Pediatric Emergency Unit, CHU Nord, Chemin des Bourrelly, Marseille, France.
J Travel Med. 2013 May-Jun;20(3):171-6. doi: 10.1111/jtm.12016. Epub 2013 Mar 8.
The number of people, both adults and children, traveling abroad, is on the rise. Some seek counseling at travel medicine centers before departure.
A prospective study was conducted among children <16 years visiting a travel medicine center in Marseille, France, from February 2010 to February 2011. Parents were contacted by telephone 4 weeks after their return, and asked about compliance with pre-travel advice.
One hundred sixty-seven children were evaluated after their trip. Compliance with immunizations, malaria chemoprophylaxis, and food-borne disease prevention was 71, 66, and 31%, respectively. Compliance with malaria chemoprophylaxis varied significantly with destination, and was higher for African destinations. Significant features associated with poor compliance with chemoprophylaxis were a trip to Asia or the Indian Ocean, age <5 years, and a monoparental family. Compliance with prevention of food- and water-borne diseases was higher in children < 2 years of age.
A ≥ 80% compliance with pre-travel counseling in children traveling overseas was achieved only for drinking bottled water, using repellents, a routine vaccine update, and yellow fever immunization.
出国旅游的人数，包括成人和儿童，都在增加。有些人在出发前会前往旅行医学中心咨询。
2010 年 2 月至 2011 年 2 月，在法国马赛的一家旅行医学中心对 16 岁以下的儿童进行了前瞻性研究。旅行结束后 4 周，通过电话联系家长，询问他们是否遵守了旅行前的建议。
对 167 名儿童进行了评估。免疫接种、疟疾化学预防和食源性疾病预防的依从率分别为 71%、66%和 31%。疟疾化学预防的依从率与目的地差异显著，且非洲目的地的依从率更高。与化学预防依从性差相关的显著特征是前往亚洲或印度洋、年龄<5 岁和单亲家庭。2 岁以下儿童预防食源性和水源性疾病的依从率较高。
只有在饮用瓶装水、使用驱虫剂、常规疫苗更新和接种黄热病疫苗方面，出国旅行的儿童对旅行前咨询的依从率≥80%。
