Background

Infectious and non-infectious risks associated with international travel can be reduced with adherence to pre-travel advice from practitioners trained in travel medicine.

Methods

A prospective cohort study was conducted in a tertiary care children's hospital to assess adherence to malaria chemoprophylaxis, safe water and food consumption, mosquito bite protection, motor vehicle safety and travel vaccines using structured questionnaires. High risk groups assessed included child travelers and those visiting friends and relatives (VFRs).

Results

In total, 290 participants (133 children and 157 adults) were enrolled and completed at least one study questionnaire. In general, with the exception of vaccines, adherence to recommendations was sub-optimal. Among children and adults, adherence to malaria prophylaxis recommendations was lower in VFRs than in non-VFRs. The proportion of children VFRs (cVFRs) and adult VFRs (aVFRs) who adhered to the following recommendations were malaria chemoprophylaxis (47%, 33%), safe water (71%, 74%) and food recommendations (18%, 6%), insect bite avoidance (21%, 12%), and motor vehicle safety (13%, 11%) respectively. Adherence to recommended vaccines uptake was greater than 90% in all groups.

Conclusion

With the exception of vaccine uptake, sub-optimal adherence levels to travel recommendations was identified in all groups, and in particular VFRs, highlighting the need for proactive discussions around barriers to adherence.

中文翻译：

---

遵守加拿大三级医疗家庭旅行诊所的建议-单一中心分析。

背景

遵守旅行医学训练过的从业人员的旅行前建议，可以减少与国际旅行有关的传染性和非传染性风险。

方法

在三级儿童医院中进行了一项前瞻性队列研究，以评估其对疟疾化学预防，安全饮水和食物的摄入量，蚊虫叮咬保护，机动车安全性和旅行疫苗的依从性，使用结构化问卷。评估的高风险人群包括儿童旅行者和探亲访友（VFR）。

结果

总共290名参与者（133名儿童和157名成人）被纳入并完成了至少一份研究问卷。通常，除疫苗外，对建议的依从性欠佳。在儿童和成人中，VFR中对疟疾预防建议的遵守率低于非VFR中。遵循以下建议的儿童VFR（cVFR）和成人VFR（aVFR）的比例为疟疾化学预防（47％，33％），安全饮水（71％，74％）和食物建议（18％，6％） ，避免虫咬（21％，12％）和机动车安全（13％，11％）。在所有组中，对建议的疫苗摄取的依从性均大于90％。

结论

除了接种疫苗外，在所有人群中，特别是在VFR中，都发现出行建议的依从性低于最佳水平，这突出显示了需要就依从性障碍进行积极讨论的必要性。