Ravilya Preventive Travel

Front 1

when to set up a pretravel counseling session

Back 1

It is important to set up a pretravel counseling session approximately 4 to 6 weeks before the
patient's departure

Front 2

1 what is travelers' most common vaccine-preventable disease
2 when Hepatitis A infection is possible
3 in what counties Infection
rates are particularly high
4 patine is leaving in 2 weeks , how to vaccinate him ( against hep A)

5 when to give booster and for how long will be immunity

Back 2

1 Hepatitis A infection is travelers' most common vaccine-preventable disease.

2 Hepatitis A infection is possible wherever fecal contamination of food or drinking water may occur
or in male prison
. 3 Infection rates are particularly high in nonindustrial countries.

4 If a patient is leaving within 2 weeks of being seen, both the vaccine and immune serum globulin are recommended.

5 A booster shot given 6 months after the initial vaccination confers immunity for approximately 10 years.

Front 3

1 Hepatitis B vaccination is recommended for patients .....
2
3
4

Back 3

1 Hepatitis B vaccination is recommended for patients who work closely with the indigenous
population.

2 Additionally, patients who plan to engage in sexual intercourse with the local populace ;
3 to receive medical or dental care, and

4 those who plan to remain abroad for longer than 6 months, should be vaccinated

Front 4

MALARIA
1.travelers to what country should be given the prophylaxis for malaria
2 what medicine?
3 if chloroquine resistance in country of destination what to give
4. what is alternative for mefloquine and what is adverse effect
5 what to give to pregnant patients for malaria prophylaxis

6 schema of prophylaxis

Back 4

For patients traveling to Mexico, Central America (except to Panama), or the Caribbean, chloroquine is acceptable prophylaxis for malaria

3. For patients traveling to areas where chloroquine resistance is common, mefloquine is the agent of choice for malaria prophylaxis.

4 Doxycycline is an acceptable alternative to mefloquine, although photosensitivity can be problematic.

For patients who are pregnant and require chemoprophylaxis for malaria, the combination of atovaquone
and proguanil is the preferred regimen.

administration- chloroquine and mefloquine 1-2 week before traveling and 4 weeks after return home.

primaquine- start 1-2 days prior the travel and continue until 7 days after last exposure.

6 doxycycline, hydroxycloroquine atovaquone reguire administration 4 weeks after last exposure

Front 5

Rabies vaccination is recommended for patients traveling to areas where rabies is common ( where)
what is the issue with malaria prophylaxis together with rabies

is that routine prophylaxis?

Back 5

Rabies vaccination is recommended for patients traveling to areas where rabies is common
among domesticated animals (India, Asia, Mexico).

Chloroquine can blunt the response to the intradermal form of rabies vaccine.
Therefore) in patients who require malaria prophylaxis, in
addition to rabies prophylaxis the intramuscular form of the vaccine should be administered.

Rabies vaccination is not considered a routine vaccination for most travelers.

Front 6

1Postexposure prophylaxis is recommended for any physical contact with bats... why?

2 exposure to P who have not been previously vaccinated....
what to give as prophylaxis
.
3 why not give only human rabies immunoglobulin (RIG) ?

4 what is protection of the human rabies immunoglobulin (RIG

5 what is the protection of the Active immunization

6 when we give only vaccine?
7 when to contact the authorities?
8 what animals are known to be reservoirs

Back 6

1 Postexposure prophylaxis is recommended for any physical contact with bats. Bites or
scratches may be too small to be visible to the naked eye.

2 Both human rabies immunoglobulin (RIG) and vaccine should be administered to persons who have not been previously vaccinated.

3 RIG is never recommended as only
prophylaxis. It provides rapid passive protection with a half-life of 21 days.

5 Active immunization induces response after 7 to 10 days and persists for at
least 2 years.


6 Only the vaccine is necessary if the person has a history of previous
vaccination with documented antibody response.


7 Consulting public health authorities before an intervention may be appropriate if the contact did not involve animals known to be a reservoir for rabies.

8 Animals known to be reservoirs are the bat, skunk, raccoon, fox, coyote, and other wild carnivores,
and prophylaxis is indicated regardless of the regio

Front 7

thypoid vaccination
1. to whom?
2 . 2 types?
3. what type is safe for HIV patients

Back 7

Front 8

polio vaccine
1 to whom?
2 p was vaccinated and traveling what to give
3 p was not vaccinated and traveling what to give
4 what type of vaccine- activated or inactivated/

Back 8

Front 9

meningo c meningitis

1. who to give the vaccine

2what age is the vaccine routine from

Back 9

2 types A , B
vaccination is against A

50 % chance to get type B- and chance to be sick

Front 10

what countries are not chloroquine resistant?
what ti give to prevent relaps of P >vivax or P. ovale?

Back 10

The Dominican Republic is one
area of high risk for malaria where no chloroquine-resistant strains of Plasmodium
falciparum have been identified. Other areas include Central America
west of the Panama Canal Zone, Haiti, Egypt, and most of the Middle
East. Almost all other countries with a high risk for malaria have resistant
strains. The drug of choice for prophylaxis in these areas is mefloquine or
doxycycline.

Primaquine is given to prevent relapses due to P. vivax or P.
ovale.