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Risk factors and pre-travel healthcare of international travellers attending a Dutch travel clinic: a cross-sectional analysis.
Travel Med Infect Dis. 2014 Sep-Oct; 12(5):511-24.TM

Abstract

BACKGROUND

The number of international travellers is currently estimated to exceed one billion annually. To address travel related health risks and facilitate risk reduction strategies, detailed knowledge of travellers' characteristics is important.

METHOD

In this cross-sectional study, data of a 20% sample of travellers visiting the Academic Medical Center (AMC) travel clinic Amsterdam from July 2011 to July 2012 was collected. Itineraries and protection versus exposure rates of preventable infectious diseases were mapped and reported according to STROBE guidelines.

RESULTS

1749 travellers were included. South-Eastern Asia, South-America and West-Africa were most frequently visited. 26.2% of the population had pre-existing medical conditions (often cardiovascular). Young and VFR travellers had a longer median travel time (28 and 30 days) compared to the overall population (21 days). Young adult travellers were relatively often vaccinated against hepatitis B (43.9% vs. 20.5%, p < .001) and rabies (16.6% vs. 4.3%, p < .001). VFRs were less often vaccinated against hepatitis B (11.6% vs. 30.6%, p < .001) and rabies (1.3% vs. 9.0%, p .012) compared to non-VFR travellers.

CONCLUSIONS

Pre-travel guidelines were well adhered to. Young adult travellers had high-risk itineraries but were adequately protected. Improvement of hepatitis B and rabies protection would be desirable, specifically for VFRs.

Authors+Show Affiliations

Center of Tropical Medicine and Travel Medicine, Department of Infectious Diseases, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands(1).Center of Tropical Medicine and Travel Medicine, Department of Infectious Diseases, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands(1).Center of Tropical Medicine and Travel Medicine, Department of Infectious Diseases, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands(1).Center of Tropical Medicine and Travel Medicine, Department of Infectious Diseases, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands(1). Electronic address: m.p.grobusch@amc.uva.nl.Center of Tropical Medicine and Travel Medicine, Department of Infectious Diseases, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands(1).

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25087666

Citation

Wieten, Rosanne W., et al. "Risk Factors and Pre-travel Healthcare of International Travellers Attending a Dutch Travel Clinic: a Cross-sectional Analysis." Travel Medicine and Infectious Disease, vol. 12, no. 5, 2014, pp. 511-24.
Wieten RW, van der Schalie M, Visser BJ, et al. Risk factors and pre-travel healthcare of international travellers attending a Dutch travel clinic: a cross-sectional analysis. Travel Med Infect Dis. 2014;12(5):511-24.
Wieten, R. W., van der Schalie, M., Visser, B. J., Grobusch, M. P., & van Vugt, M. (2014). Risk factors and pre-travel healthcare of international travellers attending a Dutch travel clinic: a cross-sectional analysis. Travel Medicine and Infectious Disease, 12(5), 511-24. https://doi.org/10.1016/j.tmaid.2014.05.004
Wieten RW, et al. Risk Factors and Pre-travel Healthcare of International Travellers Attending a Dutch Travel Clinic: a Cross-sectional Analysis. Travel Med Infect Dis. 2014 Sep-Oct;12(5):511-24. PubMed PMID: 25087666.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Risk factors and pre-travel healthcare of international travellers attending a Dutch travel clinic: a cross-sectional analysis. AU - Wieten,Rosanne W, AU - van der Schalie,Maurice, AU - Visser,Benjamin J, AU - Grobusch,Martin P, AU - van Vugt,Michèle, Y1 - 2014/05/28/ PY - 2014/02/04/received PY - 2014/05/13/revised PY - 2014/05/14/accepted PY - 2014/8/5/entrez PY - 2014/8/5/pubmed PY - 2015/3/31/medline KW - Hepatitis KW - Pre-travel health care KW - Rabies KW - Risk patterns KW - Travel medicine SP - 511 EP - 24 JF - Travel medicine and infectious disease JO - Travel Med Infect Dis VL - 12 IS - 5 N2 - BACKGROUND: The number of international travellers is currently estimated to exceed one billion annually. To address travel related health risks and facilitate risk reduction strategies, detailed knowledge of travellers' characteristics is important. METHOD: In this cross-sectional study, data of a 20% sample of travellers visiting the Academic Medical Center (AMC) travel clinic Amsterdam from July 2011 to July 2012 was collected. Itineraries and protection versus exposure rates of preventable infectious diseases were mapped and reported according to STROBE guidelines. RESULTS: 1749 travellers were included. South-Eastern Asia, South-America and West-Africa were most frequently visited. 26.2% of the population had pre-existing medical conditions (often cardiovascular). Young and VFR travellers had a longer median travel time (28 and 30 days) compared to the overall population (21 days). Young adult travellers were relatively often vaccinated against hepatitis B (43.9% vs. 20.5%, p < .001) and rabies (16.6% vs. 4.3%, p < .001). VFRs were less often vaccinated against hepatitis B (11.6% vs. 30.6%, p < .001) and rabies (1.3% vs. 9.0%, p .012) compared to non-VFR travellers. CONCLUSIONS: Pre-travel guidelines were well adhered to. Young adult travellers had high-risk itineraries but were adequately protected. Improvement of hepatitis B and rabies protection would be desirable, specifically for VFRs. SN - 1873-0442 UR - https://www.unboundmedicine.com/medline/citation/25087666/Risk_factors_and_pre_travel_healthcare_of_international_travellers_attending_a_Dutch_travel_clinic:_a_cross_sectional_analysis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1477-8939(14)00112-4 DB - PRIME DP - Unbound Medicine ER -