Barbero González A, Alvarez de Toledo Saavedra F, Esteban Fernández J, Pastor-Sánchez R, Gil de Miguel A, Rodríguez Barrios J M, García Cebrián F, Capdevilla Prim C
Red Española de Atención Primaria, España.
Aten Primaria. 2003 Sep 30;32(5):276-81. doi: 10.1016/s0212-6567(03)79275-0.
To improve and evaluate the travel advice by community pharmacists.
Cross-sectional and prospective study.
Community pharmacies from Asturias, Barcelona, Madrid and Valencia.
483 travellers to high health risk countries who visit the community pharmacies and were agreed with the aims of the study.
Community pharmacists gave information regarding immunization and prophylaxis about travel-related disease according to the destination, type and duration of travel and other features of the tourist (age, taking medicines, diseases, etc.).
Destination, adherence to the prophylaxis and vaccinations recommended, adverse effects and diseases the tourists have in the travel and one month after they are back.
Only 6.3% of the travellers were effective vaccinated and took prophylaxis (all vaccines and prophylaxis according to the destination). 36.2% of the travellers experienced an illness while abroad. The commonest disease were travellers' diarrhoea (15.7%). The pharmacists were the only source of information about sunscreens, repellents, and other sanitary goods.
The community pharmacists can give accurate information regarding immunization and prophylaxis about international travels. It is necessary to improve the communication between family physician, the tropical travel clinic and community pharmacists in order to improving compliance. It is necessary keep the bureaucratic barriers away to get this kind of drugs. The international tourists still travel without the necessary vaccines and prophylaxis to the high health risk areas.
改进并评估社区药剂师提供的旅行建议。
横断面前瞻性研究。
来自阿斯图里亚斯、巴塞罗那、马德里和巴伦西亚的社区药房。
483名前往高健康风险国家旅行的游客，他们前往社区药房并同意参与本研究的目的。
社区药剂师根据目的地、旅行类型和时长以及游客的其他特征（年龄、用药情况、疾病等），提供有关与旅行相关疾病的免疫接种和预防的信息。
目的地、对推荐的预防措施和疫苗接种的依从性、游客在旅行期间及返回后一个月内出现的不良反应和疾病。
只有6.3%的旅行者有效接种了疫苗并采取了预防措施（所有疫苗和预防措施均根据目的地而定）。36.2%的旅行者在国外患病。最常见的疾病是旅行者腹泻（15.7%）。药剂师是防晒霜、驱虫剂和其他卫生用品的唯一信息来源。
社区药剂师可以提供有关国际旅行免疫接种和预防的准确信息。有必要改善家庭医生、热带旅行诊所和社区药剂师之间的沟通，以提高依从性。有必要消除获取这类药物的官僚障碍。国际游客仍然在未接种必要疫苗和采取预防措施的情况下前往高健康风险地区旅行。
