RT Book, Section
A1 Slain, Douglas
A1 Kincaid, Scott
A2 DiPiro, Joseph T.
A2 Yee, Gary C.
A2 Haines, Stuart T.
A2 Nolin, Thomas D.
A2 Ellingrod, Vicki L.
A2 Posey, L. Michael
SR Print(0)
ID 1197541760
T1 Travel Health
T2 DiPiro’s Pharmacotherapy: A Pathophysiologic Approach, 12th Edition
YR 2023
FD 2023
PB McGraw Hill
PP New York, NY
SN 9781264264544
LK accesspharmacy.mhmedical.com/content.aspx?aid=1197541760
RD 2024/04/25
AB KEY  CONCEPTS  Travelers  should  consult  practitioners  with  travel  health  expertise  when  going  to  tropical  or  developing  countries.  For  the  pretravel  consultation  recommendations,  travelers  should  be  given  written  material  in  their  language  to  reinforce  and  supplement  verbal  instructions.  The  pretravel  screening  appointment  should  include  a  discussion  of  items  that  should  be  contained  in  a  travel  medical  kit.  Pregnant  travelers  should  consult  obstetric  and  travel  medicine  experts  prior  to  traveling  to  developing  countries.  Immunocompromised  patients  may  need  longer  periods  of  pretravel  preparatory  time  to  allow  for  adequate  immunization,  given  their  sometimes  blunted  antibody  responses  to  vaccines.  Travelers  to  sub-Saharan  Africa,  Southern  Asia,  Central  and  South  America,  and  the  Caribbean  experience  higher  rates  of  infection  than  those  traveling  to  other  parts  of  the  world.  Prophylactic  antibiotic  use  may  reduce  the  risk  of  traveler’s  diarrhea  but  is  generally  not  recommended,  primarily  because  of  the  risk  of  developing  drug  resistance  or  Clostridioides  difficile  infection.  Prevention  strategies  are  essential  for  limiting  vector-borne  infections  during  travel.  The  mainstay  of  therapy  in  all  altitude-related  illnesses  is  descent  to  a  lower  altitude  (typically  at  least  a  300-m  reduction  in  altitude).  Patients  who  have  previously  been  diagnosed  with  depression  should  continue  their  prescribed  medications  and  minimize  alcohol  consumption  while  traveling.