A Comparison of Pretravel Health Care, Travel-Related Exposures, and Illnesses among Pediatric and Adult U.S. Military Beneficiaries
We evaluated differences in pretravel care, exposures, and illnesses among pediatric and adult travelers, using a prospective, observational cohort. Eighty-one pediatric travelers were matched 1:1 with adult military dependents by travel region, destination's malaria risk, and travel duration....
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| Veröffentlicht in: | The American journal of tropical medicine and hygiene 2019-05, Vol.100 (5), p.1285-1289 |
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| container_title | The American journal of tropical medicine and hygiene |
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| creator | Ashley, David P Fraser, Jamie Yun, Heather Kunz, Anjali Fairchok, Mary Tribble, David Mitra, Indrani Johnson, Mark D Hickey, Patrick W Ganesan, Anuradha Deiss, Robert G Lalani, Tahaniyat For The Idcrp TravMil Study Group |
| description | We evaluated differences in pretravel care, exposures, and illnesses among pediatric and adult travelers, using a prospective, observational cohort. Eighty-one pediatric travelers were matched 1:1 with adult military dependents by travel region, destination's malaria risk, and travel duration. Pediatric travelers were more likely to have coverage for hepatitis A and B (90% versus 67% of adults; 85% versus 44%), visit friends and relatives (36% versus 16%), report mosquito bites (69% versus 44%), and have close contact with wild or domesticated animals (40% versus 20%) than adults (
< 0.05). Subjects < 10 years of age were less likely to be prescribed antibiotics (28% versus 95%; RR = 0.63; 95% CI: 0.46-0.85) and antidiarrheals (9% versus 100%; RR = 0.10; 95% CI: 0.03-0.29) for travelers' diarrhea (TD) self-treatment than adults. Travel medicine providers should emphasize strategies for vector avoidance, prevention of animal bites and scratches, and TD self-treatment in pediatric pretravel consultations. |
| doi_str_mv | 10.4269/ajtmh.18-0353 |
| format | Article |
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< 0.05). Subjects < 10 years of age were less likely to be prescribed antibiotics (28% versus 95%; RR = 0.63; 95% CI: 0.46-0.85) and antidiarrheals (9% versus 100%; RR = 0.10; 95% CI: 0.03-0.29) for travelers' diarrhea (TD) self-treatment than adults. Travel medicine providers should emphasize strategies for vector avoidance, prevention of animal bites and scratches, and TD self-treatment in pediatric pretravel consultations.</description><identifier>ISSN: 0002-9637</identifier><identifier>EISSN: 1476-1645</identifier><identifier>DOI: 10.4269/ajtmh.18-0353</identifier><identifier>PMID: 30915948</identifier><language>eng</language><publisher>United States: Institute of Tropical Medicine</publisher><subject>Adolescent ; Adult ; Adults ; Animal bites ; Animals ; Anti-Bacterial Agents - therapeutic use ; Antidiarrheals - therapeutic use ; Child ; Child, Preschool ; Diarrhea - prevention & control ; Female ; Hepatitis A - prevention & control ; Humans ; Infant ; Malaria - prevention & control ; Male ; Military Personnel ; Pediatrics ; Prospective Studies ; Travel ; Travel Medicine - methods ; Travel Medicine - statistics & numerical data ; Travel-Related Illness ; Vaccination - statistics & numerical data</subject><ispartof>The American journal of tropical medicine and hygiene, 2019-05, Vol.100 (5), p.1285-1289</ispartof><rights>Copyright Institute of Tropical Medicine 2019</rights><rights>The American Society of Tropical Medicine and Hygiene 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-ef29282eb8eac2f12057493bd915164d1b1a6e1a0038efed71543bc2eebdeac23</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6493949/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6493949/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,729,782,786,887,27931,27932,53798,53800</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30915948$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ashley, David