Caring for the child traveler: Results of a practice gaps and educational needs survey
[...]expertise in pediatric travel medicine has become essential for providers offering travel health care to children. Care for such children poses significant challenges, firstly, as their young age and/or underlying conditions render them more vulnerable for travel-related health risks, and secon...
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| Veröffentlicht in: | Travel medicine and infectious disease 2020-11, Vol.38, p.101763-101763, Article 101763 |
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| container_title | Travel medicine and infectious disease |
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| creator | Molitor-Kirsch, Shirley A. Leshem, Eyal Fischer, Philip R. Christenson, John C. Kohl, Sarah Mackell, Sheila Starr, Mike Hagmann, Stefan H.F. |
| description | [...]expertise in pediatric travel medicine has become essential for providers offering travel health care to children. Care for such children poses significant challenges, firstly, as their young age and/or underlying conditions render them more vulnerable for travel-related health risks, and secondly, because the evidence-base for providing best practices is limited [5]. [...]young traveling children may not have received all routine immunizations at the departure time or may have contraindications for certain vaccines and preventive medications. Pediatric travel medicine topics Practice gaps perceiveda Identified cause of practice gapb,c,d Level of interest to receive focused educationa,e Yes, n/N (%) No/Not sure, n/N (%) Lack of education n/N (%) Lack of practical experience n/N (%) Lack of resources or guidelines n/N (%) Very Interested/Interested n/N (%) Somewhat Interested n/N (%) Not at all Interested n/N (%) Child traveling with special needs or chronic disease 116/128 (91) 12/128 (9) 28/116 (24) 55/116 (47) 33/116 (29) 81/128 (63) 43/128 (34) 4/128 (3) Off-label vaccine use 90/104 (87) 14/104 (14) 27/90 (30) 23/90 (26) 40/90 (44) 79/103 (77) 17/103 (17) 7/103 (7) Post-travel evaluation 79/102 (78) 23/102 (23) 25/79 (32) 41/79 (52) 13/79 (17) 73/97 (75) 19/97 (20) 5/97 (5) Expat and long-term pediatric traveler 85/110 (77) 25/110 (23) 20/85 (24) 29/85 (34) 36/85 (42) 78/109 (72) 29/109 (27) 2/109 (2) Tuberculosis/Use of BCG vaccine 78/104 (75) 26/104 (25) 30/78 (39) 28/78 (36) 20/78 (26) 69/100 (69) 23/100 (23) 8/100 (8) Japanese encephalitis 60/94 (64) 34/94 (36) 24/60 (40) 21/60 (35) 15/60 (25) 63/91 (69) 22/91 (24) 6/91 (7) Child visiting friends and relatives 64/104 (62) 40/104 (39) 18/64 (28) 24/64 (38) 22/64 (34) 72/102 (71) 27/102 (26) 3/102 (3) Zika virus 53/88 (60) 35/88 (40) 14/53 (26) 24/53 (45) 15/53 (28) 63/85 (74) 20/85 (24) 2/85 (2) Chikungunya 47/85 (55) 38/85 (45) 21/47 (45) 18/47 (38) 8/47 (17) 56/82 (68) 20/82 (24) 6/82 (7) Accelerated administration of routine vaccines 46/87 (53) 41/87 (47) 14/46 (30) 12/46 (26) 20/46 (44) 57/82 (70) 21/82 (26) 4/82 (5) Teen, young adult and student traveler 48/90 (53) 42/90 (47) 13/48 (27) 15/48 (31) 20/48 (42) 69/92 (75) 22/92 (24) 1/92 (1) Dengue 43/82 (52) 39/82 (48) 13/43 (30) 20/43 (46) 10/43 (23) 54/79 (68) 21/79 (27) 4/79 (5) Meningococcal vaccine for pediatric traveler 39/83 (47) 44/83 (53) 16/39 (41) 13/39 (33) 10/39 (26) 50/86 (58) 26/86 (30) 10/86 (12) Personal safety (transportatio |
| doi_str_mv | 10.1016/j.tmaid.2020.101763 |
| format | Article |
