Tags

Type your tag names separated by a space and hit enter

The reliability of pre-travel history to decide on appropriate counseling and vaccinations: a prospective study.
J Travel Med. 2012 Sep-Oct; 19(5):284-8.JT

Abstract

BACKGROUND

Although medical and travel plans gathered from pre-travel interviews are used to decide the provision of specific pre-travel health advice and vaccinations, there has been no evaluation of the relevance of this strategy. In a prospective study, we assessed the agreement between pre-travel plans and post-travel history and the effect on advice regarding the administration of vaccines and recommendations for malaria prevention.

METHODS

We included prospectively all consenting adults who had not planned an organized tour. Pre- and post-travel information included questions on destination, itineraries, departure and return dates, access to bottled water, plan of bicycle ride, stays in a rural zone, and close contact with animals. The outcomes measured included: agreement between pre- and post-travel itineraries and activities; and the effect of these differences on pre-travel health recommendations, had the traveler gone to the actual versus intended destinations for actual versus intended duration and activities.

RESULTS

Three hundred and sixty-five travelers were included in the survey, where 188 (52%) were males (median age 38 years). In 81(23%) travelers, there was no difference between pre- and post-travel history. Disagreement between pre- and post-travel history were the highest for stays in rural zones or with local people (66% of travelers), close contact with animals (33%), and bicycle riding (21%). According to post-travel history, 125 (35%) travelers would have needed rabies vaccine and 9 (3%) typhoid fever vaccine. Potential overprovision of vaccine was found in <2% of travelers. A change in the malaria prescription would have been recommended in 18 (5%) travelers.

CONCLUSIONS

Pre-travel history does not adequately reflect what travelers do. However, difference between recommendations for the actual versus intended travel plans was only clinically significant for the need for rabies vaccine. Particular attention during pre-travel health counseling should focus on the risk of rabies, the need to avoid close contact with animals and to seek care for post-exposure prophylaxis following an animal bite.

Authors+Show Affiliations

Travel Clinic, Department of Ambulatory Care and Community Medicine, University of Lausanne, Lausanne, Switzerland.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22943267

Citation

Rossi, Isabelle A., and Blaise Genton. "The Reliability of Pre-travel History to Decide On Appropriate Counseling and Vaccinations: a Prospective Study." Journal of Travel Medicine, vol. 19, no. 5, 2012, pp. 284-8.
Rossi IA, Genton B. The reliability of pre-travel history to decide on appropriate counseling and vaccinations: a prospective study. J Travel Med. 2012;19(5):284-8.
Rossi, I. A., & Genton, B. (2012). The reliability of pre-travel history to decide on appropriate counseling and vaccinations: a prospective study. Journal of Travel Medicine, 19(5), 284-8. https://doi.org/10.1111/j.1708-8305.2012.00618.x
Rossi IA, Genton B. The Reliability of Pre-travel History to Decide On Appropriate Counseling and Vaccinations: a Prospective Study. J Travel Med. 2012 Sep-Oct;19(5):284-8. PubMed PMID: 22943267.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The reliability of pre-travel history to decide on appropriate counseling and vaccinations: a prospective study. AU - Rossi,Isabelle A, AU - Genton,Blaise, PY - 2012/9/5/entrez PY - 2012/9/5/pubmed PY - 2013/1/17/medline SP - 284 EP - 8 JF - Journal of travel medicine JO - J Travel Med VL - 19 IS - 5 N2 - BACKGROUND: Although medical and travel plans gathered from pre-travel interviews are used to decide the provision of specific pre-travel health advice and vaccinations, there has been no evaluation of the relevance of this strategy. In a prospective study, we assessed the agreement between pre-travel plans and post-travel history and the effect on advice regarding the administration of vaccines and recommendations for malaria prevention. METHODS: We included prospectively all consenting adults who had not planned an organized tour. Pre- and post-travel information included questions on destination, itineraries, departure and return dates, access to bottled water, plan of bicycle ride, stays in a rural zone, and close contact with animals. The outcomes measured included: agreement between pre- and post-travel itineraries and activities; and the effect of these differences on pre-travel health recommendations, had the traveler gone to the actual versus intended destinations for actual versus intended duration and activities. RESULTS: Three hundred and sixty-five travelers were included in the survey, where 188 (52%) were males (median age 38 years). In 81(23%) travelers, there was no difference between pre- and post-travel history. Disagreement between pre- and post-travel history were the highest for stays in rural zones or with local people (66% of travelers), close contact with animals (33%), and bicycle riding (21%). According to post-travel history, 125 (35%) travelers would have needed rabies vaccine and 9 (3%) typhoid fever vaccine. Potential overprovision of vaccine was found in <2% of travelers. A change in the malaria prescription would have been recommended in 18 (5%) travelers. CONCLUSIONS: Pre-travel history does not adequately reflect what travelers do. However, difference between recommendations for the actual versus intended travel plans was only clinically significant for the need for rabies vaccine. Particular attention during pre-travel health counseling should focus on the risk of rabies, the need to avoid close contact with animals and to seek care for post-exposure prophylaxis following an animal bite. SN - 1708-8305 UR - https://www.unboundmedicine.com/medline/citation/22943267/The_reliability_of_pre_travel_history_to_decide_on_appropriate_counseling_and_vaccinations:_a_prospective_study_ L2 - https://academic.oup.com/jtm/article-lookup/doi/10.1111/j.1708-8305.2012.00618.x DB - PRIME DP - Unbound Medicine ER -