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旅行医学:健康旅行者的行前咨询。

Travel Medicine: Pretravel Counseling for Healthy Travelers.

机构信息

Department of Family Medicine - University of South Dakota School of Medicine, 414 E. Clark Street Vermillion, SD 57069.

出版信息

FP Essent. 2023 Sep;532:7-17.

PMID:37708465
Abstract

Before the COVID-19 pandemic, international travel was increasing at a brisk rate. After a lull, it is picking up again and predicted to continue to climb as it had previously. International travel presents some unique health hazards, including infectious diseases, chronic disease exacerbation, environment-related illness, accidental injuries, and transportation-related illness. Many travelers appropriately seek medical consultation for advice and interventions to decrease their health risks during travel. The pretravel consultation consists of risk identification and preventive interventions. Although these consultations traditionally have occurred with infectious disease specialists, family physicians can and should provide this care. Pretravel consultations should review a patient's medical conditions, how travel can affect them, and what the patient can do to address medical needs that may arise while abroad. Balancing the risks likely to be encountered with the individual traveler's risk tolerance, patients and family physicians can collaboratively develop a strategy to mitigate these risks and increase the likelihood of an uneventful (and enjoyable) sojourn.

摘要

在 COVID-19 大流行之前,国际旅行正以较快的速度增长。在一段时间的停顿之后,它又重新开始回升,并预计将继续攀升,就像之前一样。国际旅行带来了一些独特的健康危害,包括传染病、慢性病恶化、与环境相关的疾病、意外伤害和与交通相关的疾病。许多旅行者会适当寻求医疗咨询建议和干预措施,以降低旅行期间的健康风险。旅行前咨询包括风险识别和预防干预。尽管这些咨询传统上是由传染病专家进行的,但家庭医生也可以并且应该提供这种护理。旅行前咨询应审查患者的健康状况、旅行如何影响他们,以及患者可以采取哪些措施来解决在国外可能出现的医疗需求。在平衡旅行者可能遇到的风险与个体旅行者的风险承受能力之间的关系时,患者和家庭医生可以共同制定策略来降低这些风险,增加安然无恙(和愉快)逗留的可能性。

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