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Care for such children poses significant challenges, firstly, as their young age and/or underlying conditions render them more vulnerable for travel-related health risks, and secondly, because the evidence-base for providing best practices is limited [5]. [...]young traveling children may not have received all routine immunizations at the departure time or may have contraindications for certain vaccines and preventive medications. Pediatric travel medicine topics Practice gaps perceiveda Identified cause of practice gapb,c,d Level of interest to receive focused educationa,e Yes, n/N (%) No/Not sure, n/N (%) Lack of education n/N (%) Lack of practical experience n/N (%) Lack of resources or guidelines n/N (%) Very Interested/Interested n/N (%) Somewhat Interested n/N (%) Not at all Interested n/N (%) Child traveling with special needs or chronic disease 116/128 (91) 12/128 (9) 28/116 (24) 55/116 (47) 33/116 (29) 81/128 (63) 43/128 (34) 4/128 (3) Off-label vaccine use 90/104 (87) 14/104 (14) 27/90 (30) 23/90 (26) 40/90 (44) 79/103 (77) 17/103 (17) 7/103 (7) Post-travel evaluation 79/102 (78) 23/102 (23) 25/79 (32) 41/79 (52) 13/79 (17) 73/97 (75) 19/97 (20) 5/97 (5) Expat and long-term pediatric traveler 85/110 (77) 25/110 (23) 20/85 (24) 29/85 (34) 36/85 (42) 78/109 (72) 29/109 (27) 2/109 (2) Tuberculosis/Use of BCG vaccine 78/104 (75) 26/104 (25) 30/78 (39) 28/78 (36) 20/78 (26) 69/100 (69) 23/100 (23) 8/100 (8) Japanese encephalitis 60/94 (64) 34/94 (36) 24/60 (40) 21/60 (35) 15/60 (25) 63/91 (69) 22/91 (24) 6/91 (7) Child visiting friends and relatives 64/104 (62) 40/104 (39) 18/64 (28) 24/64 (38) 22/64 (34) 72/102 (71) 27/102 (26) 3/102 (3) Zika virus 53/88 (60) 35/88 (40) 14/53 (26) 24/53 (45) 15/53 (28) 63/85 (74) 20/85 (24) 2/85 (2) Chikungunya 47/85 (55) 38/85 (45) 21/47 (45) 18/47 (38) 8/47 (17) 56/82 (68) 20/82 (24) 6/82 (7) Accelerated administration of routine vaccines 46/87 (53) 41/87 (47) 14/46 (30) 12/46 (26) 20/46 (44) 57/82 (70) 21/82 (26) 4/82 (5) Teen, young adult and student traveler 48/90 (53) 42/90 (47) 13/48 (27) 15/48 (31) 20/48 (42) 69/92 (75) 22/92 (24) 1/92 (1) Dengue 43/82 (52) 39/82 (48) 13/43 (30) 20/43 (46) 10/43 (23) 54/79 (68) 21/79 (27) 4/79 (5) Meningococcal vaccine for pediatric traveler 39/83 (47) 44/83 (53) 16/39 (41) 13/39 (33) 10/39 (26) 50/86 (58) 26/86 (30) 10/86 (12) Personal safety (transportation, drugs/alcohol) 40/85 (47) 45/85 (53) 13/40 (33) 7/40 (18) 20/40 (50) 51/83 (62) 23/83 (28) 9/83 (11) Typhoid 35/77 (46) 42/77 (54) 12/35 (34) 12/35 (34) 11/35 (31) 51/75 (68) 18/75 (24) 6/75 (8) Rabies vaccine 31/77 (40) 46/77 (60) 10/31 (32) 11/31 (34) 10/31 (32) 54/77 (70) 17/77 (22) 6/77 (8) Travelers' diarrhea 33/82 (40) 49/82 (60) 14/33 (42) 5/33 (15) 14/33 (42) 60/81 (74) 15/81 (19) 6/81 (7) Yellow fever 32/82 (39) 50/82 (61) 10/32 (31) 15/32 (47) 7/32 (22) 52/77 (68) 19/77 (25) 6/77 (8) Malaria 32/82 (39) 50/82 (61) 10/32 (31) 12/32 (38) 10/32 (31) 54/79 (68) 20/79 (25) 5/79 (6) Hepatitis A 18/75 (24) 57/75 (76) 7/18 (39) 7/18 (39) 4/18 (22) 39/71 (55) 19/71 (27) 13/71 (18) Table 1 Pediatric travel medicine relevant topics, perceived practice gaps, identified causes, and level of interest for education.