The pretravel consultation.

Full Abstract

The increase in travel and travel medicine knowledge over the past 30 years makes pretravel counseling an essential part of comprehensive family medicine. Effective counseling begins with assessment of individual and itinerary-based risks, using a growing body of evidence-based decision-support tools and resources. Counseling recommendations should be tailored to the patient's risk tolerance and experience. An essential component of the pretravel consultation includes reviewing routine and destination-specific immunizations. In addition to implementing behavioral adaptations, travelers can guard against vectorborne disease by using N,N-diethyl-m-toluamide (DEET, 30%), a safe and effective insect repellent. Patients should also receive malarial chemoprophylaxis when traveling to areas of risk. Proper precautions can reduce the risk of food- and waterborne disease. Travelers should take appropriate precautions when traveling to high altitudes. Strategies for minimizing the risk of deep venous thrombosis during air travel include keeping mobile and wearing compression stockings. Accident avoidance and coping strategies for health problems that occur while abroad are also important components of the pretravel consultation.

Author information

Author/s: Bazemore, Andrew W (AW); Huntington, Mark (M);

Affiliation: The Robert Graham Center, Washington, DC 20036, USA. abazemore(-atsign-)aafp.org

Journal and publication information

Publication Type: Journal Article

Journal: American family physician (Am Fam Physician), published in United States. (Language: eng)

Reference: 2009-Sep; vol 80 (issue 6) : pp 583-90

Dates: Created 2009/10/12; Completed 2009/10/30;

PMID: 19817324, status: MEDLINE (last retrieval date: 10/30/2009, IMS Date: )

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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