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Published on: December 8, 2014
[Prevention of infection in immunocompromised travelers]
Delphine Zbinden1, Valérie D'Acremont, Oriol Manuel
1Service des maladies infectieuses, Centre de transplantation d'organes, CHUV et Université de Lausanne, 10011 Lausanne. delphine.zbinden@chuv.ch
Abstract:
Every year there are more immunocompromised patients with a better quality of life and, therefore, that travel more frequently. While traveling, patients may be exposed to several infections, such as traveler's diarrhea or malaria, which can be associated with a high rate of complications in this population. An appropriate strategy for the prevention of travel-related infections is essential, including education about hygiene measures, vaccinations and prescription of a tailored antimicrobial prophylaxis/stand-by treatment, according to the type of immunosuppression. Potential drug interactions, particularly between antimalaric and immunosuppressive drugs, must also be considered for decision taking. Collaboration between the general practitioner and the travel medicine and infectious diseases specialists is highly recommended to improve the management of these patients.
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