The Pretravel Consultation.

IF 3.8 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

American family physician Pub Date : 2025-03-01

Jedda Rupert, Timothy Groh, Rebecca Allen

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引用次数: 0

Abstract

Patients who will be traveling internationally should be advised to schedule dedicated pretravel assessments with their primary care physicians. The pretravel consultation is a vital opportunity for physicians to review preventive and risk-reduction strategies with travelers. Critical components of the patient interview include travel itinerary, anticipated high-risk activity, and medical history. This information affects subsequent recommendations for immunizations, malaria chemoprophylaxis, personal protective measures, and risk-reduction measures. Physicians should review whether routine and seasonal immunizations, including those for COVID-19 and influenza, are up to date and determine whether location-specific immunizations are warranted. Malaria prophylaxis and counseling on personal protective measures, including minimizing skin exposure and using insect repellant, permethrin-treated clothing, bed nets, and screens, are recommended for travelers visiting endemic areas. A single dose of antibiotics may be considered for self-treatment of traveler's diarrhea without features of dysentery. Travelers with chronic medical conditions, such as diabetes, should carry documentation of medical issues and enough medications and supplies to last for the duration of travel. Activity-specific concerns include sunburn, motor vehicle crashes, water safety, altitude sickness, and risks associated with sexual behaviors.

本刊更多论文

旅行前咨询。

应建议将进行国际旅行的患者与其初级保健医生安排专门的旅行前评估。旅行前会诊是医生与旅行者一起审查预防和减少风险战略的重要机会。病人面谈的关键部分包括旅行路线、预期的高风险活动和病史。这一信息影响到随后关于免疫、疟疾化学预防、个人保护措施和减少风险措施的建议。医生应审查常规和季节性免疫接种（包括COVID-19和流感免疫接种）是否最新，并确定是否有必要进行特定地点的免疫接种。建议前往流行地区的旅行者进行疟疾预防和个人防护措施咨询，包括尽量减少皮肤接触和使用驱蚊剂、氯菊酯处理过的衣服、蚊帐和纱窗。对于没有痢疾特征的旅行者腹泻，可考虑使用单剂量抗生素自行治疗。患有慢性疾病（如糖尿病）的旅行者应携带医疗问题文件和足够的药物和用品，以维持旅行期间。与活动相关的问题包括晒伤、机动车碰撞、水上安全、高原反应以及与性行为相关的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American family physician 医学-医学：内科

CiteScore

2.80

自引率

2.50%

发文量

368

审稿时长

4-8 weeks

期刊介绍： American Family Physician is a semimonthly, editorially independent, peer-reviewed journal of the American Academy of Family Physicians. AFP’s chief objective is to provide high-quality continuing medical education for more than 190,000 family physicians and other primary care clinicians. The editors prefer original articles from experienced clinicians who write succinct, evidence-based, authoritative clinical reviews that will assist family physicians in patient care. AFP considers only manuscripts that are original, have not been published previously, and are not under consideration for publication elsewhere. Articles that demonstrate a family medicine perspective on and approach to a common clinical condition are particularly desirable.