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Pre-travel malaria chemoprophylaxis counselling in a public travel medicine clinic in São Paulo, Brazil.
Malar J. 2017 02 07; 16(1):64.MJ

Abstract

BACKGROUND

Malaria is one of the most prevalent parasitic diseases in the world and represents a threat to travellers visiting endemic areas. Chemoprophylaxis is the prevention measure used in travel medicine, avoiding clinical manifestations and protecting against the development of severe disease and death.

METHODS

Retrospective and descriptive analysis of malaria prevention data in travellers was recorded from a travel medicine clinic in São Paulo, Brazil, between January 2006 and December 2010. All the medical records of travellers, who had travelled to areas with risk of disease transmission, including Brazil, were analysed. Demographic characteristics of travellers, travel details and recommendations for preventing malaria were also seen.

RESULTS

During the study period, 2836 pre-travel consultations were carried out on 2744 individuals (92 were consulted twice). The most common reasons for travelling were tourism and work. The most common destinations were Africa (24.5%), Europe (21.2%), Asia (16.6%) and locations within Brazil (14.9%). In general prophylaxis against malaria was recommended in 10.3% of all the consultations. African destinations vs Asian, Brazilian and other destinations and length of stay ≤30 days were independently associated with the higher odds of chemoprophylaxis recommendation after the logistic regression.

CONCLUSION

The prophylaxis against malaria was recommended in 10.3% of the consultations. The authors believe that a coherent measure of malaria prevention in Brazil and for international travellers would be to recommend for all parts of the North Brazil, avoidance of mosquito bites and immediate consultation of a physician in case of fever during or after the journey is recommended.

Authors+Show Affiliations

Parasitology Section, Evandro Chagas Institute, Rodovia BR-316, Km 7 s/n, Levilândia, Ananindeua, PA, 67030-300, Brazil. tania.chaves@uol.com.br. Travel Medicine Division, Emilio Ribas Institute of Infectious Diseases, Av. Doutor Arnaldo 165, Cerqueira César, São Paulo, 01246-900, Brazil. tania.chaves@uol.com.br. Disciplina de Doenças Infecciosas e Parasitárias, Faculdade de Medicina, Universidade Federal do Pará, Av. Generalíssimo Deodoro, 01 - Umarizal, Belém, PA, 66050-160, Brazil. tania.chaves@uol.com.br.Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Brazil. Universidade do Estado do Amazonas, Manaus, Brazil.Travel Medicine Division, Emilio Ribas Institute of Infectious Diseases, Av. Doutor Arnaldo 165, Cerqueira César, São Paulo, 01246-900, Brazil.Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Brazil. Instituto Leônidas & Maria Deane (Fiocruz-Amazônia), Manaus, Brazil.Departamento de Doenças Infecciosas, Faculdade de Medicina da Universidade de São Paulo, Av. Dr. Arnaldo 455, Cerqueira César, São Paulo, SP, 01246-903, Brazil.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28173862

Citation

Chaves, Tânia do Socorro Souza, et al. "Pre-travel Malaria Chemoprophylaxis Counselling in a Public Travel Medicine Clinic in São Paulo, Brazil." Malaria Journal, vol. 16, no. 1, 2017, p. 64.
Chaves TD, Monteiro WM, Alves JR, et al. Pre-travel malaria chemoprophylaxis counselling in a public travel medicine clinic in São Paulo, Brazil. Malar J. 2017;16(1):64.
Chaves, T. D., Monteiro, W. M., Alves, J. R., Lacerda, M., & Lopes, M. H. (2017). Pre-travel malaria chemoprophylaxis counselling in a public travel medicine clinic in São Paulo, Brazil. Malaria Journal, 16(1), 64. https://doi.org/10.1186/s12936-017-1713-3
Chaves TD, et al. Pre-travel Malaria Chemoprophylaxis Counselling in a Public Travel Medicine Clinic in São Paulo, Brazil. Malar J. 2017 02 7;16(1):64. PubMed PMID: 28173862.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pre-travel malaria chemoprophylaxis counselling in a public travel medicine clinic in São Paulo, Brazil. AU - Chaves,Tânia do Socorro Souza, AU - Monteiro,Wuelton Marcelo, AU - Alves,Jessé Reis, AU - Lacerda,Marcus, AU - Lopes,Marta Heloisa, Y1 - 2017/02/07/ PY - 2016/06/09/received PY - 2017/01/26/accepted PY - 2017/2/9/entrez PY - 2017/2/9/pubmed PY - 2018/1/20/medline KW - Malaria chemoprophylaxis KW - Malaria prevention KW - Plasmodium falciparum KW - Plasmodium vivax KW - Travel medicine SP - 64 EP - 64 JF - Malaria journal JO - Malar J VL - 16 IS - 1 N2 - BACKGROUND: Malaria is one of the most prevalent parasitic diseases in the world and represents a threat to travellers visiting endemic areas. Chemoprophylaxis is the prevention measure used in travel medicine, avoiding clinical manifestations and protecting against the development of severe disease and death. METHODS: Retrospective and descriptive analysis of malaria prevention data in travellers was recorded from a travel medicine clinic in São Paulo, Brazil, between January 2006 and December 2010. All the medical records of travellers, who had travelled to areas with risk of disease transmission, including Brazil, were analysed. Demographic characteristics of travellers, travel details and recommendations for preventing malaria were also seen. RESULTS: During the study period, 2836 pre-travel consultations were carried out on 2744 individuals (92 were consulted twice). The most common reasons for travelling were tourism and work. The most common destinations were Africa (24.5%), Europe (21.2%), Asia (16.6%) and locations within Brazil (14.9%). In general prophylaxis against malaria was recommended in 10.3% of all the consultations. African destinations vs Asian, Brazilian and other destinations and length of stay ≤30 days were independently associated with the higher odds of chemoprophylaxis recommendation after the logistic regression. CONCLUSION: The prophylaxis against malaria was recommended in 10.3% of the consultations. The authors believe that a coherent measure of malaria prevention in Brazil and for international travellers would be to recommend for all parts of the North Brazil, avoidance of mosquito bites and immediate consultation of a physician in case of fever during or after the journey is recommended. SN - 1475-2875 UR - https://www.unboundmedicine.com/medline/citation/28173862/Pre_travel_malaria_chemoprophylaxis_counselling_in_a_public_travel_medicine_clinic_in_São_Paulo_Brazil_ L2 - https://malariajournal.biomedcentral.com/articles/10.1186/s12936-017-1713-3 DB - PRIME DP - Unbound Medicine ER -