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Malaria chemoprophylaxis of 3,446 French travelers departing from Paris to eight tropical countries.
Semaille, C; Santin, A; Prazuck, T; Bargain, P; Lafaix, C; Fisch, A.
Afiliação
  • Semaille C; Institut des Etudes Epidémiologiques et Prophylactiques (IDEEP), Centre Hospitalier - 94 195 Villeneuve Saint Georges, France.
J Travel Med ; 6(1): 3-6, 1999 Mar.
Article em En | MEDLINE | ID: mdl-10071365
BACKGROUND: Each year more and more French travelers are visiting areas where malaria is endemic. The aim of this study was to assess prophylactic regimens used by French travelers and to determine whether they meet current published recommendations. METHODS: This 12 month transversal study (May 1, 1995 to April 31, 1996) was conducted in embarkment lounges of Roissy Charles de Gaulle Airport to eight "tropical" destinations. RESULTS: 3,446 French travelers were enrolled. Twenty two and three-fifths percent of travelers had not sought any advice. The percentages of travelers staying less than 3 months (n = 2899) at risk of malaria (i.e., using none or inadequate chemoprophylaxis) were, according to the destination: Brazil (20%), Gabon (83%), Ivory Coast (26%), Kenya (43%), Madagascar (39%), Thailand (22%), Venezuela (41%) and Vietnam (8%). The suitability of the prophylaxis according to the information source for travelers staying less than 3 months varied as follows: specialist physician (OR = 1), travel agent (OR = 1.01, CI = 0.9 - 1. 1), occupational physician (OR = 1.13, CI = 0.6 - 2.1), GP (OR = 1. 58, CI = 1.1 - 2.3), none (OR = 1.95, CI = 1.3 - 2.9), friends (OR = 3, CI = 1.8 - 5) and pharmacist (OR = 3.94, CI = 2.1 - 7.5). Suitability of prophylaxis also varied according to the type of trip: organized tour (OR = 1), business trip (OR = 1.04, CI = 0.8 - 1.4), adventure tourism (OR = 2.1, CI = 1.6 - 2.9) and visit to family or friends (OR = 2.3, CI = 1.7 - 3.1). CONCLUSIONS: This study shows that the quality of advice on antimalarial chemoprophylaxis varies markedly according to the source, and that nearly one in three French travelers (29.3 %, 850/2899) to tropical areas is at risk of malaria.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Viagem / Malária Falciparum / Antimaláricos Tipo de estudo: Observational_studies / Prevalence_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: Europa Idioma: En Revista: J Travel Med Assunto da revista: DOENCAS TRANSMISSIVEIS / SAUDE PUBLICA Ano de publicação: 1999 Tipo de documento: Article País de afiliação: França
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Viagem / Malária Falciparum / Antimaláricos Tipo de estudo: Observational_studies / Prevalence_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: Europa Idioma: En Revista: J Travel Med Assunto da revista: DOENCAS TRANSMISSIVEIS / SAUDE PUBLICA Ano de publicação: 1999 Tipo de documento: Article País de afiliação: França