, the proportion of travellers seeking pre-travel health advice was overall low in our population. Promoting pre-travel consultations may, therefore, lead to higher adherence to the current recommendations in travel medicine.",
keywords = "Journal Article",
author = "Thierry Rolling and Melina M{\"u}hlenpfordt and Addo, {Marylyn M} and Cramer, {Jakob P} and Vinnemeier, {Christof D}",
note = "Copyright {\textcopyright} 2017. Published by Elsevier Ltd.",
year = "2017",
month = jul,
doi = "10.1016/j.tmaid.2017.07.008",
language = "English",
volume = "18",
pages = "41--45",
journal = "TRAVEL MED INFECT DI",
issn = "1477-8939",
publisher = "Elsevier USA",

}

RIS

TY - JOUR

T1 - Pre-travel advice at a crossroad: Medical preparedness of travellers to South and Southeast-Asia - The Hamburg Airport Survey

AU - Rolling, Thierry

AU - Mühlenpfordt, Melina

AU - Addo, Marylyn M

AU - Cramer, Jakob P

AU - Vinnemeier, Christof D

N1 - Copyright © 2017. Published by Elsevier Ltd.

PY - 2017/7

Y1 - 2017/7

N2 - BACKGROUND: Specific travel-related recommendations exist for the prevention or self-treatment of infectious diseases contracted by travellers to the tropics. In the current study, we assessed the medical preparedness per these recommendations, focusing on utilization of antidiarrheal and antimalarial medication and stratified by type of pre-travel advice.METHODS: We surveyed travellers departing from Hamburg International Airport to South or Southeast Asia, using a questionnaire on demographic, medical and travel characteristics.RESULTS: 975 travellers were analysed - the majority (817, 83%) being tourists. A large proportion packed any antidiarrheal medication (612, 63%) - most frequently loperamide (440, 72%). Only 176 of 928 (19%) travellers to destinations with low-to medium risk for malaria packed a recommended antimalarial medication. The majority (162, 17%) of them carried antimalarials as stand-by emergency treatment (SBET). 468 (48%) travellers had a pre-travel medical consultation. This lead to higher odds of carrying SBET- with the highest odds associated with a consultation at a travel medicine specialist (OR 7.83 compared to no consultation).CONCLUSIONS: Attending a travel medicine specialist was associated with better adherence to current recommendations concerning the carriage of stand-by emergency treatment of malaria. However, the proportion of travellers seeking pre-travel health advice was overall low in our population. Promoting pre-travel consultations may, therefore, lead to higher adherence to the current recommendations in travel medicine.

AB - BACKGROUND: Specific travel-related recommendations exist for the prevention or self-treatment of infectious diseases contracted by travellers to the tropics. In the current study, we assessed the medical preparedness per these recommendations, focusing on utilization of antidiarrheal and antimalarial medication and stratified by type of pre-travel advice.METHODS: We surveyed travellers departing from Hamburg International Airport to South or Southeast Asia, using a questionnaire on demographic, medical and travel characteristics.RESULTS: 975 travellers were analysed - the majority (817, 83%) being tourists. A large proportion packed any antidiarrheal medication (612, 63%) - most frequently loperamide (440, 72%). Only 176 of 928 (19%) travellers to destinations with low-to medium risk for malaria packed a recommended antimalarial medication. The majority (162, 17%) of them carried antimalarials as stand-by emergency treatment (SBET). 468 (48%) travellers had a pre-travel medical consultation. This lead to higher odds of carrying SBET- with the highest odds associated with a consultation at a travel medicine specialist (OR 7.83 compared to no consultation).CONCLUSIONS: Attending a travel medicine specialist was associated with better adherence to current recommendations concerning the carriage of stand-by emergency treatment of malaria. However, the proportion of travellers seeking pre-travel health advice was overall low in our population. Promoting pre-travel consultations may, therefore, lead to higher adherence to the current recommendations in travel medicine.

KW - Journal Article

U2 - 10.1016/j.tmaid.2017.07.008

DO - 10.1016/j.tmaid.2017.07.008

M3 - SCORING: Journal article

C2 - 28733254

VL - 18

SP - 41

EP - 45

JO - TRAVEL MED INFECT DI

JF - TRAVEL MED INFECT DI

SN - 1477-8939

ER -