Hirschel B
Hôpital cantonal universitaire, Division des maladies infectieuses, Genève.
Ther Umsch. 1991 Apr;48(4):245-50.
Diarrhea, malaria, and viral hepatitis are among the preventable diseases of travellers. In Switzerland, almost all serious cases of malaria are introduced from tropical Africa; therefore, we recommend protection with 250 mg of mefloquin per week for this destination. Elsewhere, protection against mosquitoes, in combination with Fansimef for self-treatment, may be enough. For travellers' diarrhea, we prefer immediate treatment with ciprofloxacin or cotrimoxazol to prophylaxis. Administration of immune globulin against hepatitis A may be recommended for all non-immune tourists, whereas protection against hepatitis B is necessary for health workers and sex tourists.
腹泻、疟疾和病毒性肝炎是旅行者可预防的疾病。在瑞士，几乎所有严重疟疾病例都来自热带非洲；因此，对于前往该目的地的旅行者，我们建议每周服用250毫克甲氟喹进行预防。在其他地方，防蚊措施，结合使用法昔洛韦进行自我治疗，可能就足够了。对于旅行者腹泻，我们更倾向于使用环丙沙星或复方新诺明进行即时治疗而非预防。对于所有未接种疫苗的游客，可建议接种甲型肝炎免疫球蛋白，而对于医护人员和性工作者旅行者，预防乙型肝炎则是必要的。
