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The compromised traveler

M D Mileno1, F J Bia

  • 1Department of Medicine, Brown University, Providence, Rhode Island, USA.

Infectious Disease Clinics of North America
|July 11, 1998
PubMed
Summary
This summary is machine-generated.

Travelers with compromised immune systems, including those with HIV or diabetes, face unique health risks abroad. This article addresses infectious disease and travel medicine challenges for these vulnerable populations.

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Area of Science:

  • Travel Medicine
  • Infectious Diseases
  • Immunocompromised Individuals

Background:

  • Compromised travelers encompass diverse groups with specific health vulnerabilities.
  • Individuals with HIV, asplenia, or iatrogenic immunosuppression are at increased risk.
  • Travelers with diabetes mellitus also present unique challenges and risks.

Purpose of the Study:

  • To outline the infectious disease and travel medicine considerations for immunocompromised travelers.
  • To highlight the risks of immunizations, opportunistic infections, and tropical diseases.
  • To address the specific needs of travelers with diabetes and older adults.

Main Methods:

  • Review of existing literature and clinical guidelines.
  • Analysis of risks associated with various immunocompromised states.

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  • Discussion of specific infections and management strategies for travelers.

    • Main Results:

    • HIV-infected travelers risk adverse reactions, opportunistic infections, and tropical diseases.
    • Asplenic and iatrogenically immunosuppressed individuals face heightened infection risks.
    • Diabetic travelers require careful management of insulin and are prone to infections like tuberculosis and pneumonia.

    Conclusions:

    • Immunocompromised travelers require specialized pre-travel planning and medical advice.
    • Addressing the unique risks of HIV, diabetes, asplenia, and older age is crucial for safe travel.
    • Integrated infectious disease and travel medicine approaches are essential for this population.