The Pretravel Consultation: Recent Updates

Murray, Henry W.

doi:10.1016/j.amjmed.2020.02.005

Cited by 4 publications

(3 citation statements)

References 42 publications

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“…(10) The quality of pre-travel counseling, which is an indispensable measure for optimal risk management of travelers, hinges on the experience and knowledge of the healthcare professional providing the consultation. (11) It is through this expertise that personalized strategies to mitigate health risks -from behavioral norms to prescription prophylaxis and often expedited vaccination protocols -are crafted.…”

Section: Introductionmentioning

confidence: 99%

Italian Medical professionals Practices, Attitudes and Knowledge in Travel medicine (IMPAKT): a national survey protocol

Baglivo,

De Angelis,

Vannini

et al. 2024

Preprint

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Introduction: The evolving global health landscape highlights the importance of travel medicine, making it necessary for healthcare professionals to understand the epidemiologic profiles among varied traveler populations and keep themselves updated in this rapidly changing field. However, in Italy, travel medicine clinics have significant gaps in resource allocation, staff training, and infrastructure. This is the protocol of a cross-sectional study that aims to create and validate a questionnaire to assess the knowledge, attitudes, and practices of healthcare professionals in travel medicine in Italy. The final goal is to provide a tool to evaluate the state of travel medicine, guide training initiatives, and monitor trends over time. Methods: The study population consists of healthcare professionals who practice travel medicine in Italy. The questionnaire will be developed by adapting an existing English survey and conducting a scoping review to align the questionnaire with contemporary scientific discourse. The validation process includes face validity, content validity, and expert evaluation. The sample size, determined through power analysis, ranges from 218 to 278 participants. The questionnaire will undergo a pilot test on a smaller sample size (10% of the total) to identify and address any issues. Statistical analysis will include central tendency and dispersion measures, categorical summaries, group comparisons, and regressions. This research received ethical approval and informed consent will be collected from all participants. Discussion: This cross-sectional study will guide strategic planning and targeting training and awareness activities in areas deemed most critical or lacking. The study's structured approach and periodic assessments will facilitate the identification of educational gaps, the dissemination of best practices, and the overall improvement of healthcare services for travelers in Italy.

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Section: Introductionmentioning

confidence: 99%

Italian Medical professionals Practices, Attitudes and Knowledge in Travel medicine (IMPAKT): a national survey protocol

Baglivo,

De Angelis,

Vannini

et al. 2024

Preprint

View full text Add to dashboard Cite

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“…Pre-travel consultations are designed to assess the risk of a number of diseases, inform about these risks, and then provide individualized recommendations and interventions to prevent them. [10] Advising the traveler about vaccine-preventable diseases is a cornerstone of the pre-travel consultation. [11] A comprehensive pretravel medical consultation should include an individualized risk assessment; a review of immunizations; and a discussion of arthropod protective measures, malaria prophylaxis and other travelrelated education.…”

Section: Introductionmentioning

confidence: 99%

Prophylaxis of infectious diseases among Polish population travelling abroad

Magda,

Gazda,

Gaik

et al. 2023

J Educ Health Sport

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Introduction and purpose of the study: With the gradual increase in travel, new challenges are arising in the health sector, especially with regard to infectious diseases. Growing number of Poles choose countries on other continents as their holiday destination. The aim of this study was to examine the health behaviour of Poles in relation to their travel destinations within Europe, Asia and Africa. Of particular importance were pre-travel consultations, awareness of recommended and mandatory vaccinations and malaria prevention. Material and method: The study was based on an analysis of data from a specially constructed, online questionnaire. It was completed by 237 people. Pearson’s χ2 test, T-student and ANOVA were used to analyse the survey results. The processing of the data obtained, statistical calculations and graphs were performed using the R programme. Results and conclusions: Travellers to Asian or African countries were significantly more likely to seek information on the infectious diseases their travel destination was at risk of than travellers to European countries. In addition, recommended vaccinations were significantly more frequently administered prior to travelling to Africa or Asia than before travelling within Europe. No statistically significant differences were found between travellers to Asia or Africa in terms of seeking information on the infectious diseases, having a pre-travel consultation or being administered recommended vaccinations. With regards to malaria-prone regions, travellers to Africa were more than twice as likely to take antimalarial drugs than travellers to Asia. Mandatory vaccinations were significantly more common than recommended vaccinations, although despite the obligation some travellers still chose not to receive them.

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“…Despite current knowledge on the causes and risk factors for diarrhea among travelers, the burden of traveler's diarrhea (TD) remains high. [1][2][3][4][5] Travelers' diarrhea continues to be one of the most common medical concerns experienced by international travelers from the United States, 6 with 10% to 40% of travelers reporting TD over a 2-week trip depending on the travel destination and other characteristics. 1 Among travelers visiting high-risk regions, the likelihood of developing diarrhea is 30% to 70%, 7 despite knowledge of risk factors gained from previous research, and traveler education programs addressing such.…”

Section: Introductionmentioning

confidence: 99%

Incidence Rate and Risk Factors Associated with Travelers’ Diarrhea in International Travelers Departing from Utah, USA

Fernandez

Ahmed

Graves

et al. 2022

The American Journal of Tropical Medicine and Hygiene

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Despite knowledge on the causes and prevention strategies for travelers’ diarrhea (TD), it continues to be one of the most common illnesses experienced by U.S. international travelers. However, studies of risk factors associated with TD among U.S. travelers are limited. In this study, we aimed to determine the incidence rate of TD, the proportion of travelers who experience TD, and to identify risk factors associated with TD. In this cross-sectional study, we collected and analyzed data from anonymous posttravel questionnaires submitted by international travelers recruited during their pretravel visit at two travel clinics in Salt Lake City, Utah, from October 2016 to March 2020. Of 571 travelers who completed posttravel surveys, 484 (85%) answered the TD question, of which 111 (23%) reported TD, for an incidence rate of 1.1 episodes per 100 travel-days (95% confidence interval [CI]: 0.9–1.4). In a multivariable model, visiting Southeast Asian (odds ratio [OR]: 2.60; 95% CI: 1.45–4.72) and African (OR: 2.06; 95% CI: 1.09–3.93]) WHO regions, having 10 or more individuals in the group (OR: 3.91; 95% CI: 1.50–11.32]), longer trip duration (OR: 1.01; 95% CI: 1.00–1.02), visiting both urban and rural destinations (OR: 1.94; 95% CI: 1.01–3.90), and taking medications/supplements to prevent TD (OR: 2.74; 95% CI: 1.69–4.47) were statistically significantly associated with increased odds of reporting TD. TD continues to be common in international travelers from the United States. Our findings provide insights regarding travelers’ behaviors regarding TD in international travelers from high-income countries and shows the need for additional research into prevention strategies for travelers’ diarrhea.

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The Pretravel Consultation: Recent Updates

Cited by 4 publications

References 42 publications

Italian Medical professionals Practices, Attitudes and Knowledge in Travel medicine (IMPAKT): a national survey protocol

Italian Medical professionals Practices, Attitudes and Knowledge in Travel medicine (IMPAKT): a national survey protocol

Prophylaxis of infectious diseases among Polish population travelling abroad

Incidence Rate and Risk Factors Associated with Travelers’ Diarrhea in International Travelers Departing from Utah, USA

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