Pharmacist-Run Travel Medicine Clinic

Brennan, Cynthia

doi:10.1345/aph.1e360

Cited by 5 publications

(4 citation statements)

References 6 publications

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“…The travel health workload in all pharmacies appeared low. In contrast, although many of the reported international pharmacy-run travel health services appear to offer fully comprehensive services, supported with standard questionnaires and interview schedules to aid the assessment of travellers [ 13 , 15 , 17 , 21 , 22 , 23 ], their workload is also often low and comparable with that of this study. Kodkani et al [ 18 ] also reported a variation in pharmacy travel health workload in Switzerland, with 8% of respondents giving frequent advice (more than 5 times per week) and 10% giving infrequent advice (less than 6 times per year).…”

Section: Discussionsupporting

confidence: 50%

“…This has already been adopted in some Canadian jurisdictions [ 2 ]. There are a number of different pharmacist prescribing models across the UK, USA and Canada, with pharmacists in all countries traditionally providing non-prescription drugs for traveller’s diarrhoea, motion sickness and sun and insect bite protection [ 2 , 10 , 12 , 13 , 14 , 15 , 16 , 17 ]. The well-established medication documentation systems of pharmacies could also play a role in assisting patients to maintain documentation on their vaccination history and while travel health consultations focus largely on infectious diseases, the impact of non-infectious causes of morbidity and motility during travel cannot be overemphasised and this again presents pharmacists with an opportunity for which they are already trained [ 12 , 13 , 14 , 15 , 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

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Australian Pharmacists’ Perceptions and Practices in Travel Health

et al. 2018

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Worldwide, pharmacists are playing an increasing role in travel health, although legislation and funding can dictate the nature of this role, which varies from country to country. The aim of this study was to explore the current and potential future practices in travel health for pharmacists in Australia, as well as the perceived barriers, including training needs, for the provision of services. A survey was developed and participation was sought from a representative sample of Australian pharmacists, with descriptive statistics calculated to summarise the frequency of responses. A total of 255 participants, predominantly female (69%), below 50 years (75%) and registered less than 30 years completed the survey. Although over two-thirds (68%) provided travel-related advice in their current practice, the frequency of advice provision was low (less than 2 travellers per week) and limited to responding to travellers questions. Although Australian pharmacists are currently unable to administer travel vaccines and prescription only medications without prescription, they still consider travel health to be an appropriate role and that their clients would seek travel health advice from pharmacies if offered. Currently, key roles for Australian pharmacists are advising travellers who do not seek advice from other practitioners, reinforcing the advice of other health practitioners and referring travellers needing vaccinations and antimalarials. In order to expand these services, the barriers of workload, time, staffing and the need for training in travel health need to be addressed. In summary, the travel health services provided by pharmacies in Australia still have a way to go before they match the services offered by pharmacies in some other countries, however Australian pharmacist are keen to further develop their role in this area.

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Section: Discussionsupporting

confidence: 50%

Section: Introductionmentioning

confidence: 99%

Australian Pharmacists’ Perceptions and Practices in Travel Health

et al. 2018

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“…Historically, doctors and nurses have provided pre-travel consultation services as it was only these professions that were allowed to administer vaccinations [95]. However, over the last two decades, pharmacists have begun to provide these services as observed in many published articles on travel health services [96,97,98,99,100,101,102,103,104].…”

Section: Aims Of a Pre-travel Consultationmentioning

confidence: 99%

A Review of Guidelines/Guidance from Various Countries Around the World for the Prevention and Management of Travellers’ Diarrhoea: A Pharmacist’s Perspective

Hitch

2019

Pharmacy

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International travel is growing and pharmacists are well placed to provide travel health services for the prevention and management of travellers’ diarrhoea (TD). Legislation changes in many countries has enabled pharmacists to access prescription only medicines and vaccinations to provide advice and over the counter medicines for the prevention and management for travel health services; this makes sense since pharmacies are easily accessible to the public and are the patient’s first port of call in the event of any illness. Currently, whilst many guidelines/guidance exist worldwide for the prevention and management of TD, there is no review that focuses on similarities and differences between these and between guidelines on TD and travel related and non-travel related acute diarrhoea. There is also a lack of publication on legislation and the need for evidence based training for all prescribers to provide travel health services. The aims of this work were to review guidelines/guidance for the prevention and management of TD from across the world which were compared with each other as were the TD guidelines compared to that for travel related and non-travel related acute diarrhoea for similarities and differences, with a focus on any relevant pharmacy legislation, needs assessments and training that may impact upon provision of travel health services by pharmacists focusing mainly on TD in adults. The PubMed, Google Scholar and Cochrane database were used to carry out an online search for publications on TD, acute diarrhoea and the guidance pharmacists have in the prevention and management of diarrhoea. The literature reviewed in this article indicates that where no specific guidelines/guidance existed, some pharmacists used the WHO guidelines (WHO), highlighting a need for local, regional and national evidence based guidelines in these countries.

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“…To provide appropriate and competent travel advice, the pharmacist requires further training in the field of travel medicine [13]. As with any new project, careful monitoring and professional control are advisable [22] in this particular field.…”

mentioning

confidence: 99%

Involving pharmacists in the provision of pretravel advice — A campaign in Hungary. Preliminary report

Felkai¹

2009

Clinical and Experimental Medical Journal

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By the end of World War II, a real "travel industrial revolution" has occurred in the Western democracies. A rapidly growing number of holidaymakers preferred to spend their holidays abroad, with travel becoming increasingly popular. One by one, previous colonies became independent and looked for income, often introducing tourism as the simplest source of finance. In At the end of the 20 th century, a real "travel industrial revolution" occurred in the Eastern European countries. The possibility of traveling abroad without restriction resulted in a new wave of international tourism, both from east to west and vice versa. Unfortunately, the greatest impediment seems to be the disinterest of Hungarian travelers in the healthcare culture of travel. International data indicate that even people from countries with a much more well-developed traveling tradition fail to avail themselves to any degree of the possibilities offered by travel-related prophylaxis. To make the things even worse, the overwhelming majority (94.9%) of Hungarian travelers abroad travel within the European continent, where the endemic infections are not so frightening, and the hygienic conditions are good. Therefore the travel advice is even more neglected. The lack of proper travel advice sources (e.g. travel clinic, travel medicine professionals) in our country also facilitates the uninterested manner of traveler. In order to give a simple, but comprehensive and widespread possibility for travel advice, the author and his colleagues elaborate a program for health promotion. The provision of medical advice by the pharmacist is a well-accepted practice worldwide. Pharmacists should be considered a possible counseling source in the field of travel medicine, therefore they are considered a primary source of travel advice in Hungary. Obviously, an appropriate training and educational program is needed in travel medicine. The basic elements of that training and the body of knowledge are discussed. Author introduces a complex campaign for travel health promotion, with the help of pharmacists, who are uniquely positioned to increase patient access to the prevention and advice on travel-related medical problems.

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Pharmacist-Run Travel Medicine Clinic

Cited by 5 publications

References 6 publications

Australian Pharmacists’ Perceptions and Practices in Travel Health

Australian Pharmacists’ Perceptions and Practices in Travel Health

A Review of Guidelines/Guidance from Various Countries Around the World for the Prevention and Management of Travellers’ Diarrhoea: A Pharmacist’s Perspective

Involving pharmacists in the provision of pretravel advice — A campaign in Hungary. Preliminary report

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