Infections

Document Sample
Infections Powered By Docstoc
					Travel advice
 DR L NAIR

SOME TRUTHS ABOUT TRAVEL
 100000 TRAVEL IN A YEAR  50000 -SOME HEALTH PROBLEM  8000 SEE A PHYSICIAN
 5000 BED BOUND

 1100 INCAPACITATED  300 ADMITTED
 50 AIR EVACUATED

 1 DIES

Lancet 2003

AREAS OF RELEVANCE
 INFECTIONS  DVT  MEDICAL/SURGICAL CONDITIONS
 SPORTING INJURIES

 ASSESSMENT AFTER RETURN

Infections
 Tropical diseases  STD  Environmental infections
 Current outbreaks

Infections
MALARIA  DIARRHOEAL D  ENCEPHALITIS  HEPATITIS  TUBERCULOSIS




TROPICAL

Considerations in vaccine choice
 Destination  Duration of travel  Vaccine-availability and cost
 Allergies

 Pregnancy  Existing medical conditions

INFECTIONS
HIV  HPATITIS  OTHERS
 

SEXUALLY TRANSMITTED

Environmental infections
 Diving, Swimming-

leptospirosis, schistosomiasis,  Hiking Cutaneous larva migrans, hookworms

Current outbreaks
 Daily updates  Advice against travel to areas of ongoing

epidemics  Foreign office/DOH guidelines and not media information

Venous thrombo-embolism
High risk individuals  Pregnancy  Oral contraceptives  Elderly  Cancers  Smokers  Past history

Risk reduction
 Moving about  Hydration  Support stockings
 Aspirin- ?

Medical conditions
 Respiratory- 11% of all in flight

emergencies- Asthma, COPD, Respiratory symptoms on flying, Risk of PE  Cardiac- CAHD, Cardiac failure  Endocrine- Diabetes

PRACTICAL ISSUES
 MEDICATIONS

Availabilty, private prescriptions,special needs(O2) Emergencies Need to seek medical help, Reciprocal arrangements, Insurance

SURGICAL
 POST- OPERATIVE

Safe interval before travel, need for DVT prophylaxis,  Grommets and hearing aids

Dangerous sport
 Mountain climbing  Deep seadiving  Wintersports

Pre-travel risk assessment
 Destination  Purpose  Mode
 Duration

 Special activities  Special needs-medical/surgical
 High risks

 Available medical facilities

RETURN FROM TRAVEL
 No routine assessment needed  Any new symptoms-

unexplained diarrhoea, jaundice, fatigue- specialist in travel and tropical medicine  Chronic patients should be advised to consult soon after return

New developments
 Travel medicine is a growing speciality and

is recognised bu the DOH as important in identifying and containing disease spread.  Growing immigrant population with newer diseases  Newer combination vaccines by accelerated schedules  Psychological impacts of air travel

SO DOC WHAT YOU ARESAYING IS----I MAY BE  BITTEN  RUN OVER  DROWNED  SHOT--------------

RELEVANT INFORMATION


				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:12
posted:11/15/2009
language:English
pages:20