预防措施、危险行为和捷克旅行者中最常见的健康问题:对旅行后诊所门诊病人的前瞻性问卷调查研究。

IF 0.5 4区 医学 Q4 MICROBIOLOGY Epidemiologie Mikrobiologie Imunologie Pub Date : 2021-01-01
V Grebenyuk, J Lhoťan, T Rudová, L Richterová, H Roháčová, F Stejskal, M Trojánek
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引用次数: 0

摘要

目的:本研究的目的是评估前往热带和亚热带地区的捷克旅行者对现有预防措施、危险行为和健康问题的态度。材料和方法:前瞻性研究纳入了2009年2月至2018年6月期间在布拉格Na Bulovce医院的旅行后诊所就诊的所有年龄的近期有危险国家旅行史的患者。这些数据是通过问卷调查和电子医疗记录收集的。结果:934例患者(男473例,女461例,年龄中位数32岁,IQR 27-39)参与了研究。最常见的目的地是东南亚(332;35.5%),南亚(176人,18.8%)和撒哈拉以南非洲(172人;18.4%)。最常见的旅行原因是旅游(772;82.7%)和商业(111;11.9%)。317例(33.9%)患者报告有潜在的慢性疾病。415名旅行者(44.4%)寻求旅行前健康咨询;然而,只有312人(33.4%)接种了适当的疫苗。151名旅行者(16.2%)接受了预防性疟疾化学预防,但151名患者中只有44名(29.1%)接受了化学预防。832名(89.1%)受访者承认有危险的饮食行为,525名(56.2%)旅行者承认有低标准的住宿。最常见的临床综合征是急性和慢性腹泻(266;28.5%),发热性疾病(240;25.7%)和皮肤病变(166;17.8%)。共有199名患者表现为热带感染(21.3%),63名患者表现为疫苗可预防感染或疟疾(6.7%)。结论:研究表明,捷克旅行者对预防措施的依从性相对较低,并且伴随着危险行为,对旅行相关发病率有显著影响。然而,疫苗可预防的感染只占与旅行有关的疾病的一小部分,这与其他流行病学研究一致,并指出需要对旅行前的健康咨询采取更全面的跨学科方法。
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Preventive measures, risk behaviour and the most common health problems in Czech travellers: a prospective questionnaire study in post-travel clinic outpatients.

Objective:  The aim of this study was to evaluate attitudes towards the available preventive measures, risk behaviour and health problems in Czech travellers to tropical and subtropical regions.

Materials and methods:  The prospective study included patients of all ages with a history of recent travel to risky countries who presented to the post-travel clinic of the Hospital Na Bulovce in Prague within two months after return, from February 2009 to June 2018. The data were collec-ted through a questionnaire survey and from electronic medical records.

Results:  Nine hundred and thirty-four patients (473 M and 461 F, age median of 32 years, IQR 27-39) participated in the study. The most frequent destinations were South-East Asia (332; 35.5%), South Asia (176, 18.8%), and Sub-Saharan Africa (172; 18.4%). The most common reasons for tra-vel were tourism (772; 82.7%) and business (111; 11.9%). An underlying chronic disease was reported by 317 patients (33.9%). Pre-travel health consultation was sought by 415 travellers (44.4%); however, only 312 (33.4%) of the respondents were properly vaccinated. Preventive malaria chemoprophylaxis was indicated in a total of 151 travellers (16.2%) but was only received by 44/151 patients (29.1%). Risky eating or drinking behaviour was admitted by 832 (89.1%) respondents and low standard accommodation by 525 (56.2 %) travellers. The most commonly reported clinical syndromes were acute and chronic diarrhoea (266; 28.5%), febrile illness (240; 25.7%) and skin lesions (166; 17.8%). A total of 199 patients presented with tropical infection (21.3%) and 63 with a vaccine-preventable infection or malaria (6.7%).  Conclusions: The study shows that the adherence of Czech travellers to preventive measures is relatively low, and along with risky behaviours, has a significant impact on travel-related morbidity. However, vaccine-preventable infections only accounted for a small fraction of travel-related illness, which is in accordance with other epidemiological studies and points out the need for a more comprehensive interdisciplinary approach to pre-travel health consultations.

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来源期刊
Epidemiologie Mikrobiologie Imunologie
Epidemiologie Mikrobiologie Imunologie Medicine-Immunology and Allergy
CiteScore
0.90
自引率
0.00%
发文量
20
期刊介绍: The journal publishes original papers, information from practice, reviews on epidemiological and microbiological subjects. Sufficient space is devoted to diagnostic methods from medical microbiology, parasitology, immunology, and to general aspects and discussions pertaining to preventive medicine. It also brings translations and book reviews useful for medical doctors and research workers and professionals in public health.
期刊最新文献
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