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Quality of travel health advice in a French travel medicine and vaccine center: a prospective observational study.
J Travel Med. 2012 Mar-Apr; 19(2):76-83.JT

Abstract

BACKGROUND

The number of international trips undertaken by French citizens is rising and we wished to assess the appropriateness of advices given to travelers in a vaccine and travel medicine center in France.

METHODS

We conducted a 3-month prospective study in one center in Paris where prescriptions and advice to travelers are given by trained physicians in travel medicine who have access to a computerized decision support system (Edisan). A questionnaire was used to record trip characteristics, patients' demographics, and prescriptions. Main outcome measure was the adequacy of prescriptions for malaria prophylaxis, yellow fever, and hepatitis A vaccines to French guidelines.

RESULTS

A total of 730 subjects were enrolled in this study, with a median age of 28 years. Travel destinations were sub-Saharan Africa (58%), Asia (21%), and South America (18%). Among the 608 patients (83%) traveling to malaria-endemic areas, malaria prophylaxis was in accordance with guidelines in 578/608 patients (95.1%, 95% CI: 93-96.5), and doxycycline was the regimen of choice (48%). Inappropriate malaria prophylaxis was given to eight patients, one of whom developed plasmodium falciparum malaria. All 413 patients (100%, 95% CI: 99-100) traveling to yellow fever-endemic areas who needed vaccination were correctly vaccinated. However, three patients received yellow fever vaccination without indication. Also, 442 of 454 patients (97.4%, 95% CI: 95.4-98.5) eligible to receive hepatitis A vaccination were immunized.

CONCLUSION

Appropriate advice for malaria prophylaxis, yellow fever, and hepatitis A vaccinations was provided in a travel medicine and vaccine center where trained physicians used a computerized decision support system. Even in this setting, however, errors can occur and professional practices should be regularly assessed to improve health care.

Authors+Show Affiliations

Department of Infectious Diseases, Hospital Saint-Louis, Paris, France. marie-anne.bouldouyre@sls.aphp.frNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22414031

Citation

Bouldouyre, Marie-Anne, et al. "Quality of Travel Health Advice in a French Travel Medicine and Vaccine Center: a Prospective Observational Study." Journal of Travel Medicine, vol. 19, no. 2, 2012, pp. 76-83.
Bouldouyre MA, De Verdière NC, Pavie J, et al. Quality of travel health advice in a French travel medicine and vaccine center: a prospective observational study. J Travel Med. 2012;19(2):76-83.
Bouldouyre, M. A., De Verdière, N. C., Pavie, J., De Castro, N., Ponscarme, D., Hamane, S., Rachline, A., Ferret, S., & Molina, J. M. (2012). Quality of travel health advice in a French travel medicine and vaccine center: a prospective observational study. Journal of Travel Medicine, 19(2), 76-83. https://doi.org/10.1111/j.1708-8305.2011.00591.x
Bouldouyre MA, et al. Quality of Travel Health Advice in a French Travel Medicine and Vaccine Center: a Prospective Observational Study. J Travel Med. 2012 Mar-Apr;19(2):76-83. PubMed PMID: 22414031.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Quality of travel health advice in a French travel medicine and vaccine center: a prospective observational study. AU - Bouldouyre,Marie-Anne, AU - De Verdière,Nathalie Colin, AU - Pavie,Juliette, AU - De Castro,Nathalie, AU - Ponscarme,Diane, AU - Hamane,Samia, AU - Rachline,Anne, AU - Ferret,Samuel, AU - Molina,Jean-Michel, Y1 - 2012/02/24/ PY - 2012/3/15/entrez PY - 2012/3/15/pubmed PY - 2013/5/28/medline SP - 76 EP - 83 JF - Journal of travel medicine JO - J Travel Med VL - 19 IS - 2 N2 - BACKGROUND: The number of international trips undertaken by French citizens is rising and we wished to assess the appropriateness of advices given to travelers in a vaccine and travel medicine center in France. METHODS: We conducted a 3-month prospective study in one center in Paris where prescriptions and advice to travelers are given by trained physicians in travel medicine who have access to a computerized decision support system (Edisan). A questionnaire was used to record trip characteristics, patients' demographics, and prescriptions. Main outcome measure was the adequacy of prescriptions for malaria prophylaxis, yellow fever, and hepatitis A vaccines to French guidelines. RESULTS: A total of 730 subjects were enrolled in this study, with a median age of 28 years. Travel destinations were sub-Saharan Africa (58%), Asia (21%), and South America (18%). Among the 608 patients (83%) traveling to malaria-endemic areas, malaria prophylaxis was in accordance with guidelines in 578/608 patients (95.1%, 95% CI: 93-96.5), and doxycycline was the regimen of choice (48%). Inappropriate malaria prophylaxis was given to eight patients, one of whom developed plasmodium falciparum malaria. All 413 patients (100%, 95% CI: 99-100) traveling to yellow fever-endemic areas who needed vaccination were correctly vaccinated. However, three patients received yellow fever vaccination without indication. Also, 442 of 454 patients (97.4%, 95% CI: 95.4-98.5) eligible to receive hepatitis A vaccination were immunized. CONCLUSION: Appropriate advice for malaria prophylaxis, yellow fever, and hepatitis A vaccinations was provided in a travel medicine and vaccine center where trained physicians used a computerized decision support system. Even in this setting, however, errors can occur and professional practices should be regularly assessed to improve health care. SN - 1708-8305 UR - https://www.unboundmedicine.com/medline/citation/22414031/Quality_of_travel_health_advice_in_a_French_travel_medicine_and_vaccine_center:_a_prospective_observational_study_ L2 - https://academic.oup.com/jtm/article-lookup/doi/10.1111/j.1708-8305.2011.00591.x DB - PRIME DP - Unbound Medicine ER -