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Pre-travel care for immunocompromised and chronically ill travellers: A retrospective study.

Identifieur interne : 000B66 ( Ncbi/Merge ); précédent : 000B65; suivant : 000B67

Pre-travel care for immunocompromised and chronically ill travellers: A retrospective study.

Auteurs : Mariëlle Van Aalst [Pays-Bas] ; Roos Verhoeven [Pays-Bas] ; Freshta Omar [Pays-Bas] ; Cornelis Stijnis [Pays-Bas] ; Michèle Van Vugt [Pays-Bas] ; Godelieve J. De Bree [Pays-Bas] ; Abraham Goorhuis [Pays-Bas] ; Martin P. Grobusch [Pays-Bas]

Source :

RBID : pubmed:28712659

Abstract

Immunocompromised and chronically ill travellers (ICCITs) are susceptible to travel related diseases. In ICCITs, pre-travel care regarding vaccinations and prophylactics is complex. We evaluated the protection level by preventive measures in ICCITs by analysing rates of vaccination protection, antibody titres, and the prescription of standby antibiotics.

DOI: 10.1016/j.tmaid.2017.07.006
PubMed: 28712659

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pubmed:28712659

Le document en format XML

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<div type="abstract" xml:lang="en">Immunocompromised and chronically ill travellers (ICCITs) are susceptible to travel related diseases. In ICCITs, pre-travel care regarding vaccinations and prophylactics is complex. We evaluated the protection level by preventive measures in ICCITs by analysing rates of vaccination protection, antibody titres, and the prescription of standby antibiotics.</div>
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<Title>Travel medicine and infectious disease</Title>
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<ArticleTitle>Pre-travel care for immunocompromised and chronically ill travellers: A retrospective study.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Immunocompromised and chronically ill travellers (ICCITs) are susceptible to travel related diseases. In ICCITs, pre-travel care regarding vaccinations and prophylactics is complex. We evaluated the protection level by preventive measures in ICCITs by analysing rates of vaccination protection, antibody titres, and the prescription of standby antibiotics.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We analysed, and reported according to STROBE guidelines, pre-travel care data for ICCITs visiting the medical pre-travel clinic at the Academic Medical Centre, The Netherlands from 2011 to 2016.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">We analysed 2104 visits of 1826 ICCITs. Mean age was 46.6 years and mean travel duration 34.5 days. ICCITs on immunosuppressive treatment (29.7%), HIV (17.2%) or diabetes mellitus (10.2%) comprised the largest groups. Most frequently visited countries were Suriname, Indonesia, and Ghana. Most vaccination rates were >90%. Of travellers in high need of hepatitis A and B protection, 56.6 and 75.7%, underwent titre assessments, respectively. Of ICCITs with a respective indication, 50.6% received a prescription for standby antibiotics.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Vaccination rates in our study population were overall comparable to those of healthy travellers studied previously in our centre. However, regarding antibody titre assessments and prescription of standby antibiotics, this study demonstrates that uniform pre-travel guidelines for ICCITs are highly needed.</AbstractText>
<CopyrightInformation>Copyright © 2017 Elsevier Ltd. All rights reserved.</CopyrightInformation>
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<ForeName>Mariëlle</ForeName>
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<Country>Netherlands</Country>
<MedlineTA>Travel Med Infect Dis</MedlineTA>
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<Keyword MajorTopicYN="N">Antibiotics</Keyword>
<Keyword MajorTopicYN="N">Chronically ill</Keyword>
<Keyword MajorTopicYN="N">Immunocompromised</Keyword>
<Keyword MajorTopicYN="N">Travel</Keyword>
<Keyword MajorTopicYN="N">Vaccination</Keyword>
</KeywordList>
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<Year>2017</Year>
<Month>05</Month>
<Day>26</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised">
<Year>2017</Year>
<Month>07</Month>
<Day>10</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2017</Year>
<Month>07</Month>
<Day>12</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
<Year>2017</Year>
<Month>7</Month>
<Day>18</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="medline">
<Year>2017</Year>
<Month>7</Month>
<Day>18</Day>
<Hour>6</Hour>
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</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
<Year>2017</Year>
<Month>7</Month>
<Day>18</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>aheadofprint</PublicationStatus>
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<ArticleId IdType="pubmed">28712659</ArticleId>
<ArticleId IdType="pii">S1477-8939(17)30117-5</ArticleId>
<ArticleId IdType="doi">10.1016/j.tmaid.2017.07.006</ArticleId>
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<affiliations>
<list>
<country>
<li>Pays-Bas</li>
</country>
<region>
<li>Hollande-Septentrionale</li>
</region>
<settlement>
<li>Amsterdam</li>
</settlement>
<orgName>
<li>Université d'Amsterdam</li>
</orgName>
</list>
<tree>
<country name="Pays-Bas">
<region name="Hollande-Septentrionale">
<name sortKey="Van Aalst, Marielle" sort="Van Aalst, Marielle" uniqKey="Van Aalst M" first="Mariëlle" last="Van Aalst">Mariëlle Van Aalst</name>
</region>
<name sortKey="De Bree, Godelieve J" sort="De Bree, Godelieve J" uniqKey="De Bree G" first="Godelieve J" last="De Bree">Godelieve J. De Bree</name>
<name sortKey="Goorhuis, Abraham" sort="Goorhuis, Abraham" uniqKey="Goorhuis A" first="Abraham" last="Goorhuis">Abraham Goorhuis</name>
<name sortKey="Grobusch, Martin P" sort="Grobusch, Martin P" uniqKey="Grobusch M" first="Martin P" last="Grobusch">Martin P. Grobusch</name>
<name sortKey="Omar, Freshta" sort="Omar, Freshta" uniqKey="Omar F" first="Freshta" last="Omar">Freshta Omar</name>
<name sortKey="Stijnis, Cornelis" sort="Stijnis, Cornelis" uniqKey="Stijnis C" first="Cornelis" last="Stijnis">Cornelis Stijnis</name>
<name sortKey="Van Vugt, Michele" sort="Van Vugt, Michele" uniqKey="Van Vugt M" first="Michèle" last="Van Vugt">Michèle Van Vugt</name>
<name sortKey="Verhoeven, Roos" sort="Verhoeven, Roos" uniqKey="Verhoeven R" first="Roos" last="Verhoeven">Roos Verhoeven</name>
</country>
</tree>
</affiliations>
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