التفاصيل البيبلوغرافية
| العنوان: |
Quality of Travel Health Advice in a French Travel Medicine and Vaccine Center: A Prospective Observational Study. |
| المؤلفون: |
Bouldouyre, Marie-Anne, De Verdière, Nathalie Colin, Pavie, Juliette, De Castro, Nathalie, Ponscarme, Diane, Hamane, Samia, Rachline, Anne, Ferret, Samuel, Molina, Jean-Michel |
| المصدر: |
Journal of Travel Medicine; Mar/Apr2012, Vol. 19 Issue 2, p76-83, 8p, 3 Diagrams, 2 Charts |
| مصطلحات موضوعية: |
TRAVEL hygiene, LONGITUDINAL method, MALARIA, HEPATITIS A vaccines, PLASMODIUM falciparum, VACCINATION |
| مصطلحات جغرافية: |
PARIS (France), FRANCE |
| مستخلص: |
Background. The number of international trips undertaken by French citizens is rising and we wished to assess the appropriateness of advices given to travelers in a vaccine and travel medicine center in France. Methods. We conducted a 3-month prospective study in one center in Paris where prescriptions and advice to travelers are given by trained physicians in travel medicine who have access to a computerized decision support system (Edisan). A questionnaire was used to record trip characteristics, patients' demographics, and prescriptions. Main outcome measure was the adequacy of prescriptions for malaria prophylaxis, yellow fever, and hepatitis A vaccines to French guidelines. Results. A total of 730 subjects were enrolled in this study, with a median age of 28 years. Travel destinations were sub-Saharan Africa (58%), Asia (21%), and South America (18%). Among the 608 patients (83%) traveling to malaria-endemic areas, malaria prophylaxis was in accordance with guidelines in 578/608 patients (95.1%, 95% CI: 93-96.5), and doxycycline was the regimen of choice (48%). Inappropriate malaria prophylaxis was given to eight patients, one of whom developed plasmodium falciparum malaria. All 413 patients (100%, 95% CI: 99-100) traveling to yellow fever-endemic areas who needed vaccination were correctly vaccinated. However, three patients received yellow fever vaccination without indication. Also, 442 of 454 patients (97.4%, 95% CI: 95.4-98.5) eligible to receive hepatitis A vaccination were immunized. Conclusion. Appropriate advice for malaria prophylaxis, yellow fever, and hepatitis A vaccinations was provided in a travel medicine and vaccine center where trained physicians used a computerized decision support system. Even in this setting, however, errors can occur and professional practices should be regularly assessed to improve health care. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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