Department of Epidemiology and Tropical Medicine; Military Institute of Medicine - National Research Institute, Warsaw, Poland.
Department of Tropical Medicine and Epidemiology, Institute of Maritime and Tropical Medicine, Faculty of Health Sciences, Medical University of Gdańsk, Poland.
Int Marit Health. 2024;75(1):55-60. doi: 10.5603/imh.99413.
After COVID-19 restrictions were lifted, people started to travel again. Each year, thousands of Poles travel internationally, and many travel to tropical or subtropical destinations in Asia, Africa or South America. The aim of this article was to describe the characteristics of Polish travellers based on the information from a retrospective 12-month review of the medical records of Polish patients seeking pre-travel advice at the largest diagnostic and treatment travel medicine centre in Poland in 2023.
The retrospective study was based on the analysis of medical records of 2,147 patients seeking pre-travel advice at the University Centre of Maritime and Tropical Medicine in Gdynia, Poland, between January and December 2023. The study focused on the analysis of the following patients' variables: age, sex, travel details (purpose of travel, length of travel, departure month, continents and countries to be visited). It also aimed to evaluate the range of prevention measures which were either recommended or administered to patients seeking pre-travel advice at the clinic (preventive vaccinations, chemoprophylaxis). In addition, it assessed the health status of the patients presenting at the travel medicine clinic; retrospective health assessments were based on the information from the interviews with the patients.
Patients who sought pre-travel advice were mostly aged 36-65 years (49.5%), they were travelling for tourism purposes (78.3%), for a maximum period of 4 weeks (79.0%), mostly in November (15.2%) or in January (14.9%). Most travellers planned to visit Asia (55.5%) or Africa (29.0%); mainly Thailand (21.5%), Vietnam (8.5%), Kenya (8.3%) or India (8.2%). The most frequently administered immunoprophylaxis included vaccinations against typhoid fever and hepatitis A. Other commonly recommended/prescribed prevention measures included: insect repellents (69.3%), sunscreen (58.3%), antimalarials (35.8%), antithrombotic drugs (32.6%), and antidiarrheal drugs (25.6%). The analysis of patient interviews demonstrated that 61.8% of the travellers consulted at the clinic had no pre-existing medical conditions, while 38.2% required the use of chronic medications, mainly for allergies (14.3%), thyroid disorders (13.6%), cardiovascular diseases (9.3%), or psychiatric disorders (5.5%).
A large number of Polish travellers visit destinations where the risk of infectious and non-infectious diseases is high. Providing patients with professional advice during a pre-travel consultation will help protect against travel-associated health problems.
随着新冠疫情限制的解除,人们开始再次旅行。每年都有数千名波兰人出国旅行,其中许多人前往亚洲、非洲或南美洲的热带或亚热带目的地。本文旨在描述波兰旅行者的特征,所依据的是波兰最大的诊断和治疗旅行医学中心 2023 年对寻求行前咨询的波兰患者的医疗记录进行的为期 12 个月的回顾性分析。
这项回顾性研究基于对 2023 年 1 月至 12 月期间在波兰格丁尼亚海洋与热带医学大学中心寻求行前咨询的 2147 名患者的医疗记录进行的分析。该研究主要关注以下患者变量的分析:年龄、性别、旅行详情(旅行目的、旅行时间、出发月份、将要访问的大陆和国家)。还旨在评估向诊所寻求行前咨询的患者推荐或给予的预防措施范围(预防接种、化学预防)。此外,还评估了在旅行医学诊所就诊的患者的健康状况;回顾性健康评估基于对患者访谈的信息。
寻求行前咨询的患者主要年龄在 36-65 岁(49.5%),他们旅行的目的是旅游(78.3%),旅行时间最长为 4 周(79.0%),主要在 11 月(15.2%)或 1 月(14.9%)出发。大多数旅行者计划访问亚洲(55.5%)或非洲(29.0%);主要目的地为泰国(21.5%)、越南(8.5%)、肯尼亚(8.3%)或印度(8.2%)。最常给予的免疫预防包括伤寒和甲型肝炎疫苗接种。其他常见的推荐/处方预防措施包括:驱虫剂(69.3%)、防晒霜(58.3%)、抗疟药(35.8%)、抗血栓药物(32.6%)和止泻药(25.6%)。对患者访谈的分析表明,61.8%在诊所就诊的旅行者没有既往疾病,而 38.2%需要使用慢性药物,主要用于治疗过敏(14.3%)、甲状腺疾病(13.6%)、心血管疾病(9.3%)或精神疾病(5.5%)。
大量波兰旅行者前往传染病和非传染病风险较高的目的地。在行前咨询期间为患者提供专业建议有助于预防与旅行相关的健康问题。