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Preparing children for international travel: need for training and pediatric-focused research.
[typhoid]
The
International
Society
of
Travel
Medicine
(
ISTM
)
Pediatric
Interest
Group
(
PedIG
)
was
created
in
2010
.
We
studied
the
group
's
professional
characteristics
and
practice
patterns
to
identify
clinical
areas
requiring
further
training
and
research
related
to
pediatric
international
travel
.
PedIG
members
were
emailed
a
two
-part
online
questionnaire
in
September
2011
,
which
comprised
questions
about
professional
and
practice
details
,
followed
by
a
survey
regarding
decisions
on
nine
patient
scenarios
that
represent
common
pediatric
pre-travel
health
challenges
.
Ninety
-
three
(
34
%
)
of
273
members
completed
the
survey
.
Most
were
physicians
(
80
%
)
having
a
primary
specialization
in
pediatrics
(
55
%
)
and
family
medicine
(
19
%
)
.
About
a
third
(
37
%
)
had
acquired
the
ISTM
Certificate
in
Travel
Health
(
®
)
(
CTH
(
®
)
)
;
14
and
11
%
chose
not
to
provide
malaria
chemoprophylaxis
for
a
2
-
month
-old
infant
and
a
13
-
year
-old
child
traveling
to
West
Africa
,
respectively
.
Azithromycin
for
empiric
treatment
of
travelers
'
diarrhea
in
a
2
-
year
-old
traveler
to
Thailand
and
Mexico
was
suggested
by
74
and
58
%
,
respectively
,
while
the
use
of
acetazolamide
for
a
2
-
month
old
infant
traveling
to
a
high
-altitude
destination
was
rarely
(
13
%
)
chosen
.
In
vaccine-focused
scenarios
,
71
,
69
,
21
,
and
10
%
would
prescribe
the
meningococcal
vaccine
for
a
6
-
month
-old
traveler
to
Burkina
Faso
,
Japanese
encephalitis
vaccine
to
a
10
-
year
-old
traveler
to
Cambodia
,
hepatitis
A
vaccine
to
a
6
-
month
-old
traveler
to
El
Salvador
,
and
the
typhoid
vaccine
to
a
1
-
year
-old
traveler
to
India
,
respectively
.
Members
of
the
PedIG
have
diverse
professional
and
practice
backgrounds
.
Lack
of
awareness
of
established
guidelines
may
place
international
pediatric
travelers
at
risk
for
travel-associated
morbidity
.
Strategies
are
needed
to
facilitate
education
and
support
research
in
pediatric
travel
medicine
to
formulate
evidence-based
guidelines
wherever
they
are
currently
missing
.
Diseases
Validation
Diseases presenting
"comprised questions about professional and practice details"
symptom
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