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[Travellers in medical practice].

T Wieland1

  • 1Departement Innere Medizin, Kantonsspital, Chur. thomas.wieland@scag.gr.ch

Praxis
|March 19, 2005
PubMed
Summary

Travel medicine requires a thorough health assessment, considering pre-existing conditions and destination-specific risks like malaria. Prompt evaluation of febrile travelers returning from endemic areas is crucial due to high malaria mortality rates.

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Area of Science:

  • Travel Medicine
  • Infectious Diseases
  • Public Health

Background:

  • International travel necessitates comprehensive medical advice for travelers.
  • Understanding travel itineraries and pre-existing health conditions is vital for risk assessment.
  • Geographic location dictates exposure risks to endemic diseases like malaria, dengue, and yellow fever.

Purpose of the Study:

  • To outline essential information doctors need for competent travel abroad medical advice.
  • To highlight the importance of assessing endemic disease risks and pre-existing health hazards.
  • To emphasize the urgency of diagnosing malaria in returning travelers.

Main Methods:

  • Information gathering on travel details (mode, itinerary, timing) and traveler's health status.
  • Assessing risks for endemic diseases based on destination.
  • Reviewing updated prophylaxis and vaccination recommendations.
  • Evaluating pre-existing conditions (cardiovascular diseases, diabetes, HIV) and special populations (pregnant women).

Main Results:

  • Destination-specific endemic diseases (malaria, dengue, yellow fever) pose significant travel health risks.
  • Updated prophylaxis and vaccination guidelines are available online.
  • Pre-existing conditions require careful consideration during pre-travel consultations.
  • Returning travelers with fever from malaria-endemic areas require immediate medical assessment due to high mortality risk.
  • Diarrhea is common, but persistent or bloody cases warrant pathogen investigation.

Conclusions:

  • Competent travel medicine advice integrates itinerary, destination risks, and individual health status.
  • Prompt diagnosis and treatment of malaria in returning travelers are critical.
  • Routine check-ups for healthy returning travelers are generally not required.

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