TY - JOUR
T1 - A comparison of pretravel health care, travel-related exposures, and illnesses among pediatric and adult U.S. Military beneficiaries
AU - Ashley, David P.
AU - Fraser, Jamie
AU - Yun, Heather
AU - Kunz, Anjali
AU - Fairchok, Mary
AU - Tribble, David
AU - Mitra, Indrani
AU - Johnson, Mark D.
AU - Hickey, Patrick W.
AU - Ganesan, Anuradha
AU - Deiss, Robert G.
AU - Lalani, Tahaniyat
N1 - Funding Information:
Financial support: This study (IDCRP-037) was supported by the Infectious Disease Clinical Research Program (IDCRP), a Department of Defense (DoD) program executed through the Uniformed Services University of the Health Sciences. This project has been funded in whole, or in part, with federal funds from the National Institute of Allergy and Infectious Diseases, NIH, under Inter-Agency Agreement Y1-AI-5072.
Publisher Copyright:
Copyright © 2019 by The American Society of Tropical Medicine and Hygiene
PY - 2019
Y1 - 2019
N2 - 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 (P < 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.
AB - 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 (P < 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.
UR - http://www.scopus.com/inward/record.url?scp=85065511932&partnerID=8YFLogxK
U2 - 10.4269/ajtmh.18-0353
DO - 10.4269/ajtmh.18-0353
M3 - Article
C2 - 30915948
AN - SCOPUS:85065511932
SN - 0002-9637
VL - 100
SP - 1285
EP - 1289
JO - American Journal of Tropical Medicine and Hygiene
JF - American Journal of Tropical Medicine and Hygiene
IS - 5
ER -