</description><identifier>ISSN: 1477-8939</identifier><identifier>EISSN: 1873-0442</identifier><identifier>DOI: 10.1016/j.tmaid.2020.101763</identifier><identifier>PMID: 32492483</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Alcohols ; Americans abroad ; Best practices ; Child traveler ; Children ; Children & youth ; Chronic illnesses ; Disease control ; Education ; Educational needs ; Health risks ; Hepatitis ; Human diseases ; Identification ; Immunization ; Infectious diseases ; Malaria ; Medical sciences ; Medicine ; Pediatrics ; Practice gaps ; Public health ; Surveying ; Transport ; Travel ; Travel medicine ; Tropical diseases ; Tuberculosis ; Vaccines ; Vector-borne diseases</subject><ispartof>Travel medicine and infectious disease, 2020-11, Vol.38, p.101763-101763, Article 101763</ispartof><rights>2020 Elsevier Ltd</rights><rights>2020. Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c337t-cf463d577bcec2404d1f1bbe33cc51404b73e5f16e7e5992165e886dd12808663</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2470888975?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976,64364,64366,64368,72218</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32492483$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Molitor-Kirsch, Shirley A.</creatorcontrib><creatorcontrib>Leshem, Eyal</creatorcontrib><creatorcontrib>Fischer, Philip R.</creatorcontrib><creatorcontrib>Christenson, John C.</creatorcontrib><creatorcontrib>Kohl, Sarah</creatorcontrib><creatorcontrib>Mackell, Sheila</creatorcontrib><creatorcontrib>Starr, Mike</creatorcontrib><creatorcontrib>Hagmann, Stefan H.F.</creatorcontrib><title>Caring for the child traveler: Results of a practice gaps and educational needs survey</title><title>Travel medicine and infectious disease</title><addtitle>Travel Med Infect Dis</addtitle><description>[...]expertise in pediatric travel medicine has become essential for providers offering travel health care to children. Care for such children poses significant challenges, firstly, as their young age and/or underlying conditions render them more vulnerable for travel-related health risks, and secondly, because the evidence-base for providing best practices is limited [5]. [...]young traveling children may not have received all routine immunizations at the departure time or may have contraindications for certain vaccines and preventive medications. Pediatric travel medicine topics Practice gaps perceiveda Identified cause of practice gapb,c,d Level of interest to receive focused educationa,e Yes, n/N (%) No/Not sure, n/N (%) Lack of education n/N (%) Lack of practical experience n/N (%) Lack of resources or guidelines n/N (%) Very Interested/Interested n/N (%) Somewhat Interested n/N (%) Not at all Interested n/N (%) Child traveling with special needs or chronic disease 116/128 (91) 12/128 (9) 28/116 (24) 55/116 (47) 33/116 (29) 81/128 (63) 43/128 (34) 4/128 (3) Off-label vaccine use 90/104 (87) 14/104 (14) 27/90 (30) 23/90 (26) 40/90 (44) 79/103 (77) 17/103 (17) 7/103 (7) Post-travel evaluation 79/102 (78) 23/102 (23) 25/79 (32) 41/79 (52) 13/79 (17) 73/97 (75) 19/97 (20) 5/97 (5) Expat and long-term pediatric traveler 85/110 (77) 25/110 (23) 20/85 (24) 29/85 (34) 36/85 (42) 78/109 (72) 29/109 (27) 2/109 (2) Tuberculosis/Use of BCG vaccine 78/104 (75) 26/104 (25) 30/78 (39) 28/78 (36) 20/78 (26) 69/100 (69) 23/100 (23) 8/100 (8) Japanese encephalitis 60/94 (64) 34/94 (36) 24/60 (40) 21/60 (35) 15/60 (25) 63/91 (69) 22/91 (24) 6/91 (7) Child visiting friends and relatives 64/104 (62) 40/104 (39) 18/64 (28) 24/64 (38) 22/64 (34) 72/102 (71) 27/102 (26) 3/102 (3) Zika virus 53/88 (60) 35/88 (40) 14/53 (26) 24/53 (45) 15/53 (28) 63/85 (74) 20/85 (24) 2/85 (2) Chikungunya 