A Comparison of Pretravel Health Care, Travel-Related Exposures, and Illnesses among Pediatric and Adult U.S. Military Beneficiaries.

Authors:
Jamie Fraser
Jamie Fraser
National Human Genome Research Institute
Heather Yun
Heather Yun
San Antonio Military Medical Center
Anjali Kunz
Anjali Kunz
Uniformed Services University of the Health Sciences
Mary Fairchok
Mary Fairchok
Duke University Medical Center
United States
David Tribble
David Tribble
Uniformed Services University of the Health Sciences
United States
Indrani Mitra
Indrani Mitra
Drug Theoretics and Cheminformatics Laboratory
Mark D Johnson
Mark D Johnson
Brigham and Women's Hospital
United States

Am J Trop Med Hyg 2019 May;100(5):1285-1289

Infectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland.

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 ( < 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.

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Source
http://dx.doi.org/10.4269/ajtmh.18-0353DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6493949PMC
May 2019
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