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Published on: September 11, 2018
Evaluation and management of illness in a child after international travel
Linda S Nield1, William Stauffer, Deepak Kamat
1Department of Pediatrics, West Virginia University School of Medicine, Morgantown, WV, USA.
Insights
Evaluating ill children returning from international travel requires a detailed travel history to identify potential infectious diseases. Prompt diagnosis and treatment depend on considering endemic pathogens and specific exposures.
Area of Science:
- Pediatrics
- Infectious Diseases
- Travel Medicine
Background:
- International travel in children has increased significantly.
- Clinicians frequently encounter children presenting with illness post-international travel.
- Assessing these children requires a comprehensive approach beyond standard medical history.
Purpose of the Study:
- To emphasize the importance of detailed travel history in diagnosing illnesses in children returning from international travel.
- To guide clinicians in evaluating potential infectious agents encountered during travel.
- To ensure timely and appropriate diagnosis and treatment for pediatric patients.
Main Methods:
- Routine collection of a thorough travel history, including specific exposures.
- Consideration of infectious agents endemic to various global regions.
- Utilizing reference materials for guidance on geographically specific pathogens.
- Initial basic laboratory screening followed by targeted evaluations.
Main Results:
- A detailed travel history is crucial for identifying potential exposures to endemic pathogens.
- Diagnostic evaluation should be guided by the most likely cause of illness based on travel history.
- Repeated examinations and testing may be necessary for accurate diagnosis.
Conclusions:
- Thorough travel history is essential for evaluating ill children after international travel.
- Clinicians must consider local conditions and potential pathogens encountered during travel.
- A systematic approach, including targeted investigations and follow-up, ensures effective management.
Abstract:
International travel by children is becoming increasingly common over the last few decades. As a result, clinicians may be asked to assist in the evaluation and treatment of an ill child after international travel. Along with recording the typical thorough history of present illness and medical history, the physician who cares for a child in this situation will have to take a thorough travel history and consider not only local conditions, but also possible pathogens that the child may have encountered during the journey. A detailed travel history should be routinely performed to investigate specific exposures. Reference materials are available that can guide the clinician in determining which infectious agents are endemic to various areas of the world. With the exception of obtaining a basic laboratory screen, further evaluation of the young patient should be dictated by the most likely cause of the illness. Repeated testing and examinations and close follow-up may be necessary to arrive at the proper diagnosis and initiate appropriate treatment in a timely manner.
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