Preparing children for international travel

need for training and pediatric-focused research

Stefan H F Hagmann, Eyal Leshem, Philip R. Fischer, William M. Stauffer, Elizabeth D. Barnett, John Christenson

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

CONCLUSIONS: Members of the PedIG have diverse professional and practice backgrounds. Lack of awareness of established guidelines may place international pediatric travelers at risk for travel-associated morbidity. Strategies are needed to facilitate education and support research in pediatric travel medicine to formulate evidence-based guidelines wherever they are currently missing.

BACKGROUND: The International Society of Travel Medicine (ISTM) Pediatric Interest Group (PedIG) was created in 2010. We studied the group's professional characteristics and practice patterns to identify clinical areas requiring further training and research related to pediatric international travel.

METHODS: PedIG members were emailed a two-part online questionnaire in September 2011, which comprised questions about professional and practice details, followed by a survey regarding decisions on nine patient scenarios that represent common pediatric pre-travel health challenges.

RESULTS: Ninety-three (34%) of 273 members completed the survey. Most were physicians (80%) having a primary specialization in pediatrics (55%) and family medicine (19%). About a third (37%) had acquired the ISTM Certificate in Travel Health (CTH); 14 and 11% chose not to provide malaria chemoprophylaxis for a 2-month-old infant and a 13-year-old child traveling to West Africa, respectively. Azithromycin for empiric treatment of travelers' diarrhea in a 2-year-old traveler to Thailand and Mexico was suggested by 74 and 58%, respectively, while the use of acetazolamide for a 2-month old infant traveling to a high-altitude destination was rarely (13%) chosen. In vaccine-focused scenarios, 71, 69, 21, and 10% would prescribe the meningococcal vaccine for a 6-month-old traveler to Burkina Faso, Japanese encephalitis vaccine to a 10-year-old traveler to Cambodia, hepatitis A vaccine to a 6-month-old traveler to El Salvador, and the typhoid vaccine to a 1-year-old traveler to India, respectively.

Original languageEnglish (US)
Pages (from-to)377-383
Number of pages7
JournalJournal of Travel Medicine
Volume21
Issue number6
DOIs
StatePublished - Nov 1 2014

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Pediatrics
Research
Public Opinion
Professional Practice
Travel Medicine
Japanese Encephalitis Vaccines
El Salvador
Typhoid-Paratyphoid Vaccines
Hepatitis A Vaccines
Meningococcal Vaccines
Guidelines
Cambodia
Burkina Faso
Azithromycin
Acetazolamide
Western Africa
Chemoprevention
Health
Thailand
Mexico

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Preparing children for international travel : need for training and pediatric-focused research. / Hagmann, Stefan H F; Leshem, Eyal; Fischer, Philip R.; Stauffer, William M.; Barnett, Elizabeth D.; Christenson, John.

In: Journal of Travel Medicine, Vol. 21, No. 6, 01.11.2014, p. 377-383.

Research output: Contribution to journalArticle

Hagmann, Stefan H F ; Leshem, Eyal ; Fischer, Philip R. ; Stauffer, William M. ; Barnett, Elizabeth D. ; Christenson, John. / Preparing children for international travel : need for training and pediatric-focused research. In: Journal of Travel Medicine. 2014 ; Vol. 21, No. 6. pp. 377-383.
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