P</creatorcontrib><creatorcontrib>Fraser, Jamie</creatorcontrib><creatorcontrib>Yun, Heather</creatorcontrib><creatorcontrib>Kunz, Anjali</creatorcontrib><creatorcontrib>Fairchok, Mary</creatorcontrib><creatorcontrib>Tribble, David</creatorcontrib><creatorcontrib>Mitra, Indrani</creatorcontrib><creatorcontrib>Johnson, Mark D</creatorcontrib><creatorcontrib>Hickey, Patrick W</creatorcontrib><creatorcontrib>Ganesan, Anuradha</creatorcontrib><creatorcontrib>Deiss, Robert G</creatorcontrib><creatorcontrib>Lalani, Tahaniyat</creatorcontrib><creatorcontrib>For The Idcrp TravMil Study Group</creatorcontrib><title>A Comparison of Pretravel Health Care, Travel-Related Exposures, and Illnesses among Pediatric and Adult U.S. Military Beneficiaries</title><title>The American journal of tropical medicine and hygiene</title><addtitle>Am J Trop Med Hyg</addtitle><description>We evaluated differences in pretravel care, exposures, and illnesses among pediatric and adult travelers, using a prospective, observational cohort. Eighty-one pediatric travelers were matched 1:1 with adult military dependents by travel region, destination's malaria risk, and travel duration. Pediatric travelers were more likely to have coverage for hepatitis A and B (90% versus 67% of adults; 85% versus 44%), visit friends and relatives (36% versus 16%), report mosquito bites (69% versus 44%), and have close contact with wild or domesticated animals (40% versus 20%) than adults (
< 0.05). Subjects < 10 years of age were less likely to be prescribed antibiotics (28% versus 95%; RR = 0.63; 95% CI: 0.46-0.85) and antidiarrheals (9% versus 100%; RR = 0.10; 95% CI: 0.03-0.29) for travelers' diarrhea (TD) self-treatment than adults. Travel medicine providers should emphasize strategies for vector avoidance, prevention of animal bites and scratches, and TD self-treatment in pediatric pretravel consultations.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adults</subject><subject>Animal bites</subject><subject>Animals</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Antidiarrheals - therapeutic use</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Diarrhea - prevention & control</subject><subject>Female</subject><subject>Hepatitis A - prevention & control</subject><subject>Humans</subject><subject>Infant</subject><subject>Malaria - prevention & control</subject><subject>Male</subject><subject>Military Personnel</subject><subject>Pediatrics</subject><subject>Prospective Studies</subject><subject>Travel</subject><subject>Travel Medicine - methods</subject><subject>Travel Medicine - statistics & numerical data</subject><subject>Travel-Related Illness</subject><subject>Vaccination - statistics & numerical data</subject><issn>0002-9637</issn><issn>1476-1645</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkcFv0zAUhy0EYl3hyBVZ4sJhKX524iYXpFINNmmICbaz5SQvqyvH7mxngvv-cNxuTMDBsuT3-b336UfIG2CLksvmg96mcbOAumCiEs_IDMqlLECW1XMyY4zxopFieUSOY9wyBjUHeEmOBGugasp6Ru5XdO3HnQ4mekf9QC8DpqDv0NIz1DZt6FoHPKFXh7fiO1qdsKenP3c-TgHjCdWup-fWOowRI9Wjdzf0EnujUzDdobrqJ5vo9eLHgn411iQdftFP6HAwncmDMb4iLwZtI75-vOfk-vPp1fqsuPj25Xy9uii6EqpU4MAbXnNsa9QdH4Czalk2ou2zTDbuoQUtETRjosYB-yVUpWg7jtj2-x9iTj4-9N1N7Yh9hy6rWrULZsw7Ka-N-rfizEbd-Dsl85gmnzl5_9gg-NsJY1KjiR1aqx36KSoOTV1J4NUeffcfuvVTcFlPcV7KLCKhzlTxQHXBxxhweFoGmNrnqw75KqjVPt_Mv_3b4In-E6j4Db_3o5A</recordid><startdate>201905</startdate><enddate>201905</enddate><creator>Ashley, David P</creator><creator>Fraser, Jamie</creator><creator>Yun, Heather</creator><creator>Kunz, Anjali</creator><creator>Fairchok, Mary</creator><creator>Tribble, David</creator><creator>Mitra, Indrani</creator><creator>Johnson, Mark D</creator><creator>Hickey, Patrick W</creator><creator>Ganesan, Anuradha</creator><creator>Deiss, Robert G</creator><creator>Lalani, Tahaniyat</creator><creator>For The Idcrp TravMil Study Group</creator><general>Institute of Tropical Medicine</general><general>The American Society of Tropical Medicine and Hygiene</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201905</creationdate><title>A Comparison of Pretravel Health Care, Travel-Related Exposures, and Illnesses among Pediatric and Adult U.S. Military Beneficiaries</title><author>Ashley, David P ; Fraser, Jamie ; Yun, Heather ; Kunz, Anjali ; Fairchok, Mary ; Tribble, David ; Mitra, Indrani ; Johnson, Mark D ; Hickey, Patrick W ; Ganesan, Anuradha ; Deiss, Robert G ; Lalani, Tahaniyat ; For The Idcrp TravMil Study Group</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-ef29282eb8eac2f12057493bd915164d1b1a6e1a0038efed71543bc2eebdeac23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adults</topic><topic>Animal bites</topic><topic>Animals</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Antidiarrheals - therapeutic use</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Diarrhea - prevention & control</topic><topic>Female</topic><topic>Hepatitis A - prevention & control</topic><topic>Humans</topic><topic>Infant</topic><topic>Malaria - prevention & control</topic><topic>Male</topic><topic>Military Personnel</topic><topic>Pediatrics</topic><topic>Prospective Studies</topic><topic>Travel</topic><topic>Travel Medicine - methods</topic><topic>Travel Medicine - statistics & numerical data</topic><topic>Travel-Related Illness</topic><topic>Vaccination - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ashley, David P</creatorcontrib><creatorcontrib>Fraser, Jamie</creatorcontrib><creatorcontrib>Yun, Heather</creatorcontrib><creatorcontrib>Kunz, Anjali</creatorcontrib><creatorcontrib>Fairchok, Mary</creatorcontrib><creatorcontrib>Tribble, David</creatorcontrib><creatorcontrib>Mitra, Indrani</creatorcontrib><creatorcontrib>Johnson, Mark D</creatorcontrib><creatorcontrib>Hickey, Patrick W</creatorcontrib><creatorcontrib>Ganesan, Anuradha</creatorcontrib><creatorcontrib>Deiss, Robert G</creatorcontrib><creatorcontrib>Lalani, Tahaniyat</creatorcontrib><creatorcontrib>For The Idcrp TravMil Study Group</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>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>Ashley, David P</au><au>Fraser, Jamie</au><au>Yun, Heather</au><au>Kunz, Anjali</au><au>Fairchok, Mary</au><au>Tribble, David</au><au>Mitra, Indrani</au><au>Johnson, Mark D</au><au>Hickey, Patrick W</au><au>Ganesan, Anuradha</au><au>Deiss, Robert G</au><au>Lalani, Tahaniyat</au><au>For The Idcrp TravMil Study Group</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Comparison of Pretravel Health Care, Travel-Related Exposures, and Illnesses among Pediatric and Adult U.S. Military Beneficiaries</atitle><jtitle>The American journal of tropical medicine and hygiene</jtitle><addtitle>Am J Trop Med Hyg</addtitle><date>2019-05</date><risdate>2019</risdate><volume>100</volume><issue>5</issue><spage>1285</spage><epage>1289</epage><pages>1285-1289</pages><issn>0002-9637</issn><eissn>1476-1645</eissn><abstract>We evaluated differences in pretravel care, exposures, and illnesses among pediatric and adult travelers, using a prospective, observational cohort. 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< 0.05). Subjects < 10 years of age were less likely to be prescribed antibiotics (28% versus 95%; RR = 0.63; 95% CI: 0.46-0.85) and antidiarrheals (9% versus 100%; RR = 0.10; 95% CI: 0.03-0.29) for travelers' diarrhea (TD) self-treatment than adults. Travel medicine providers should emphasize strategies for vector avoidance, prevention of animal bites and scratches, and TD self-treatment in pediatric pretravel consultations.</abstract><cop>United States</cop><pub>Institute of Tropical Medicine</pub><pmid>30915948</pmid><doi>10.4269/ajtmh.18-0353</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The American journal of tropical medicine and hygiene, 2019-05, Vol.100 (5), p.1285-1289 |
| issn | 0002-9637 1476-1645 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6493949 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Adolescent Adult Adults Animal bites Animals Anti-Bacterial Agents - therapeutic use Antidiarrheals - therapeutic use Child Child, Preschool Diarrhea - prevention & control Female Hepatitis A - prevention & control Humans Infant Malaria - prevention & control Male Military Personnel Pediatrics Prospective Studies Travel Travel Medicine - methods Travel Medicine - statistics & numerical data Travel-Related Illness Vaccination - statistics & numerical data |
| title | A Comparison of Pretravel Health Care, Travel-Related Exposures, and Illnesses among Pediatric and Adult U.S. Military Beneficiaries |
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