47/85 (55) 38/85 (45) 21/47 (45) 18/47 (38) 8/47 (17) 56/82 (68) 20/82 (24) 6/82 (7) Accelerated administration of routine vaccines 46/87 (53) 41/87 (47) 14/46 (30) 12/46 (26) 20/46 (44) 57/82 (70) 21/82 (26) 4/82 (5) Teen, young adult and student traveler 48/90 (53) 42/90 (47) 13/48 (27) 15/48 (31) 20/48 (42) 69/92 (75) 22/92 (24) 1/92 (1) Dengue 43/82 (52) 39/82 (48) 13/43 (30) 20/43 (46) 10/43 (23) 54/79 (68) 21/79 (27) 4/79 (5) Meningococcal vaccine for pediatric traveler 39/83 (47) 44/83 (53) 16/39 (41) 13/39 (33) 10/39 (26) 50/86 (58) 26/86 (30) 10/86 (12) Personal safety (transportation, drugs/alcohol) 40/85 (47) 45/85 (53) 13/40 (33) 7/40 (18) 20/40 (50) 51/83 (62) 23/83 (28) 9/83 (11) Typhoid 35/77 (46) 42/77 (54) 12/35 (34) 12/35 (34) 11/35 (31) 51/75 (68) 18/75 (24) 6/75 (8) Rabies vaccine 31/77 (40) 46/77 (60) 10/31 (32) 11/31 (34) 10/31 (32) 54/77 (70) 17/77 (22) 6/77 (8) Travelers' diarrhea 33/82 (40) 49/82 (60) 14/33 (42) 5/33 (15) 14/33 (42) 60/81 (74) 15/81 (19) 6/81 (7) Yellow fever 32/82 (39) 50/82 (61) 10/32 (31) 15/32 (47) 7/32 (22) 52/77 (68) 19/77 (25) 6/77 (8) Malaria 32/82 (39) 50/82 (61) 10/32 (31) 12/32 (38) 10/32 (31) 54/79 (68) 20/79 (25) 5/79 (6) Hepatitis A 18/75 (24) 57/75 (76) 7/18 (39) 7/18 (39) 4/18 (22) 39/71 (55) 19/71 (27) 13/71 (18) Table 1 Pediatric travel medicine relevant topics, perceived practice gaps, identified causes, and level of interest for education.</description><subject>Alcohols</subject><subject>Americans abroad</subject><subject>Best practices</subject><subject>Child traveler</subject><subject>Children</subject><subject>Children & youth</subject><subject>Chronic illnesses</subject><subject>Disease control</subject><subject>Education</subject><subject>Educational needs</subject><subject>Health risks</subject><subject>Hepatitis</subject><subject>Human diseases</subject><subject>Identification</subject><subject>Immunization</subject><subject>Infectious diseases</subject><subject>Malaria</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Pediatrics</subject><subject>Practice gaps</subject><subject>Public health</subject><subject>Surveying</subject><subject>Transport</subject><subject>Travel</subject><subject>Travel medicine</subject><subject>Tropical diseases</subject><subject>Tuberculosis</subject><subject>Vaccines</subject><subject>Vector-borne 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Dis</addtitle><date>2020-11</date><risdate>2020</risdate><volume>38</volume><spage>101763</spage><epage>101763</epage><pages>101763-101763</pages><artnum>101763</artnum><issn>1477-8939</issn><eissn>1873-0442</eissn><abstract>[...]expertise in pediatric travel medicine has become essential for providers offering travel health care to children. Care for such children poses significant challenges, firstly, as their young age and/or underlying conditions render them more vulnerable for travel-related health risks, and secondly, because the evidence-base for providing best practices is limited [5]. [...]young traveling children may not have received all routine immunizations at the departure time or may have contraindications for certain vaccines and preventive medications. Pediatric travel medicine topics Practice gaps perceiveda Identified cause of practice gapb,c,d Level of interest to receive focused educationa,e Yes, n/N (%) No/Not sure, n/N (%) Lack of education n/N (%) Lack of practical experience n/N (%) Lack of resources or guidelines n/N (%) Very Interested/Interested n/N (%) Somewhat Interested n/N (%) Not at all Interested n/N (%) Child traveling with special needs or chronic disease 116/128 (91) 12/128 (9) 28/116 (24) 55/116 (47) 33/116 (29) 81/128 (63) 43/128 (34) 4/128 (3) Off-label vaccine use 90/104 (87) 14/104 (14) 27/90 (30) 23/90 (26) 40/90 (44) 79/103 (77) 17/103 (17) 7/103 (7) Post-travel evaluation 79/102 (78) 23/102 (23) 25/79 (32) 41/79 (52) 13/79 (17) 73/97 (75) 19/97 (20) 5/97 (5) Expat and long-term pediatric traveler 85/110 (77) 25/110 (23) 20/85 (24) 29/85 (34) 36/85 (42) 78/109 (72) 29/109 (27) 2/109 (2) Tuberculosis/Use of BCG vaccine 78/104 (75) 26/104 (25) 30/78 (39) 28/78 (36) 20/78 (26) 69/100 (69) 23/100 (23) 8/100 (8) Japanese encephalitis 60/94 (64) 34/94 (36) 24/60 (40) 21/60 (35) 15/60 (25) 63/91 (69) 22/91 (24) 6/91 (7) Child visiting friends and relatives 64/104 (62) 40/104 (39) 18/64 (28) 24/64 (38) 22/64 (34) 72/102 (71) 27/102 (26) 3/102 (3) Zika virus 53/88 (60) 35/88 (40) 14/53 (26) 24/53 (45) 15/53 (28) 63/85 (74) 20/85 (24) 2/85 (2) Chikungunya 47/85 (55) 38/85 (45) 21/47 (45) 18/47 (38) 8/47 (17) 56/82 (68) 20/82 (24) 6/82 (7) Accelerated administration of routine vaccines 46/87 (53) 41/87 (47) 14/46 (30) 12/46 (26) 20/46 (44) 57/82 (70) 21/82 (26) 4/82 (5) Teen, young adult and student traveler 48/90 (53) 42/90 (47) 13/48 (27) 15/48 (31) 20/48 (42) 69/92 (75) 22/92 (24) 1/92 (1) Dengue 43/82 (52) 39/82 (48) 13/43 (30) 20/43 (46) 10/43 (23) 54/79 (68) 21/79 (27) 4/79 (5) Meningococcal vaccine for pediatric traveler 39/83 (47) 44/83 (53) 16/39 (41) 13/39 (33) 10/39 (26) 50/86 (58) 26/86 (30) 10/86 (12) Personal safety (transportation, drugs/alcohol) 40/85 (47) 45/85 (53) 13/40 (33) 7/40 (18) 20/40 (50) 51/83 (62) 23/83 (28) 9/83 (11) Typhoid 35/77 (46) 42/77 (54) 12/35 (34) 12/35 (34) 11/35 (31) 51/75 (68) 18/75 (24) 6/75 (8) Rabies vaccine 31/77 (40) 46/77 (60) 10/31 (32) 11/31 (34) 10/31 (32) 54/77 (70) 17/77 (22) 6/77 (8) Travelers' diarrhea 33/82 (40) 49/82 (60) 14/33 (42) 5/33 (15) 14/33 (42) 60/81 (74) 15/81 (19) 6/81 (7) Yellow fever 32/82 (39) 50/82 (61) 10/32 (31) 15/32 (47) 7/32 (22) 52/77 (68) 19/77 (25) 6/77 (8) Malaria 32/82 (39) 50/82 (61) 10/32 (31) 12/32 (38) 10/32 (31) 54/79 (68) 20/79 (25) 5/79 (6) Hepatitis A 18/75 (24) 57/75 (76) 7/18 (39) 7/18 (39) 4/18 (22) 39/71 (55) 19/71 (27) 13/71 (18) Table 1 Pediatric travel medicine relevant topics, perceived practice gaps, identified causes, and level of interest for education.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>32492483</pmid><doi>10.1016/j.tmaid.2020.101763</doi><tpages>1</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1477-8939 |
| ispartof | Travel medicine and infectious disease, 2020-11, Vol.38, p.101763-101763, Article 101763 |
| issn | 1477-8939 1873-0442 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2409645855 |
| source | Elsevier ScienceDirect Journals; ProQuest Central UK/Ireland |
| subjects | Alcohols Americans abroad Best practices Child traveler Children Children & youth Chronic illnesses Disease control Education Educational needs Health risks Hepatitis Human diseases Identification Immunization Infectious diseases Malaria Medical sciences Medicine Pediatrics Practice gaps Public health Surveying Transport Travel Travel medicine Tropical diseases Tuberculosis Vaccines Vector-borne diseases |
| title | Caring for the child traveler: Results of a practice gaps and educational needs survey |
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