Immunocompromised Travelers: Demographic Characteristics, Travel Destinations, and Pretravel Health Care from the U.S. Global TravEpiNet Consortium
An increasing number of immunocompromised individuals are pursuing international travel, and a better understanding of their international travel patterns and pretravel health care is needed. We evaluated the clinical features, itineraries, and pretravel health care of 486 immunocompromised internat...
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| Veröffentlicht in: | The American journal of tropical medicine and hygiene 2015-11, Vol.93 (5), p.1110-1116 |
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| container_title | The American journal of tropical medicine and hygiene |
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| creator | Schwartz, Brian S Rosen, Jessica Han, Pauline V Hynes, Noreen A Hagmann, Stefan H Rao, Sowmya R Jentes, Emily S Ryan, Edward T LaRocque, Regina C The Global TravEpiNet Consortium |
| description | An increasing number of immunocompromised individuals are pursuing international travel, and a better understanding of their international travel patterns and pretravel health care is needed. We evaluated the clinical features, itineraries, and pretravel health care of 486 immunocompromised international travelers seen at Global TravEpiNet sites from January 2009 to June 2012. We used bivariate analyses and logistic regressions using random intercept models to compare demographic and travel characteristics, vaccines administered, and medications prescribed for immunocompromised travelers versus 30,702 immunocompetent travelers. Immunocompromised travelers pursued itineraries that were largely similar to those of immunocompetent travelers, with nearly one-third of such travelers visiting countries with low human development indices. Biological agents, including tumor necrosis factor blockers, were commonly used immunosuppressive medications among immunocompromised travelers. A strong collaboration between travel-medicine specialists, primary care doctors, and specialist physicians is needed to prepare immunocompromised people for international travel. Incorporating routine questioning and planning regarding travel into the primary care visits of immunocompromised people may be useful. |
| doi_str_mv | 10.4269/ajtmh.15-0185 |
| format | Article |
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We evaluated the clinical features, itineraries, and pretravel health care of 486 immunocompromised international travelers seen at Global TravEpiNet sites from January 2009 to June 2012. We used bivariate analyses and logistic regressions using random intercept models to compare demographic and travel characteristics, vaccines administered, and medications prescribed for immunocompromised travelers versus 30,702 immunocompetent travelers. Immunocompromised travelers pursued itineraries that were largely similar to those of immunocompetent travelers, with nearly one-third of such travelers visiting countries with low human development indices. Biological agents, including tumor necrosis factor blockers, were commonly used immunosuppressive medications among immunocompromised travelers. A strong collaboration between travel-medicine specialists, primary care doctors, and specialist physicians is needed to prepare immunocompromised people for international travel. 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Rosen, Jessica ; Han, Pauline V ; Hynes, Noreen A ; Hagmann, Stefan H ; Rao, Sowmya R ; Jentes, Emily S ; Ryan, Edward T ; LaRocque, Regina C ; The Global TravEpiNet Consortium</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-270bcc99340bb55aadc51c0599250fb79a59d44e9f8c2f1b2a6a8df7da20a043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Communicable Disease Control - methods</topic><topic>Counseling</topic><topic>Delivery of Health Care</topic><topic>Demography</topic><topic>Female</topic><topic>Humans</topic><topic>Immunocompromised Host - immunology</topic><topic>Immunosuppressive Agents - therapeutic use</topic><topic>Infant</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Travel</topic><topic>United States</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schwartz, Brian S</creatorcontrib><creatorcontrib>Rosen, Jessica</creatorcontrib><creatorcontrib>Han, Pauline V</creatorcontrib><creatorcontrib>Hynes, Noreen A</creatorcontrib><creatorcontrib>Hagmann, Stefan H</creatorcontrib><creatorcontrib>Rao, Sowmya R</creatorcontrib><creatorcontrib>Jentes, Emily S</creatorcontrib><creatorcontrib>Ryan, Edward T</creatorcontrib><creatorcontrib>LaRocque, Regina C</creatorcontrib><creatorcontrib>The Global TravEpiNet Consortium</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ASFA: Aquatic Sciences and Fisheries Abstracts</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) 1: Biological Sciences & Living Resources</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) 3: Aquatic Pollution & Environmental Quality</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) Professional</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The American journal of tropical medicine and hygiene</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schwartz, Brian S</au><au>Rosen, Jessica</au><au>Han, Pauline V</au><au>Hynes, Noreen A</au><au>Hagmann, Stefan H</au><au>Rao, Sowmya R</au><au>Jentes, Emily S</au><au>Ryan, Edward T</au><au>LaRocque, Regina C</au><au>The Global TravEpiNet Consortium</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Immunocompromised Travelers: Demographic Characteristics, Travel Destinations, and Pretravel Health Care from the U.S. Global TravEpiNet Consortium</atitle><jtitle>The American journal of tropical medicine and hygiene</jtitle><addtitle>Am J Trop Med Hyg</addtitle><date>2015-11-01</date><risdate>2015</risdate><volume>93</volume><issue>5</issue><spage>1110</spage><epage>1116</epage><pages>1110-1116</pages><issn>0002-9637</issn><eissn>1476-1645</eissn><abstract>An increasing number of immunocompromised individuals are pursuing international travel, and a better understanding of their international travel patterns and pretravel health care is needed. 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| subjects | Adolescent Adult Aged Aged, 80 and over Child Child, Preschool Communicable Disease Control - methods Counseling Delivery of Health Care Demography Female Humans Immunocompromised Host - immunology Immunosuppressive Agents - therapeutic use Infant Male Middle Aged Travel United States Young Adult |
| title | Immunocompromised Travelers: Demographic Characteristics, Travel Destinations, and Pretravel Health Care from the U.S. Global TravEpiNet Consortium |
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