Duke University School of Medicine, Durham, North Carolina (R.J.R.).
Harvard Medical School, Boston, Massachusetts (E.T.R., R.C.L.).
Ann Intern Med. 2023 Sep;176(9):ITC129-ITC144. doi: 10.7326/AITC202309190. Epub 2023 Sep 12.
International travel can cause new illness or exacerbate existing conditions. Because primary care providers are frequent sources of health advice to travelers, they should be familiar with destination-specific disease risks, be knowledgeable about travel and routine vaccines, be prepared to prescribe chemoprophylaxis and self-treatment regimens, and be aware of travel medicine resources. Primary care providers should recognize travelers who would benefit from referral to a specialized travel clinic for evaluation. Those requiring yellow fever vaccination, immunocompromised hosts, pregnant persons, persons with multiple comorbid conditions, or travelers with complex itineraries may warrant specialty referral.
国际旅行可能会导致新的疾病或使现有疾病恶化。由于初级保健提供者是旅行者经常寻求健康建议的来源，因此他们应该熟悉特定目的地的疾病风险，了解旅行和常规疫苗知识，准备好开出处方预防药物和自我治疗方案，并了解旅行医学资源。初级保健提供者应识别出那些需要转介到专门的旅行诊所进行评估的旅行者。那些需要接种黄热病疫苗、免疫功能低下者、孕妇、有多种合并症者或行程复杂的旅行者可能需要专科转诊。
