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Titolo:
Implementation of pretravel advice: Good for malaria, bad for diarrhoea
Autore:
Peetermans, WE; Van Wijngaerden, E;
Indirizzi:
Katholieke Univ Leuven Hosp, Dept Internal Med, B-3000 Louvain, Belgium Katholieke Univ Leuven Hosp Louvain Belgium B-3000 3000 Louvain, Belgium
Titolo Testata:
ACTA CLINICA BELGICA
fascicolo: 5, volume: 56, anno: 2001,
pagine: 284 - 288
SICI:
0001-5512(200109/10)56:5<284:IOPAGF>2.0.ZU;2-K
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRAVELERS DIARRHEA; MEFLOQUINE; CHEMOPROPHYLAXIS; MANAGEMENT; PREVENTION; INDIA;
Keywords:
diarrhoea; malaria; travel advice;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
14
Recensione:
Indirizzi per estratti:
Indirizzo: Peetermans, WE Katholieke Univ Leuven Hosp, Dept Internal Med, Herestr 49,B-3000 Louvain, Belgium Katholieke Univ Leuven Hosp Herestr 49 Louvain Belgium B-3000
Citazione:
W.E. Peetermans e E. Van Wijngaerden, "Implementation of pretravel advice: Good for malaria, bad for diarrhoea", ACT CLIN B, 56(5), 2001, pp. 284-288

Abstract

Pretravel immunisations 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-fourout 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 diarrhoeawith a fluoroquinolone antibiotic in combination with loperamide was not put into practice.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 08/04/20 alle ore 09:05:51